New study aims to find best pain relief after knee replacement
NCT ID NCT07267650
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study looks at two different methods to control pain after total knee replacement. One method combines two nerve blocks given by an anesthesiologist, while the other uses a nerve block plus a local painkiller injection by the surgeon. Researchers will review the medical records of 100 patients to see which approach leads to less pain during movement 24 hours 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 (iPACK block) and local anesthetic infiltration
- What this could lead to
- If successful, this could show that a specific nerve block combination provides better pain control after knee replacement, potentially improving recovery and reducing opioid use.
- What could go wrong
- This is a small, retrospective study at a single hospital, so results may not apply to all patients. It only looks at past records, not a controlled experiment, so other factors could influence the outcomes.
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.
- Participants
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About 100 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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May 2026
An estimate. Start dates often move.
- Expected to finish
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Aug 2026
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.
Who is studied
The study population consists of adult patients who underwent elective, primary, unilateral total knee arthroplasty (TKA) under spinal anesthesia at Turgutlu State Hospital. Patient records and institutional registries will be reviewed retrospectively to identify eligible cases managed within a specific operational period (e.g., between December 2025 and May 2026). The cohort includes patients who received either an ultrasound-guided Femoral Triangle Block combined with an iPACK block or a hybrid combination of Femoral Triangle Block and surgeon-administered Periarticular Infiltration for postoperative analgesia as part of standard clinical care.
- Ages
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18 to 80 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: * American Society of Anesthesiologists (ASA) physical status II-III. * Scheduled for elective, primary, unilateral total knee arthroplasty for osteoarthritis. * Able to provide written informed consent. Exclusion Criteria: * Patient refusal to participate or contraindication to regional anesthesia. * Known allergy to any study medications (local anesthetics, NSAIDs, tramadol, morphine, paracetamol). * History of chronic opioid use (defined as daily use for \>3 months) * Pre-existing peripheral neuropathy in the operative limb. * Severe renal or hepatic insufficiency. * Cognitive impairment preventing the use of pain scales or questionnaires. * Revision or bilateral knee arthroplasty.
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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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Turgutlu State Hospital+
Manisa, Manisa, 45000, Turkey (Türkiye)
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