Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
NCT06088602

Cryoneurolysis for Acute Postoperative Pain Following Total Knee Arthroplasty

Led by Copenhagen University Hospital, Hvidovre · Updated on 2024-07-16

44

Participants Needed

1

Research Sites

80 weeks

Total Duration

On this page

Sponsors

C

Copenhagen University Hospital, Hvidovre

Lead Sponsor

R

Rigshospitalet, Denmark

Collaborating Sponsor

AI-Summary

What this Trial Is About

Cryoneurolysis is a regional anaesthetic technique that works by freezing peripheral sensory nerves. This technique can potentially provide analgesia after total knee arthroplasty (TKA). However, the technique is expensive and comprehensive. Pain 24 hours after surgery is associated with high amounts of late acute pain. Therefore, the aim of the current study was to compare the effect of postoperative cryoanalgesia with a sham treatment on acute postoperative pain in TKA patients with moderate to severe pain on the first postoperative day. The cryoanalgesia treatment will be performed 24 hours after surgery. Afterward, the patients will be followed for 24 weeks to determine the level of pain among other outcomes.

CONDITIONS

Official Title

Cryoneurolysis for Acute Postoperative Pain Following Total Knee Arthroplasty

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 18 years or older
  • Scheduled for primary unilateral total knee arthroplasty
  • Ability to participate by understanding written and spoken Danish and self-reporting pain and satisfaction
  • Signed written informed consent form
  • Pain score of 45 or higher on a 0-100 scale during a 5-meter walk test 24 hours after surgery
Not Eligible

You will not qualify if you...

  • Current treatment with systemic glucocorticoids or other immunosuppressants except inhaled steroids
  • Insulin-dependent diabetes
  • Pregnancy or breastfeeding
  • Mental disability affecting informed consent or valid data collection
  • Diagnoses of schizophrenia, ongoing psychosis, bipolar disease, or ongoing antipsychotic treatment
  • Conditions affecting pain perception such as spinal cord or brain injury, severe polyneuropathies, or neurological disorders
  • Posttraumatic osteoarthritis as reason for knee replacement
  • Bleeding disorder
  • Localized infection in the treatment area
  • Cryoglobulinemia, cold urticaria, paroxysmal cold haemoglobinuria, or Raynaud's syndrome
  • Use of perioperative peripheral nerve block

AI-Screening

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Trial Site Locations

Total: 1 location

1

Hvidovre Hospital

Hvidovre, Denmark, 2650

Actively Recruiting

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Research Team

A

Anders H Springborg, MD

CONTACT

N

Nicolai B Foss, dr.med.

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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Cryoneurolysis for Acute Postoperative Pain Following Total Knee Arthroplasty | DecenTrialz