Anterior Cutaneus Nerve and Distal Adductor Canal Block With USG for Total Knee Replacement Analgesia

NCT ID: NCT06201195

Last Updated: 2025-11-19

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

58 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-10-01

Study Completion Date

2024-06-30

Brief Summary

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This prospective clinical study was approved by the institutional ethics committee on September 27, 2023, and patient enrollment started in October 2023. the study aimed to evaluate the contribution of anterior femoral cutaneus nerve block to postoperative analgesia in total knee artroplasty.

The goal of this clinical trial is to compare analhesia effects of adductor canal blockade versus distal adductur canal blockade added anterior cutaneus nerve block in total knee arthroplasty.

The main questions it aims to answer are:

* question 1: does distal adductor canal blockade + anterior cutaneus nerve blokade superior analgesia then adductor canal block for undergoing TKP?
* question 2: does distal adductor canal blockade + anterior cutaneus nerve blokade decrease drain place pain on anterolateral face of knee?

Detailed Description

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Patients with American Society of Anesthesiologists classification status I-III scheduled for elective primary TKA using standard spinal anesthesia enroll for this trial. After surgery patient divided two groups: 1- adductor canal blockade 2- distal adductor canal blockade + anterior femoral cutaneus nerve blockade. At postoperative 3th, 10th, 24th hour VAS (visuel analouge scale), VAS move, incision plase pain-for top and down of patella, drain place pain, motor strenght for femoral nerve and siyatic nerve, first analjesic requirement time, opioid consumption, total analcesic requirement will be recorded.

Conditions

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Pain Measurement Knee Replacement Arthroplasty Nerve Block

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Adductor canal block

Usg guidance adductor canal block with %0.25 Bupivacaine 20 ml

Group Type ACTIVE_COMPARATOR

Adductor canal blockade

Intervention Type PROCEDURE

VAS, VAS move, incision place pain for up and down to patella, drain place pain, motor strenght for femoral nerve and siyatic nerve muscles, side effects, first analgesic requirement time, opioid requirement, other analgesics

Distal adductor canal block with anterior cutaneus nerve block

Usg guidance distal adductor canal block (%0.25 Bupivacaine 20 ml) with anterior cutaneus nerve block (%0.25 Bupivacaine 10 ml)

Group Type ACTIVE_COMPARATOR

Distal adductor canala blockade and anterior cutaneus nerve blockade

Intervention Type PROCEDURE

VAS, VAS move, incision place pain for up and down to patella, drain place pain, motor strenght for femoral nerve and siyatic nerve muscles, side effects, first analgesic requirement time, opioid requirement, other analgesics

Interventions

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Adductor canal blockade

VAS, VAS move, incision place pain for up and down to patella, drain place pain, motor strenght for femoral nerve and siyatic nerve muscles, side effects, first analgesic requirement time, opioid requirement, other analgesics

Intervention Type PROCEDURE

Distal adductor canala blockade and anterior cutaneus nerve blockade

VAS, VAS move, incision place pain for up and down to patella, drain place pain, motor strenght for femoral nerve and siyatic nerve muscles, side effects, first analgesic requirement time, opioid requirement, other analgesics

Intervention Type PROCEDURE

Other Intervention Names

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first control study group

Eligibility Criteria

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Inclusion Criteria

* Total knee artroplasty
* Spinal anesthesia
* ASA 1-3

Exclusion Criteria

* Bupivacaine allergy
* Coagulopathy
* Infection on injection site
Minimum Eligible Age

40 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Diskapi Teaching and Research Hospital

OTHER

Sponsor Role lead

Responsible Party

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derya özkan

professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Derya Ozkan

Role: STUDY_DIRECTOR

Study Principal Investigator Ankara Etlik City Hospital

Müge Çakırca, doctor

Role: PRINCIPAL_INVESTIGATOR

Study Principal Investigator Ankara Etlik City Hospital

Funda Atar, doctor

Role: STUDY_CHAIR

Study Principal Investigator Ankara Etlik City Hospital

Serhan ünlü, doctor

Role: STUDY_CHAIR

Study Principal Investigator Ankara Etlik City Hospital

Locations

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Ankara Etlik City Hospital

Ankara, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Bjorn S, Nielsen TD, Moriggl B, Hoermann R, Bendtsen TF. Anesthesia of the anterior femoral cutaneous nerves for total knee arthroplasty incision: randomized volunteer trial. Reg Anesth Pain Med. 2019 Dec 10:rapm-2019-100904. doi: 10.1136/rapm-2019-100904. Online ahead of print.

Reference Type BACKGROUND
PMID: 31826920 (View on PubMed)

Other Identifiers

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AEŞH-EK1-2023-556

Identifier Type: -

Identifier Source: org_study_id

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