New study aims to find best pain relief combo for knee surgery patients
NCT ID NCT07288970
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study compares two ways to manage pain after total knee replacement in 80 adults aged 65 and older. Both methods use a nerve block in the thigh (adductor canal block) plus either a block near the sacrum or one behind the knee. The goal is to see which combination provides longer-lasting pain relief, reduces the need for opioids, and helps patients move sooner after surgery.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- nerve block (local anesthetic ropivacaine)
- What this could lead to
- If this trial succeeds, it could point to a better way to manage pain after knee replacement, reducing opioid use and speeding up recovery.
- What could go wrong
- This is a small, early-stage study (80 people) comparing two established techniques. It may not show a clear winner, and results may not apply to all patients.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 80 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2025
- Expected to finish
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Jan 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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65 to 100 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age 65 years or older * Scheduled for elective unilateral total knee arthroplasty under spinal or general anesthesia * ASA physical status I-III * Planned use of regional anesthesia with an adductor canal block as part of multimodal analgesia * Ability to communicate pain intensity using the NRS scale * Written informed consent obtained from the patient Exclusion Criteria: * Refusal or inability to provide informed consent * Allergy, intolerance, or contraindication to local anesthetics (ropivacaine) * Pre-existing significant neurological deficit or neuropathy in the operative limb * Coagulopathy or anticoagulation that contraindicates peripheral nerve blocks (e.g., INR \>1.5, platelets \<100,000/µL, or therapeutic anticoagulation that cannot be safely paused) * Infection at or near the planned needle insertion sites * Severe hepatic or renal impairment * Chronic opioid therapy (\>30 days of daily opioid use before surgery) * Cognitive impairment or delirium preventing reliable pain assessment BMI \> 40 kg/m² (optional - if chcesz ograniczyć ze względu na trudność USG) * Previous knee arthroplasty on the same side or revision TKA (jeśli chcesz tylko primary TKA) * Pregnancy or breastfeeding * Participation in another interventional clinical trial within 30 days
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Poznan University of Medical Sciences
RECRUITINGPoznan, 62-701, Poland
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