Evidence map›Paper›PMID 40597686›Full record

Trial reportBMC anesthesiology2025

Efficacy of Peripheral Cutaneous Nerve (PCN) on postoperative pain and functional outcome after total knee arthroplasty: a single-blind, randomized controlled clinical trial".

Weilong Diwu, Wenhao Tang, Ming Yan, Wenrui Ma, Huifa Xu, Qiang Sun, Yisheng Han, Yi Wang, Chen Wang, Dawei Zhang and 2 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC anesthesiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05202730 (Analgesic Effect of Peripheral Cutaneous Nerve Block of Knee Joint After Total Knee Arthroplasty), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

NCT05202730 naunknown statusnot on this map

Analgesic Effect of Peripheral Cutaneous Nerve Block of Knee Joint After Total Knee Arthroplasty

TypeinterventionalSponsorDiwuweilongRan2021 to 2023Enrolled120ConditionsArthroplasty, Replacement, Knee, AnalgesiaArmsNew local anesthesia injection site and new local anesthetic drug formulation.
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Weilong Diwu *Department of Orthopedics, Xijing Hospital of The Fourth Military Medical University, Xi'an, Shaanxi, China.
Wenhao Tang *Department of Orthopedics, Xijing Hospital of The Fourth Military Medical University, Xi'an, Shaanxi, China.
Ming Yan *Department of Orthopedics, Xijing Hospital of The Fourth Military Medical University, Xi'an, Shaanxi, China.
Wenrui MaDepartment of Orthopedics, Xijing Hospital of The Fourth Military Medical University, Xi'an, Shaanxi, China.
Huifa XuDepartment of Orthopedics, Xijing Hospital of The Fourth Military Medical University, Xi'an, Shaanxi, China.
Qiang SunDepartment of Orthopedics, Xijing Hospital of The Fourth Military Medical University, Xi'an, Shaanxi, China.
Yisheng HanDepartment of Orthopedics, Xijing Hospital of The Fourth Military Medical University, Xi'an, Shaanxi, China.
Yi WangDepartment of Anesthesiology and Perioperative Medicine, Xijing Hospital of The Fourth Military Medical University, Xi'an, Shaanxi, China.
Chen WangDepartment of Anesthesiology and Perioperative Medicine, Xijing Hospital of The Fourth Military Medical University, Xi'an, Shaanxi, China.
Dawei ZhangDepartment of Orthopedics, Xijing Hospital of The Fourth Military Medical University, Xi'an, Shaanxi, China.
Long BiDepartment of Orthopedics, Xijing Hospital of The Fourth Military Medical University, Xi'an, Shaanxi, China.
Min YangDepartment of Orthopedics, Xijing Hospital of The Fourth Military Medical University, Xi'an, Shaanxi, China. yangmin_197811@sina.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostoperative pain is an important complication that impedes the functional recovery of the total knee arthroplasty (TKA). A variety of analgesic methods including the popliteal artery and capsule of the posterior knee block (IPACK), local infiltration analgesia (LIA) and peripheral cutaneous nerve (PCN) block have been applied via intraoperative or postoperative local injection for alleviating pain after TKA. The purpose of this study was to compare the analgesic effect and function outcome of two local anesthetic methods for reducing postoperative pain after TKA.

methodsWe demonstrated the effect of these two methods on postoperative pain, need for additional analgesics, functional recovery, and pain-related secreted proteins.

resultsOne hundred twenty patients aged 50-75 years who underwent TKA for osteoarthritis between December 2021 to June 2024 were included in the study and divided into two groups as follows: Group A was given local anesthetic drug by IPACK combined with LIA; Group B was given the same local anesthetic drug formulation by IPACK combined with a novel PCN block. The visual analog scale (VAS) values, the need for additional analgesics and the expression of pain-related proteins in the Group B were lower than in the Group A on postoperative 6 h, 1, 2 and 3 days (P < 0.05). However, the joint ROM and early ambulation in the Group B were significantly higher than in the Group A on postoperative 1, 2 and 3 days (P < 0.05).

conclusionsBased on the present evidence, patients treated with IPACK combined with new PCN block method can effectively reduce pain after TKA compared to IPACK combined with LIA. Furthermore, this approach not only mitigates postoperative pain but also decreases the need for postoperative analgesics and enhances patient's functional recovery.

trial registrationNCT05202730, Date: 05/12/2021.

Indexed as

Anesthetics, LocalArthroplasty, Replacement, KneeNerve BlockPostoperative PainAgedFemaleHumansMaleMiddle AgedPain MeasurementPeripheral NervesRecovery of FunctionSingle-Blind MethodTreatment OutcomeAnesthetics, LocalCutaneous nerve blockFunctional recoveryLocal anesthesiaPostoperative painTotal knee arthroplasty

Identifiers

PMID40597686
PMCPMC12211980

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Registered trials

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.