Evidence map›Paper›PMID 40186266›Full record

Trial reportJournal of orthopaedic surgery and research2025

The efficacy of liposomal bupivacaine in parasacral ischial plane block for pain management after total knee arthroplasty: a randomized controlled trial.

Xuan Pan, Peng Ye, Ting Zheng, Cansheng Gong, Chunying Zheng, Xiaochun Zheng

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Trial
  4. Liposomal bupivacaine in lower extremity arthroplasty: a comprehensive review.Frontiers in pain research (Lausanne, Switzerland) · 2026
    Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Xuan PanDepartment of Anaesthesiology, Fujian Provincial Hospital, Shengli Clinical Medical College of Fujian Medical University, 134 Dongjie, Fuzhou, 350001, Fujian, China.
Peng YeDepartment of Anaesthesiology, Fujian Provincial Hospital, Shengli Clinical Medical College of Fujian Medical University, 134 Dongjie, Fuzhou, 350001, Fujian, China.
Ting ZhengDepartment of Anaesthesiology, Fujian Provincial Hospital, Shengli Clinical Medical College of Fujian Medical University, 134 Dongjie, Fuzhou, 350001, Fujian, China.
Cansheng GongDepartment of Anaesthesiology, Fujian Provincial Hospital, Shengli Clinical Medical College of Fujian Medical University, 134 Dongjie, Fuzhou, 350001, Fujian, China.
Chunying ZhengDepartment of Anaesthesiology, Fujian Provincial Hospital, Shengli Clinical Medical College of Fujian Medical University, 134 Dongjie, Fuzhou, 350001, Fujian, China. 373747832@qq.com.
Xiaochun ZhengDepartment of Anaesthesiology, Fujian Provincial Hospital, Shengli Clinical Medical College of Fujian Medical University, 134 Dongjie, Fuzhou, 350001, Fujian, China. fjslmzk7841@163.com.

Funding

Announcement of the List of Funding Projects for Beien's Anaesthesia Science Research Project in 2023 bnmr-2023-007Fujian provincial health technology project 2022QNA013Fujian provincial health technology project 2023CXA007the National Natural Science Foundation of China 82171186the Natural Science Foundation of Fujian Province 2023J011194
6 · The paper itself

Abstract

backgroundUtilizing liposomal bupivacaine (LB) for postoperative analgesia post-total knee arthroplasty (TKA) is prevalent. However, its effectiveness in pain control, specifically in the parasacral ischial plane block (PIPB) post-TKA, remains unknown.

methodsThis single-center, double-blinded, randomized controlled trial recruited patients scheduled for unilateral TKA. Forty-five patients were randomly assigned in a 1:1 ratio to receive 133 mg (Group A) or 266 mg (Group B) LB using the block randomization method. The PIPB effectiveness was assessed by evaluating changes in sensory and motor functions. The primary outcome was the cumulative area under the curve (AUC) of the Numerical Rating Scale (NRS) at rest within 72 h postoperatively. All patients were included in the analyses of analgesic efficacy, rehabilitation quality, and adverse events.

resultsBetween January 30, 2024, and May 1, 2024, 45 patients were enrolled and randomly assigned to Group A (n = 22) and Group B (n = 23). A significant between-group difference was observed in the NRS-AUC

conclusionLB used in the PIPB was effective for analgesia at rest post-TKA, with 266 mg demonstrating superiority. Trial RegistrationThe randomized controlled trial was registered in the Chinese Clinical Trial Registry (https://www.chictr.org.cn/, No: ChiCTR2400079606).

Indexed as

Anesthetics, LocalArthroplasty, Replacement, KneeBupivacaineNerve BlockPain ManagementPostoperative PainAgedDouble-Blind MethodFemaleHumansIschiumLiposomesMaleMiddle AgedTreatment OutcomeAnesthetics, LocalBupivacaineLiposomesLiposomal bupivacaineParasacral ischial plane blockPostoperative analgesiaTotal knee arthroplasty

Identifiers

PMID40186266
PMCPMC11971916

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.