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

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