Surgeons can do nerve blocks just as well as anesthesiologists for knee replacement pain
NCT ID NCT05601427
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested whether surgeons can give a numbing shot (adductor canal block) during knee replacement surgery as effectively as an anesthesiologist does before surgery. 200 adults with knee osteoarthritis having same-day discharge were randomly assigned to one of the two methods. The goal was to see if the surgeon-performed block provides similar pain control and allows patients to go home safely on the same day.
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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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200 people
The number who actually took part.
- Started
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Mar 2023
- Finished
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Dec 2025
- 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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18 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: 1. Male and female patients aged 18 years or older 2. Primary TKA booked as SDD 3. Diagnosis of osteoarthritis Exclusion Criteria: 1. Inability or refusal to sign informed consent form 2. Non-English or French speaking, and no licensed translator, family member or substitute decision maker available. 3. Non-osteoarthritis primary diagnosis 4. Allergy to analgesic medications 5. Contraindication to spinal and/or regional anaesthesia 6. Any use of opioid pain medication within four weeks of the index procedure(13) 7. Pain catastrophizing scale score ≥16 (8, 9, 14) 8. History of cirrhosis 9. History renal insufficiency 10. History or sensory and/or motor neuropathy to the ipsilateral limb 11. Simultaneous, bilateral TKA 12. Non-TKA prosthesis 13. Scheduled for non-SDD TKA. 14. Preoperative varus/valgus of \>10 degrees. 15. Planned General Anaesthetic 16. Use of Intrathecal Morphine
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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
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The Ottawa Hospital
Ottawa, Ontario, Canada
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Other studies related to the condition(s) this trial covers.
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