New study aims to ease Post-Surgery knee pain without opioids
NCT ID NCT07588958
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study compares two types of nerve blocks—genicular nerve block and adductor canal block—for pain relief after total knee replacement. It involves 42 adults over 65 undergoing elective knee surgery. The goal is to see which block provides better pain control and helps patients recover faster with less opioid use.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- bupivacaine and fentanyl (spinal anesthesia); bupivacaine (genicular nerve block)
- What this could lead to
- If successful, this could point to a better way to manage pain after knee replacement, helping patients move sooner and use fewer opioids.
- What could go wrong
- This is a small, early-stage trial with only 42 participants, so results may not apply to everyone. Nerve blocks carry risks like infection or temporary weakness.
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
-
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 42 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Oct 2023
- Expected to finish
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Jun 2026
An estimate. End dates often move.
- Lead sponsor
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A government agency
The lead sponsor is a government body.
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 years and older
- 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patient acceptance. * Sex: both; male and female. * Age: over 65 years old. * American society of anesthesiologists (ASA): II . * Body mass index (BMI) less than 35 kg/m2. * Operation : elective unilateral TKA. * Duration of surgery : 2-3 hours. Exclusion Criteria: * History of allergy to local anesthetics (lidocaine or bupivicaine). * Coexisting hematologic disorders or malnourished patient. * Pre-existing major organ dysfunction including hepatic or renal failure, and left ventricular ejection fraction \<30% * Peripheral neuropathy. * Patients with a diagnosis of cognitive impairment or significant psychiatric illness. * Skin infection at site of block. * Contraindication to spinal anesthesia as coagulopathy and infection at site of injection.
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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.
Contacts and locations
Locations
-
Faculty of Medicine - Zagazig University
Zagazig, Alsharqia, 4115, Egypt
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Other studies related to the condition(s) this trial covers.
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