ClinicalTrials.gg
RecruitingNCT07511985Updated Aug 20, 2026

Effect of Rebound Pain on Chronic Postsurgical Pain After Total Knee Arthroplasty

An observational study in Acute Pain, Postoperative, Chronic Pain and Arthroplasty, Replacement, Knee, sponsored by Konya City Hospital. Recruiting at 1 site in Turkey (Türkiye). Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-20.

Sponsored by Konya City Hospital · Observational

From the registry’s dates

  • Started Aug 2026; still recruiting 2 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
220
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 21 studies in Pain, Postoperative by Konya City Hospital — 10 open to participants now, 10 under way, none of them phase 3. Pain, Postoperative · Konya City Hospital.

Started
2026
with 6 others
Observational
4 of 21
1 open now
Registered
17th of 21
by date

Among the 21 studies in Pain, Postoperative by Konya City Hospital, this one is one of 7 that started in 2026, is one of 4 observational ones, and was the 17th registered.

By phase

21 studies; the count open now beside each. This study's row is marked.

No phase16 · 8 open
Observationalthis study4 · 1 open
Phase 41 · 1 open

By the year they started

First in 2021; this study’s year is marked. 7 started in 2026.

Size and results

Median enrollment 70 across the 17 interventional studies, 168 across the 4 observational. Of the 11 that completed or were terminated, 0 (0%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 21 studies in Pain, Postoperative by Konya City Hospital, or all of them as a file.
02

Study summary

This prospective observational study aims to evaluate whether rebound pain after peripheral nerve block is associated with the development of chronic postsurgical pain following elective total knee arthroplasty. Adult patients undergoing unilateral total knee arthroplasty under spinal anesthesia and receiving a peripheral nerve block as part of routine multimodal analgesia will be included. No additional intervention, drug administration, or biological sampling will be performed beyond standard clinical care.

Rebound pain will be assessed during the early postoperative period using pain diaries, numeric rating scale pain scores, and analgesic consumption records. Chronic postsurgical pain and related outcomes will be evaluated at postoperative 3 and 6 months using validated instruments assessing pain severity, neuropathic pain features, psychological status, functional outcomes, and health-related quality of life. The primary outcome is the presence of chronic postsurgical pain at 3 months after surgery. Secondary outcomes include chronic pain at 6 months, pain intensity, neuropathic pain characteristics, opioid consumption, rescue analgesic requirements, sleep disturbance, and quality-of-life measures. The study also aims to explore demographic and clinical factors associated with rebound pain and chronic postsurgical pain.

03

Conditions studied

  • Acute Pain, Postoperative
  • Chronic Pain
  • Arthroplasty, Replacement, Knee

Keywords

  • rebound pain
  • chronic postsurgical pain
  • total knee arthroplasty
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Adult patients undergoing unilateral elective total knee arthroplasty at Konya City Hospital under spinal anesthesia and receiving a peripheral nerve block as part of routine multimodal analgesia.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age 18 years or older
  • I to III
  • Scheduled for unilateral elective total knee arthroplasty
  • Planned to undergo spinal anesthesia
  • Planned to receive a peripheral nerve block as part of routine multimodal analgesia
  • Able to provide and complete study assessments

Exclusion criteria

Exclusion Criteria:

  • Chronic opioid use (60 mg oral morphine equivalent per day or more, or use for 3 months or longer)
  • Significant neuropathy or radiculopathy
  • Bilateral or two-stage total knee arthroplasty during the same hospitalization
  • Contralateral total knee arthroplasty within the previous 6 months
  • Severe cognitive impairment or major psychiatric disorder
  • Chronic analgesic dependence
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

ASA physical status

The anaesthetists’ scale of health before surgery: I is healthy, II has a mild illness that is under control, III a severe one, IV a severe illness that is a constant threat to life. V and VI are used for the critically ill and for organ donors.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
220 participants (estimated)
Patient registry
No

Groups and cohorts

  • Rebound Pain

    Participants with a transition from well-controlled pain (Numeric Rating Scale \[NRS\] \<=3) to severe pain (NRS \>=7) within 0 to 48 hours after peripheral nerve block resolution.

  • No Rebound Pain

    Participants without a transition from well-controlled pain (Numeric Rating Scale \[NRS\] \<=3) to severe pain (NRS \>=7) within 0 to 48 hours after peripheral nerve block resolution.

06

What researchers measure

Primary outcomes

  1. Presence of Chronic Postsurgical Pain at 3 Months

    Chronic postsurgical pain will be defined as pain developing or persisting after total knee arthroplasty that is not explained by another cause. Participants with pain and at least one Brief Pain Inventory-Short Form interference item score of 3 or higher at postoperative month 3 will be considered positive for chronic postsurgical pain.

    Time frame: 3 months after surgery

Secondary outcomes

  1. Presence of Chronic Postsurgical Pain at 6 Months assessed by Brief Pain Inventory-Short Form (BPI-SF) interference score

    Presence of chronic postsurgical pain at postoperative month 6 will be assessed using the same Brief Pain Inventory-Short Form (BPI-SF)-based study definition applied at month 3: pain not explained by another cause, NRS \>0, and at least one BPI-SF interference item score of 3 or higher.

    Time frame: 6 months after surgery

  2. Pain Intensity in the Early Postoperative Period

    Pain intensity at rest and during movement will be assessed using the Numeric Rating Scale during the first 72 hours after surgery.

    Time frame: 0 to 72 hours after surgery

07

Study locations

1 of 1 sites recruiting
  • Mahmut TUTAR
    Konya, Meram, Turkey (Türkiye)
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Aug 2026 (actual). Primary completion is estimated for Dec 2026, 3 months after the start.

Of 391 non-industry observational studies under Pain, Postoperative, half reached primary completion within 13 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 32. This study's planned 3 months is below that.

Counting every sponsor, half of 395 studies reached it within 13 months; a quarter within 5 and three quarters within 33.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 30, 2026
First posted
Apr 6, 2026
StartActual
Aug 19, 2026
Primary completionEst.
Dec 12, 2026
CompletionEst.
Dec 12, 2026
Last update
Aug 20, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 20, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07511985
Lead sponsor
Konya City Hospital
Responsible party
Mahmut Sami TUTAR (Associate Professor, Department of Anesthesiology and Reanimation, Konya City Hospital) — Principal investigator
First posted
Apr 6, 2026
Start date
Aug 19, 2026
Primary completion
Dec 12, 2026 (estimated)
Completion
Dec 12, 2026 (estimated)
Last update
Aug 20, 2026

Study contacts

Mahmut Tutar, MD
Contact
masatu42@gmail.com
+905552723704
Mahmut Tutar, MD
principal investigator · KONYA CITY HOSPİTAL

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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