Three nerve blocks for knee replacement: which one works best
Official title: Evaluation of Different Antalgic Blocks in Total Knee Prodthesis
Run by I.R.C.C.S Ospedale Galeazzi-Sant'Ambrogio · NCT07751653 · Data updated 2026-11-12
This trial tests three different nerve blocks used during knee replacement to see which provides the best pain relief for patients after surgery.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 40 Years and up |
| Sex | All |
| Enrollment | 142 (estimated) |
| Sponsor | I.R.C.C.S Ospedale Galeazzi-Sant'Ambrogio Academic / other |
| Locations | 2 sites (Milan, Italy and 1 other locations) |
| Status | Recruiting |
| Started | August 6, 2026 |
| Main results expected | February 23, 2027 |
| Study ends | March 10, 2027 |
| Registry record updated | October 23, 2026 |
| Trial ID | NCT07751653 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults over 40 undergoing unilateral total knee prosthesis with suitable coagulation status and no severe medical conditions.
✕Probably not a fit
Patients with contraindications to nerve blocks or those with exclusions such as coagulation disorders or cognitive issues may not benefit the same way.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
In this randomized, double-blind study, 141 adults undergoing unilateral total knee replacement are assigned to one of three levobupivacaine nerve block protocols to compare analgesic effectiveness. The primary outcome is postoperative pain control, with secondary outcomes including range of motion, flexion, medication use, and potential differences by sex and age. Participants are followed for the first 3 days of hospitalization and then via a 30-day telephone check-in. Data are collected on a standardized case report form and analyzed to determine if one block offers superior analgesia and functional outcomes.
Why it matters
Potential benefit: If one block proves superior, patients could experience better pain control and earlier mobility after knee replacement.
How similar studies have gone: Previous studies have explored regional anesthesia blocks for knee replacement with mixed but generally informative results; this trial adds direct comparison of three approaches.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Total Knee prosthesis * ASAC I-II * signed Informed consent form Exclusion Criteria: * \<40 years * Mental confusion and delirium * Coagulation disorders
Where it's running
-
IRCCS Galeazzi Milano
Milan, Michigan, Italy Recruiting -
Ospedale Galeazzi S.p.A.
Milan, Italy, Italy Completed
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.