Clinical Research Directory
Browse clinical research sites, groups, and studies.
Efficacy of an AFCN Proxy Block in Post-TKA Multimodal Pain Management
Sponsor: Taipei Medical University WanFang Hospital
Summary
This randomized controlled trial evaluates the additive effect of Supra-Sartorial Subcutaneous Infiltration (SSSI) when performed in combination with intermittent adductor canal block (iACB) and posterior capsule local infiltration analgesia (PC-LIA) for pain management after total knee arthroplasty (TKA). SSSI, an easy-to-perform tentative proxy block to targeted anterior femoral cutaneous nerve (AFCN) block, is tested in 90 adults (45-90 years) randomized into two arms: active SSSI versus sham SSSI. Primary outcome is pain scores at rest and during movement on postoperative day 0; secondary outcomes include daily pain trajectory at rest and during movement, functional recovery scores, rescue analgesic doses over days 0-3, and quality of recovery assessment on day 4.
Official title: Efficacy Assessment of Supra-Sartorial Subcutaneous Infiltration (SSSI) as an Anterior Femoral Cutaneous Nerve Proxy Block in the Multimodal Pain Management After Total Knee Arthroplasty: A Randomized Controlled Trial
Key Details
Gender
All
Age Range
45 Years - 90 Years
Study Type
INTERVENTIONAL
Enrollment
90
Start Date
2026-08-01
Completion Date
2027-09-01
Last Updated
2026-07-01
Healthy Volunteers
No
Interventions
Supra-Sartorial Subcutaneous Infiltration (SSSI)
20 mL Ropivacaine or saline infiltrated subcutaneously from lateral to medial, superficial to vastus medialis and sartorius muscle, at femoral triangle apex using inject-as-you-advance technique, avoiding hyperechoic nerves.
intermittent adductor canal block (iACB)
A single-shot adductor canal block is first performed post-operatively with 20 mL 0.3% Ropivacaine at the level of femoral triangle apex before inserting a catheter into the canal. The following doses (20 mL each time) start at 9:00 PM on the day of surgery and are intermittently given every 12 hours until day 4.
posterior capsule local infiltration analgesia (PC-LIA)
PC-LIA consists of two 10 mL injections of 0.3% ropivacaine delivered intraoperatively to the posteromedial and posterolateral aspects of the posterior capsule before cementation. The target injection plane is the potential space between the posterior capsule and the popliteal artery.
Locations (1)
Taipei Municipal Wanfang Hospital
Taipei, Taiwan