Study Comparing Quadruple Peripheral Nerve Block Versus Adductor Canal Block with Surgical Infiltration for Knee Replacement Surgery
Led by GCS Ramsay Santé pour l'Enseignement et la Recherche · Updated on 2026-06-05
100
Participants Needed
2
Research Sites
4 weeks
Total Duration
AI-Summary
What this Trial Is About
Researchers are comparing two pain relief methods for people undergoing total knee arthroplasty, commonly known as knee replacement surgery, due to gonarthrosis. The study evaluates whether a new quadruple peripheral nerve block provides better pain control than the current standard procedure, which combines an adductor canal block with surgical infiltration. The goal is to understand which approach improves patient recovery after surgery.
CONDITIONS
Brief Title
Infiltration or Nerve Blocks in Addition to Adductor Canal Block
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GCS Ramsay Santé pour l'Enseignement et la Recherche
Lead Sponsor
Who Can Participate
Age: 18Years +
All Genders
Eligibility Criteria
You may qualify if you...
Adult male or female
Patient with signed consent to participate in the study
Patient with uni or bilateral primary gonarthrosis
Indication for total knee arthroplasty
You will not qualify if you...
History of knee fracture, arthroplasty, or osteotomy
Known or unknown contraindication to locoregional analgesia or anesthesia products
Neurological disease or stroke sequelae
Mental deficiency or any condition hindering understanding or strict protocol adherence
Not affiliated with the French social security system
Under court protection, guardianship, or curatorship
Pregnant or potentially pregnant women without effective contraception
Already included in another therapeutic study protocol
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Treatment
Duration - Day of surgery
Participants receive either a quadruple peripheral nerve block or an adductor canal block plus surgical infiltration as pain relief during total knee arthroplasty.
1 visit (in-person)
Post-operative Follow-up
Duration - Up to 1 month after surgery
Participants are monitored and assessed for pain, recovery, knee function, and medication use up to 1 month after surgery.
Multiple visits at Hour 1, 2, 6, 12, 24, 48 and Month 1
How is the study designed?
Study Type
INTERVENTIONAL
Masking
TRIPLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
OTHER
Number of Arms
2
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Published Research Related To This Trial
Comparison of a four-nerve block protocol versus adductor canal block plus local infiltration analgesia for primary total knee arthroplasty in two French private hospitals: protocol for the multicentre randomised INCA trial.