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Japanese

Jan. 19, 2026

Jan. 19, 2026

jRCT1030250650

A double-blind randomized controlled trial to evaluate the efficacy of combined femoral nerve block and selective tibial nerve block for postoperative pain management in high tibial osteotomy.

A double-blind randomized controlled trial to evaluate the efficacy of combined femoral nerve block and selective tibial nerve block for postoperative pain management in high tibial osteotomy.

Kamiya Takefumi

Nihon University Itabashi Hospital

tokyo itabashi ooyaguchikamimachi 30-1

+81-3-3972-8111

kamiya.takefumi@nihon-u.ac.jp

Kamiya Takefumi

Nihon University Itabashi Hospital

tokyo itabashi ooyaguchikamimachi 30-1

+81-339728111

kamiya.takefumi@nihon-u.ac.jp

Pending

Jan. 19, 2026

60

Interventional

randomized controlled trial

double blind

placebo control

single assignment

treatment purpose

Patients undergoing medial open wedge high tibial osteotomy at our hospital.
1) Patients over 20 years
2) Patients who receive written informed consent.
3) Patients with American Society of Anesthesiologists physical status classification 1-3.

1. Patients who are deemed inappropriate as research subjects by the principal investigator
2. Patients who refuse to participate in the study.
3. Patients who have contraindications to the use of usual postoperative analgesics such as NSAIDs and acetaminophen, contraindications to local anesthetics, are pregnant or suspected pregnant women, poorly controlled diabetes, unable to understand the perioperative questionnaire (language or cognitive impairment), severe heart disease, Severe obesity (BMI > 35), patients who have not responded to nerve blocks, emergency surgery.

20age old over
No limit

Both

osteoarthritis

General anesthesia combined with peripheral nerve blocks
F group: Femoral nerve block alone
FS group: Femoral nerve block combined with selective tibial nerve block

NRS (Numerical Rating Scale) score in the postoperative recovery area and score 2, 4, 6, 12, 24 hours after surgery

Opioid consumption within 24 hours postoperatively, time to request adjunctive analgesics, and complications

none
Nihon University Itabashi Hospital, Clinical Research Judging Committee
tokyo itabashi ooyaguchikamimachi 30-1, Tokyo

+81-3-3972-8111

med.itabashi.clinicalresearch@nihon-u.ac.jp
Approval

June. 11, 2025

No

none