Brief Title
Comparing Adductor Canal Block and Adductor Canal Block-Local Infiltration Analgesia for Post-operative Pain Management
Official Title
Comparison of the Effectiveness of Adductor Canal Block Versus Combination of Adductor Canal Block and Local Infiltration Analgesia: A Randomized Controlled Trial of the Effect on Postoperative Analgesia and Motor Power
Brief Summary
Anterior cruciate ligament (ACL) reconstruction is one of the most commonly performed surgeries amongst young orthopedic surgery patients. Optimal post-operative pain control helps to reduce the opioid burden and to improve the patient's experience. Regional anesthesia, such as the femoral nerve block (FNB) and adductor canal block (ACB), are commonly used for post-operative pain control after surgery. The ACB has replaced the FNB. This is because the ACB targets the femoral nerve, while avoiding the numbing effects on quadricep muscle strength that make it difficult to move the leg. Another form of pain control is local infiltration anesthesia (LIA), which directly blocks pain in the knee. Similar to the ACB, it avoids the numbing effects on the quadricep muscle.This can help improve patient safety and experience by reducing risks of falls and allowing the patient to move earlier. This can also be associated with decreased time in the hospital and decreased costs. Technically, it is less complex and can be done the shorter period of time. The purpose of this study is to refine the pain management technique following anterior cruciate ligament surgery. More specifically, the aim of this study is to evaluate the effects of LIA alone, and a LIA-ACB combination on post-operative pain and thigh muscle strength.
Study Type
Interventional
Primary Outcome
Oral morphine equivalent consumption
Secondary Outcome
inta-operative opioid consumption
Condition
ACL Tear
Intervention
Local Infiltration Anesthetic
Study Arms / Comparison Groups
Local Infiltration Anesthetic
Description: This group of patients will receive the local infiltration anesthetic only.
Publications
* Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
Recruitment Information
Recruitment Status
Procedure
Estimated Enrollment
100
Start Date
February 2021
Completion Date
November 2021
Primary Completion Date
August 2021
Eligibility Criteria
Inclusion Criteria: - English speaking or any other language with possibility of adequate translation - ASA I-III patients - Age 18-50 - BMI ≤ 38 kg/m2 Exclusion Criteria: - Refusal or inability to provide informed consent - Any contraindication to regional anesthesia including coagulopathy or bleeding diathesis, - Allergy to local anesthetics, or infection at the site of the block - History of long-term opioid intake (more than 3 months use) or chronic pain disorder (more than 3 months) - History of preexisting neuropathy in the operative leg - Revision of ACL repair
Gender
All
Ages
18 Years - 50 Years
Accepts Healthy Volunteers
No
Contacts
, 613-737-8899, [email protected]
Administrative Informations
NCT ID
NCT04721119
Organization ID
2382
Responsible Party
Sponsor
Study Sponsor
Ottawa Hospital Research Institute
Study Sponsor
, ,
Verification Date
January 2021