Ankle Fracture Clinical Trial
Official title:
The Impact of Liposomal Bupivicaine on Post-Operative Pain in Orthopaedic Trauma Surgery: A Double-Blind Prospective Randomized Control Trial
Verified date | September 2017 |
Source | Jamaica Hospital Medical Center |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This study is a randomized controlled trial assessing pain control in ankle fractures repaired with open reduction and internal fixation. Patients are consented and enrolled pre-operatively, and randomized to either control or liposomal bupivacaine with bupivacaine administered intra-operatively.
Status | Completed |
Enrollment | 84 |
Est. completion date | August 31, 2016 |
Est. primary completion date | June 30, 2016 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: 1. Patients at least 18 years old. 2. Male or Female 3. All racial and ethnic groups 4. Fractures and fracture/dislocations of the ankle 5. Patients who opt for surgical treatment of their fractures. 6. Patients who consent to be randomized. 7. Patients who are willing to follow-up for a minimum of 52 weeks. Exclusion Criteria: 1. Patients younger than 18 years old 2. Patients who are on chronic opioids 3. Patients who abuse opioids 4. Patients who are unwilling to follow-up for a minimum of 52 weeks 5. Neurologic condition that could interfere with pain sensation |
Country | Name | City | State |
---|---|---|---|
United States | Jamaica Hospital Medical Center | Jamaica | New York |
Lead Sponsor | Collaborator |
---|---|
Jamaica Hospital Medical Center |
United States,
Joshi GP, Cushner FD, Barrington JW, Lombardi AV Jr, Long WJ, Springer BD, Stulberg BN. Techniques for periarticular infiltration with liposomal bupivacaine for the management of pain after hip and knee arthroplasty: a consensus recommendation. J Surg Orthop Adv. 2015 Spring;24(1):27-35. — View Citation
Lonner JH, Scuderi GR, Lieberman JR. Potential utility of liposome bupivacaine in orthopedic surgery. Am J Orthop (Belle Mead NJ). 2015 Mar;44(3):111-7. Review. — View Citation
Owen RT. Bupivacaine liposome injectable suspension: a new approach to postsurgical pain. Drugs Today (Barc). 2013 Aug;49(8):475-82. doi: 10.1358/dot.2013.49.8.2006992. — View Citation
Robbins J, Green CL, Parekh SG. Liposomal bupivacaine in forefoot surgery. Foot Ankle Int. 2015 May;36(5):503-7. doi: 10.1177/1071100714568664. Epub 2015 Jan 22. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Pain Levels on a Visual Analog Scale ( VAS) | A Visual Analog Scale (VAS) ranging from 0 to 10 in increments of 1 was used to both qualitatively and quantitatively assess the level and severity of pain during the time points ranging from the immediate post-operative period through 72 hours post-operative. Each number on the scale is accompanied by a visual facial expression that indicates the level of pain, discomfort, and distress appropriate to the number on the scale. The more severe the level of pain, the higher the corresponding number and more distressing the accompanying facial expression. A VAS score of 0 indicates no active pain level and is accompanied by a pleasantly smiling face whereas a VAS score of 10 indicates the most severe active pain level and is accompanied by a visibly-distraught face that is frowning, grimacing, and sweating. The combination of facial expressions and numbers is supposed to provide a language-independent, validated means of assessing pain levels. | Immediate post-operative period until 72 hours post-operatively |
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