Status:

NOT_YET_RECRUITING

Dexmedetomidine as an Adjunct to Periarticular Ropivacaine in Total Knee Replacement: A Pilot Randomised Controlled Trial

Lead Sponsor:

University of Malaya

Conditions:

Postoperative Pain Management in Total Knee Arthroplasty

Eligibility:

All Genders

18-100 years

Phase:

PHASE4

Brief Summary

This study aims to evaluate whether adding dexmedetomidine to ropivacaine-based periarticular infiltration (PAI) improves postoperative pain control in patients undergoing total knee replacement (TKR)...

Detailed Description

Total knee replacement is associated with significant postoperative pain despite the use of multimodal analgesia. Periarticular infiltration (PAI) using local anaesthetics such as ropivacaine has beco...

Eligibility Criteria

Inclusion

  • Aged ≥18 years
  • Undergoing elective unilateral total knee replacement
  • ASA physical status I-III
  • No known allergy to local anaesthetics or dexmedetomidine
  • No opioid use \>24 hours preoperatively
  • Provided informed consent

Exclusion

  • Known allergy to study drugs
  • Chronic pain or neurological conditions
  • Bilateral or revision TKR
  • Significant deformity affecting function
  • Substance abuse history
  • Day-case surgery

Key Trial Info

Start Date :

October 1 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2028

Estimated Enrollment :

60 Patients enrolled

Trial Details

Trial ID

NCT07176065

Start Date

October 1 2025

End Date

December 1 2028

Last Update

September 16 2025

Active Locations (1)

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Universiti Malaya Medical Centre

Kuala Lumpur, Kuala Lumpur, Malaysia, 59100