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.
None
• Allergy to any of the drugs used in the study
Alcohol or drug abuse
Psychiatric disease
Parallel
unilateral Radiofrequency
Procedure/Surgeryunilateral genicular nerve cooled radio frequency ablation pre-operative
bilateral Radiofrequency
Procedure/Surgerybilateral genicular nerve cooled radio frequency ablation pre-operative
Epidural
Procedure/SurgeryPatients will receive epidural anesthesia intra operative and epidural analgesia post-operative
o Epidural rescue doses
rescue doses reflects degree of pain control
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