Daily Single Shot Adductor Canal Block Versus Continuous Adductor Canal Block After Total Knee Arthroplasty

NCT ID: NCT05727137

Last Updated: 2024-04-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-02-21

Study Completion Date

2024-03-08

Brief Summary

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This study will compare the analgesic efficacy of daily single-shot adductor canal block(ABC) versus continuous ACB after total knee arthroplasty (TKA).

Detailed Description

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Patients 19-75 years old, of ASA classification I-III scheduled for unilateral TKA, will be enrolled and randomized into two groups, single-shot ACB group and continuous ACB group. In both groups, participants will be administered a single-shot ACB immediately after the end of the operation. The single-shot ACB group will receive two separate single-shot ACBs, on the first and second postoperative day. A nerve block catheter will be placed in patients in the continuous ACB group, which will be connected to a patient-controlled analgesia pump until the second postoperative day. The primary outcome of this study is the average NRS pain score at rest from the end of surgery to 2 days after surgery.

Conditions

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Postoperative Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Single shot adductor canal block

Group Type EXPERIMENTAL

Single shot adductor canal block

Intervention Type PROCEDURE

Single shot adductor canal block on the the first and second postoperative day.

Continuous adductor canal block

Group Type ACTIVE_COMPARATOR

Continuous adductor canal block

Intervention Type PROCEDURE

A catheter will be placed in the adductor canal and connected to a continuous patient-controlled analgesia pump.

Interventions

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Single shot adductor canal block

Single shot adductor canal block on the the first and second postoperative day.

Intervention Type PROCEDURE

Continuous adductor canal block

A catheter will be placed in the adductor canal and connected to a continuous patient-controlled analgesia pump.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* ASA classification I, II, III
* Patients scheduled for unilateral knee arthroplasty

Exclusion Criteria

* Anesthesia other than spinal anesthesia
* Chronic opioid use
* Uncontrolled diabetes of HbA1c\>7.5
* Neuromuscular pathology of the ipsilateral leg
* Second-look knee arthroplasty
* Inability to communicate (e.g. dementia)
* Hypersensitivity to ropivacaine
* BMI \> 40
* Pregnancy
Minimum Eligible Age

19 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Seoul National University

OTHER

Sponsor Role collaborator

Seoul National University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Seokha Yoo

Clinical assistant professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Seokha Yoo, MD

Role: PRINCIPAL_INVESTIGATOR

Seoul National University Hospital

Locations

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Seoul National University Hospital

Seoul, , South Korea

Site Status

Countries

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South Korea

Other Identifiers

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H-2209-136-1362

Identifier Type: -

Identifier Source: org_study_id

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