Status:

COMPLETED

Comparing Postoperative Functional Recovery and Analgesic Efficacy of a Single Shot Sciatic Nerve Block Versus Posterior Capsule/Fat Pad Infiltration of Local Anesthetic for Total Knee Arthroplasty

Lead Sponsor:

Sunnybrook Health Sciences Centre

Conditions:

Total Knee Arthroplasty

Post Operative Analgesia

Eligibility:

All Genders

18-75 years

Phase:

NA

Brief Summary

Many methods of pain relief have been implemented in an attempt to provide safe and effective analgesia for patients following total knee arthroplasty. Numerous studies have demonstrated that nerve bl...

Detailed Description

The objectives of this study are: 1. Evaluate the role of sciatic nerve block in total knee replacement. There is conflicting data as to whether sciatic nerve block would provide significant analgesi...

Eligibility Criteria

Inclusion

  • American Society of Anesthesiologists physical status I and III
  • Scheduled for total knee arthroplasty

Exclusion

  • Patients not providing informed consent.
  • Refusal of treatment plan.
  • Preexisting medical/neurological/hematologic conditions contraindicated for spinal anesthesia or peripheral nerve blocks.
  • Revision total knee arthroplasty.
  • Known allergy to any of the medications being used.
  • History of drug or alcohol abuse.
  • Patients with chronic pain on slow-release preparations of opioid in excess of 30mg of morphine equivalence per day.
  • Patients with Rheumatoid Arthritis.
  • Patients with psychiatric disorders.
  • Patients unable or unwilling to use Patient Controlled Analgesia.
  • Diabetic patients or those with impaired renal function (Creatinine \>106).
  • Obese patients (i.e. BMI \>45).
  • Postoperatively, patients will be excluded if they have had additional operative procedures requiring a change in the usual rehabilitation protocol of care.

Key Trial Info

Start Date :

June 1 2008

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

November 1 2012

Estimated Enrollment :

104 Patients enrolled

Trial Details

Trial ID

NCT00677261

Start Date

June 1 2008

End Date

November 1 2012

Last Update

November 21 2014

Active Locations (1)

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1

Holland Orthopedic and Arthritic Centre

Toronto, Ontario, Canada, M2N-3Y7