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Biceps Femoris Short Head (BiFeS) Block and Adductor Canal Block for Postoperative Analgesia Following Total Knee Arthroplasty

RecruitingNAAges 18 Years - 80 YearsAllร–mer Kayar
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In plain words

What the trial is, and whether it could suit you

This prospective randomized controlled study aims to evaluate the effect of ultrasound-guided Biceps Femoris Short Head (BiFeS) block combined with adductor canal block on postoperative opioid consumption and pain control in patients undergoing elective total knee arthroplasty under spinal anesthesia. A total of 60 patients aged 18-80 years with ASA physical status I-III scheduled for unilateral elective total knee arthroplasty will be randomized into two groups. The intervention group will receive spinal anesthesia followed by BiFeS block and adductor canal block before surgery, in addition to standard multimodal analgesia and postoperative morphine patient-controlled analgesia (PCA). The control group will receive spinal anesthesia and standard multimodal analgesia with postoperative morphine PCA without peripheral nerve block. The primary outcome is total morphine consumption during

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๐Ÿ“‹ Eligibility rules (as published)
Inclusion Criteria: * Patients aged 18 and older * ASA I-III * Patients scheduled for elective unilateral knee replacement * Eligibility for and consent to spinal anesthesia Exclusion Criteria: * History of allergy or anaphylaxis to local anesthetics, animal gelatin, or chlorhexidine * Bleeding diathesis/inability to discontinue anticoagulants * Infection (at the injection site/sepsis) * Neurological disorders or cognitive impairment affecting pain perception * Pregnancy, breastfeeding * Patients under 18 years of age
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What it tests

  • Procedure: Biceps Femoris Short Head Block
  • Procedure: Spinal Anesthesia
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Where

1 site
Kayseri City Hospital
Kayseri, Turkey (Tรผrkiye)
๐Ÿค Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible โ€” always decide together with your own doctor.
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