Adductor Under Sartorial Canal Catheter (KTT) Versus Femoral Catheter (KTF) in a Quick Rehabilitation Process After Total Knee Replacement

Inclusion criteria

• Major Patient (≥ 18 years)
• Before tricompartmental benefit from knee replacement (TKR) unilateral,
• TKR programmed on one of the first three days of the week (Monday to Wednesday)
• Physical status score I-III,
• Non septic programmed surgery under general anesthesia
• Able to understand the protocol
• Written informed consent
• Social Insured
• Opportunity to be followed under the Protocol

Exclusion criteria

• Age ≥ 85 years
• Obesity (BMI ≥ 35)
• Revision TKR,
• Patients not cooperating or not including the French,
• Difficulties in understanding and evaluating the score pain (VAS),
• Preoperative cognitive dysfunction making unreliable interrogation
• Patient unable to read and / or write (literacy, ...)
• Known bleeding disorders,
• Vascular surgery for femoral vessels on the operated side,
• Neuropathy of the lower limb,
• Localized infection at the puncture catheters,
• Known allergy to ropivacaine,
• Renal and / or severe hepatic impairment,
• Taking opioids for more than a month before surgery,
• Intolerance to morphine,
• Rheumatic inflammatory disease,
• Patients receiving immunosuppressive therapy or long-term corticosteroid
• Allergy or against-indications to standard treatments administered intraoperative and postoperative
• Flexion deformity> 10 ° or valgus deformity with significant
• Refused to participate
• Patient trusteeship, guardianship, deprived of liberty
• Women premenopausal who become pregnant