Prospective Femoral Versus Femoral and Sciatic Nerve Block for Anterior Cruciate Ligament (ACL) Reconstruction

Anterior Cruciate Ligament Tear Clinical Trial

Official title:

The Addition of a Preoperative Sciatic Nerve Block to a Femoral Nerve Block for Ambulatory Arthroscopic ACL Reconstruction

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01447277
• Other study ID #: 11-06776
• Status: Completed
• Phase: N/A
• Start date: October 2011
• Est. completion date: June 2013

Study information

• Verified date: February 2020
• Source: University of California, San Francisco
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The investigators propose that a preoperative femoral and sciatic blocks vs a femoral block only, prior to ambulatory anterior cruciate ligament (ACL) reconstruction will lead to a decrease in opiate consumption, pain scores, and post-anesthesia care unit (PACU) length of stay. The investigators are prospectively randomizing patients to either a femoral or a fem/sciatic block and monitor outcomes.

Description:

Although femoral nerve blocks improve analgesia after anterior cruciate ligament (ACL) reconstruction, patients often complain of posterior knee pain, which can be treated with a sciatic nerve block. In a prospective randomized study, we compare preoperative femoral nerve block to a combined femoral and sciatic block in patients undergoing ambulatory ACL reconstruction. We hypothesize that the combined femoral/sciatic nerve block patients would have improved analgesia, fewer opioid-related side effects, and shorter PACU length of stay and improved patient satisfaction.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 68
• Est. completion date: June 2013
• Est. primary completion date: May 2013
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Age 18 and over

• ASA status I-II

• Scheduled for ambulatory Arthroscopic ACL Surgery

Exclusion Criteria:

• Allergy to Local anesthetics or opiates used in the study

• Contraindications for regional anesthesia

• coagulopathy, anticoagulation, Thrombocytopenia

• infection at site of injection

• Chronic pain and high preoperative opiate requirements

• High risk for PONV

Related Conditions & MeSH terms

• Anterior Cruciate Ligament Injuries
• Anterior Cruciate Ligament Tear

Intervention

Procedure:
• Sciatic Block
Performing a sciatic block in addition to a femoral block preoperatively
• Femoral Block only
Performing a preoperative sciatic nerve block only

Locations

Country	Name	City	State
United States	UCSF Orthopedic Institute	San Francisco	California

Sponsors (1)

Lead Sponsor	Collaborator
University of California, San Francisco

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Pain Scores		PACU and POD1, 2 and 3.
Secondary	Length of stay		Duration of stay in the recovery room
Secondary	Opiate consumption		During surgery, recovery room and for 3 days after discharge
Secondary	PONV		During the recovery room stay and after discharge from surgery center for up to 3 days.