COMPARISON OF THE EFFECT OF DISTAL ADDUCTOR CANAL BLOCK COMBINED WITH GENICULAR NERVE BLOCK OR PE… (NCT07077720) | Clinical Trial Compass
CompletedNot Applicable
COMPARISON OF THE EFFECT OF DISTAL ADDUCTOR CANAL BLOCK COMBINED WITH GENICULAR NERVE BLOCK OR PERIARTICULAR INJECTION ON POSTOPERATIVE QOR-15 IN TOTAL KNEE ARTHROPLASTIES
Objective: This study compares the effects of genicular nerve block (GNB) and periarticular injection (PAI), added to distal adductor canal block (ACB), on postoperative recovery quality (QoR-15), morphine use, and pain scores after total knee arthroplasty (TKA).
Methods: Sixty patients received spinal anesthesia and distal ACB, then were randomized to GNB (Group G, n=30) or PAI (Group P, n=30). QoR-15, morphine consumption, VAS pain scores, nausea/vomiting, and side effects were evaluated.
Who can participate
Age range18 Years – 90 Years
SexALL
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Inclusion Criteria:
* Patients scheduled for knee arthroplasty
* Patients classified as ASA I, II, or III
* Patients aged 18 years and older
Exclusion Criteria:
* Patients with a known allergy to any of the drugs used in the study
* Presence of infection near the puncture site
* History or presence of neurological disorders (e.g., transient ischemic attack, syncope, dementia, etc.)
* Known coagulation disorders
* History of alcohol or substance abuse
* Impaired consciousness
* Chronic opioid use equal to or exceeding 60 mg of oral morphine equivalents per day
* Pre-existing neuropathic pain
* Hepatic failure, renal failure, or cardiac insufficiency
* Uncontrolled diabetes mellitus
* Pregnant or breastfeeding women
* Refusal or inability to provide written informed consent