In our study, investigators plan to compare the preoperative RF and genicular nerve ablation approach in patients who underwent TKA(Total Knee Arthroplasty) using the Fast-Track protocol in terms of meeting postoperative pain, function and early discharge criteria.
Eligibility
Sex
ALL
Min age
40 Years
Max age
85 Years
Healthy volunteers
No
Inclusion Criteria:
* Being between the ages of 40 and 85,
* Being able to understand verbal and written information given in Turkish,
* Being able to speak and understand Turkish,
* Being subjected to unilateral TKA surgery due to the diagnosis of Primary Knee osteoarthritis
Exclusion Criteria:
* Patients planned for revision knee prosthesis surgery,
* Patients previously diagnosed with psychiatric disorders,
* Patients who have undergone major surgery on the extremity where TKA will be applied,
* Patients with comorbid diseases such as rheumatoid arthritis or cancer,
* Patients with a score above 3 according to the American Society of Anesthesiologists (ASA) scoring,
* Patients with neurological diseases that cause functional disability,
* Patients with flexion limitation of more than 45 degrees and extension limitation of more than 20 degrees,
* Patients who have to use hypnotic or anxiolytic drugs regularly,
* Patients with alcohol or drug addiction,
* Patients with bleeding disorders
* Patients with uncontrolled diabetes
Primary outcome measure(s)
Pain preoperative — Baseline (preoperatively) Visual Analog Scale used to assess pain
Pain postoperative 1 — at postoperative sixth weeks Visual Analog Scale used to assess pain
Pain postoperative 2 — at postoperative twelfth weeks Visual Analog Scale used to assess pain
Knee Range of Motion preoperative — Baseline (preoperatively) Digital goniometer used to assess knee range of motion
Knee Range of Motion postoperative 1 — at postoperative sixth week Digital goniometer used to assess knee range of motion
Knee Range of Motion postoperative 2 — at postoperative twelfth week Digital goniometer used to assess knee range of motion
Quadriceps muscle strength preoperative — Baseline (preoperatively) Quadriceps muscle strength is measured (unit=newton(N)) with hand-held dynamometer
Quadriceps muscle strength postoperative 1 — at postoperative sixth weeks Quadriceps muscle strength is measured (unit=newton(N)) with hand-held dynamometer
Quadriceps muscle strength postoperative 2 — at postoperative twelfth week Quadriceps muscle strength is measured (unit=newton(N)) with hand-held dynamometer
Patient-reported activity limitations preoperative — Baseline (preoperatively) The Western Ontario and McMaster Universities Arthritis Index and Knee injury and Osteoarthritis Outcome Score are used
Patient-reported activity limitations preoperative 1 — at postoperative sixth weeks The Western Ontario and McMaster Universities Arthritis Index and Knee injury and Osteoarthritis Outcome Score are used
Patient-reported activity limitations preoperative 2 — at postoperative twelfth week The Western Ontario and McMaster Universities Arthritis Index and Knee injury and Osteoarthritis Outcome Score are used
Performance-based activity limitations-preoperative — Baseline (preoperatively) 30-sec chair-stand test and stair-climb test are used
Performance-based activity limitations-preoperative 1 — at postoperative sixth weeks 30-sec chair-stand test and stair-climb test are used
Performance-based activity limitations-preoperative 2 — at postoperative twelfth week 30-sec chair-stand test and stair-climb test are used
Quality of life-preoperative — Baseline (preoperatively) Short Form-36 (SF-36) is used
Quality of life-preoperative 1 — at postoperative sixth weeks Short Form-36 (SF-36) is used
Quality of life-preoperative 2 — at postoperative twelfth week Short Form-36 (SF-36) is used
Length of hospital stay — through study completion, an average of 1 year Length of hospital stay is measured beginning from the hospitalization of the patient and ending at discharge of the patients (unit-hours)
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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