Ultra Sound Guided Genicular Nerves Cooled Radiofrequency Ablation in Total Knee Replacement Surgeries

Ain Shams University

Status: Enrolling

Conditions: Osteoarthritis of Knee

Treatments: Procedure: bilateral Radiofrequency; Procedure: unilateral Radiofrequency; Procedure: Epidural

Study type: Interventional

Funder types: Other

Identifiers

NCT06651762

FMASU R221/2024

Details and patient eligibility

About

Total Knee Replacement surgery is common procedure that is usually done for patients suffering from persistent pain with limitation of movement. Unfortunately, they do suffer after the operation as it is associated still with significant pain that affect the rehabilitation plan, hospital length of stay, life style and patient satisfaction. New approaches are rising every day to add to the multimodal management plan. Genicular nerves cooled radiofrequency ablation is a new approach that can be simply done U.S. guided with little side effects, if any, and great results.

Full description

the study measures the efficacy of genicular nerves cooled radiofrequency ablation in enhancing quality of rehabilitation in patients undergoing total knee replacement

Enrollment: 66 estimated patients

Sex: All

Ages: 21+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:• Undergoing a scheduled unilateral total knee replacement surgery

Exclusion Criteria:

• • Allergy to any of the drugs used in the study

  • Alcohol or drug abuse
  • Psychiatric disease

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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66 participants in 3 patient groups

lumber epidural anesthesia

Experimental group

Description:

Patients will receive epidural anesthesia intra operative

Treatment:

Procedure: Epidural

lumber Epidural and unilateral genicular nerve ablation:

Experimental group

Description:

Patient will receive lumber epidural anesthesia and unilateral genicular nerve cooled radio frequency ablation pre-operative

Treatment:

Procedure: Epidural

Procedure: unilateral Radiofrequency

Epidural and bilateral genicular nerve ablation

Experimental group

Description:

Patient will receive lumber epidural anesthesia and bilateral genicular nerve cooled radio frequency ablation pre-operative

Treatment:

Procedure: Epidural

Procedure: bilateral Radiofrequency