Comparison of Ultrasound-Guided Lumbar ESPB and ABB for Knee Arthroplasty

Bursa City Hospital

Status: Not yet enrolling

Conditions: Total Knee Anthroplasty

Treatments: Other: Postoperative analgesia management

Study type: Interventional

Funder types: Other

Identifiers

NCT07115771

Bursa Şehir Hastanesi 12

Details and patient eligibility

About

Total knee arthroplasty (TKA) is a surgical procedure frequently associated with moderate-to-severe postoperative pain. While Adductor Canal Block (ACB) has demonstrated analgesic efficacy in TKA, the Erector Spinae Plane Block (ESPB) is also being utilized as part of multimodal analgesia for postoperative pain management in lower extremity surgeries. Currently, there is a gap in the literature as no studies have directly compared the efficacy of ACB and ESPB for pain management following TKA. The primary objective of this study is to compare the efficacy of these two analgesic methods in the context of postoperative analgesia management after total knee arthroplasty.

Full description

In our clinic, various regional blocks are applied for analgesia or anesthesia purposes in many surgeries, including knee surgery. For knee surgery, adductor canal block, lumbar epidural analgesia, genicular block, erector spinae plane block, and iPACK block can be used. In our clinic, erector spinae plane block and adductor canal block are routinely applied to knee surgery patients. In our study, we aimed to contribute to the literature by comparing patient satisfaction surveys and pain follow-up in patients undergoing knee arthroplasty who received adductor canal block versus lumbosacral erector spinae plane block, both applied with PROSPECT protocols for postoperative analgesia.

Enrollment: 60 estimated patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients who underwent total knee arthroplasty surgery
• ASA I-II patients

Exclusion criteria

• Patient refusal to participate in the study
• Patients with coagulopathy
• Patients history with local anesthetic allergy or toxicity
• Patients with liver and kidney failure
• Mentally disabled patients
• Presence of infection at the injection site
• Pregnant, suspected pregnant, or breastfeeding mothers

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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60 participants in 2 patient groups

Adductor canal block

Active Comparator group

Description:

Patients will receive an adductor canal block preoperatively.

Treatment:

Other: Postoperative analgesia management

Other: Postoperative analgesia management

Erector spinae plane block

Active Comparator group

Description:

Patients will receive a lumbosacral erector spinae plane block in the preoperative period.

Treatment:

Other: Postoperative analgesia management

Other: Postoperative analgesia management