A Study Evaluates the Effects of Electroacupuncture for Postoperative Pain Relief in Patients With Repair for TFCC Tears

Postoperative Pain Relief Clinical Trial

Official title:

Single-blinded, Randomized Preliminary Study Evaluating the Effects of Electroacupuncture for Postoperative Pain Relief in Patients With Arthroscopic Repair for Triangular Fibrocartilage Complex (TFCC) Tears

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT04157543
• Other study ID #: CMUH108-REC1-035
• Status: Recruiting
• Phase: N/A
• Start date: May 1, 2019
• Est. completion date: April 30, 2020

Study information

• Verified date: March 2020
• Source: China Medical University Hospital
• Contact: Chiu-Ming Chang
• Phone: 886-982910198
• Email: asspiderman1982[@]gmail.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Triangular Fibrocartilage Complex (TFCC) is the main stable structure of the distal ulnar joint (DRUJ), and the damage of the triangular fibrocartilage complex is the most common cause of pain in the ulnar side of the wrist in the young athlete population. Once TFCC is injured, arthroscopic surgery is a common repair method. The postoperative analgesic method is generally oral or injection analgesic. In recent years, electroacupuncture(EA) has been widely used to relieve pain after surgery, and many studies have confirmed that it is effective. However, there is no evaluation of analgesic efficacy after arthroscopic repair of the TFCC. Therefore, it is hoped that the efficacy of electroacupuncture for analgesia after arthroscopic repair of the TFCC is demonstrated by this study. And, the investigators also hope the investigators can reduce the use of painkillers through electroacupuncture.

Methods:It is expected that 30 patients will be randomly assigned to the following groups:

electroacupuncture group(EAG), EA at points; non-point group (NPG), EA at non-points, control group (CG) without EA

1. electroacupuncture group(EAG): EA at points after surgery

2. non-point group (NPG): EA at non-points after surgery

3. Control group: only injection painkiller were used before surgery

Description:

Triangular Fibrocartilage Complex (TFCC) is the main stable structure of the distal ulnar joint (DRUJ), and the damage of the triangular fibrocartilage complex is the most common cause of pain in the ulnar side of the wrist in the young athlete population. Once TFCC is injured, arthroscopic surgery is a common repair method. The postoperative analgesic method is generally oral or injection analgesic. In recent years, electroacupuncture(EA) has been widely used to relieve pain after surgery, and many studies have confirmed that it is effective. However, there is no evaluation of analgesic efficacy after arthroscopic repair of the TFCC. Therefore, it is hoped that the efficacy of electroacupuncture for analgesia after arthroscopic repair of the TFCC is demonstrated by this study. And, the investigators also hope the investigators can reduce the use of painkillers through electroacupuncture.

Methods:

It is expected that 30 patients will be randomly assigned to the following groups:

electroacupuncture group(EAG), EA at points; non-point group (NPG), EA at non-points, control group (CG) without EA

1. electroacupuncture group(EAG): EA at points after surgery

2. non-point group (NPG): EA at non-points after surgery

Mode of operation: After the patient has returned to the recovery room, take the needle after 30 minutes, and then statistics.

Acupoint selection:

1. true acupoints: needles were inserted to Kunlun(BL60) and Sanyinjiao(SP6) contralateral to the operated leg and deqi sensation elicited at acupoints

2. false point: the needles were inserted to Zusanli(ST36) and Shangjuxu(ST37) contralateral to the operated leg and deqi sensation elicited at acupoints

3. Control group:only injection and oral painkiller were used before surgery

Data collection:

1. Record the time required for the first injection of analgesics

2. The number of doses of injection painkiller used in 36 hours after surgery (count)

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 30
• Est. completion date: April 30, 2020
• Est. primary completion date: April 30, 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: 19 Years to 60 Years

Eligibility

Inclusion Criteria:

• Orthopaedic specialist diagnoses tearing of the triangular fibrocartilage complex and undergoes arthroscopic repair

• Age between 19 and 60

Exclusion Criteria:

• Allergic to painkillers

• Have a serious heart rhythm

• epilepsy

• Severe pulmonary heart disease

• History of mental illness

• History of drug abuse

• received acupuncture treatment within 1 month

Related Conditions & MeSH terms

• Pain, Postoperative
• Postoperative Pain Relief

Intervention

Other:
• electroacupuncture
acupuncture with electricity

Locations

Country	Name	City	State
Taiwan	China Medical University Hospital	Taichung	No. 2, Yude Rd, North District, Taichung City

Sponsors (1)

Lead Sponsor	Collaborator
China Medical University Hospital

Country where clinical trial is conducted

Taiwan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	the effect of pain relief	Record the time required for the first injection of analgesics and the number of doses of oral painkiller and injection painkiller	in 36 hours after surgery