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Adductor Under Sartorial Canal Catheter (KTT) Versus Femoral Catheter (KTF) in a Quick Rehabilitation Process After Total Knee Replacement (KTSS)

C

Centre Hospitalier Departemental Vendee

Status

Completed

Conditions

Total Knee Replacement

Treatments

Device: femoral catheter
Device: under sartorial catheter

Study type

Interventional

Funder types

Other

Identifiers

NCT02873637
CHD 065-16

Details and patient eligibility

About

The main objective of this study is to show that postoperative Total Knee Replacement (TKR), an analgesic perineural catheter in position under sartorial (KTSS) best preserves motor quadriceps femoral perineural catheter that (KTF) infused with even low doses of local anesthetics, this motor being evaluated by a semi quantitative simple clinical test locking of the knee feasible at the bedside.

Patients will be randomized in two arms:

  • catheter in position under sartorial (experimental group)
  • femoral catheter (control group)

Enrollment

44 patients

Sex

All

Ages

18 to 85 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Major Patient (≥ 18 years)
  • Before tricompartmental benefit from knee replacement (TKR) unilateral,
  • TKR programmed on one of the first three days of the week (Monday to Wednesday)
  • Physical status score I-III,
  • Non septic programmed surgery under general anesthesia
  • Able to understand the protocol
  • Written informed consent
  • Social Insured
  • Opportunity to be followed under the Protocol

Exclusion criteria

  • Age ≥ 85 years
  • Obesity (BMI ≥ 35)
  • Revision TKR,
  • Patients not cooperating or not including the French,
  • Difficulties in understanding and evaluating the score pain (VAS),
  • Preoperative cognitive dysfunction making unreliable interrogation
  • Patient unable to read and / or write (literacy, ...)
  • Known bleeding disorders,
  • Vascular surgery for femoral vessels on the operated side,
  • Neuropathy of the lower limb,
  • Localized infection at the puncture catheters,
  • Known allergy to ropivacaine,
  • Renal and / or severe hepatic impairment,
  • Taking opioids for more than a month before surgery,
  • Intolerance to morphine,
  • Rheumatic inflammatory disease,
  • Patients receiving immunosuppressive therapy or long-term corticosteroid
  • Allergy or against-indications to standard treatments administered intraoperative and postoperative
  • Flexion deformity> 10 ° or valgus deformity with significant
  • Refused to participate
  • Patient trusteeship, guardianship, deprived of liberty
  • Women premenopausal who become pregnant

Trial design

Primary purpose

Other

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

44 participants in 2 patient groups

under sartorial catheter
Experimental group
Description:
catheter under sartorial
Treatment:
Device: under sartorial catheter
femoral catheter
Other group
Description:
femoral catheter
Treatment:
Device: femoral catheter

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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