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RECRUITING
NCT07180953
PHASE4

Impact of Dexamethasone Route on Pain and Inflammation in iPACK With ACB for Knee Arthroplasty

Sponsor: Poznan University of Medical Sciences

View on ClinicalTrials.gov

Summary

"The Effect of Dexamethasone Administration Route on Pain and Inflammatory Response in iPACK With ACB for Total Knee Arthroplasty" - written in plain language according to ClinicalTrials.gov standards: The goal of this clinical trial is to learn how the route of dexamethasone administration (either through the vein or nerve block) affects pain and inflammation in people having total knee replacement surgery. All participants will receive two types of nerve blocks before surgery: an iPACK block and an adductor canal block (ACB), which help control pain after the operation. The main questions the study aims to answer are: Does injecting dexamethasone into the nerve block reduce pain more effectively than giving it by vein? Which method leads to a lower inflammatory response after surgery? Researchers will compare the two groups to see which route offers better pain relief and less swelling after knee surgery. Participants will: Be randomly assigned to receive dexamethasone either in the nerve block or by IV Receive standard care for total knee replacement Rate their pain and have blood tests after surgery to measure inflammation

Official title: Route of Dexamethasone Administration in iPACK and ACB for Total Knee Replacement: A Randomized Trial

Key Details

Gender

All

Age Range

65 Years - 100 Years

Study Type

INTERVENTIONAL

Enrollment

90

Start Date

2025-09-01

Completion Date

2026-10-30

Last Updated

2026-02-02

Healthy Volunteers

No

Interventions

DRUG

NaCl 0.9%

iPACK block with Adductor Canal Block (2 x 20ml 0.2% ropivacaine + 1ml 0.9% NaCl) + 2ml 0.9% NaCl iv

DRUG

Dexamethasone 4mg

iPACK block with Adductor Canal Block (2 x 20ml 0.2% ropivacaine + 1ml 0.9% NaCl) + 4mg Dexamethasone iv

DRUG

Dexamethasone 4mg

iPACK block with Adductor Canal Block (2 x 20ml 0.2% ropivacaine + 2mg Dexamethasone) + 2ml 0.9% NaCl iv

Locations (1)

Poznan University of Medical Sciences

Poznan, Poland