Comparing Adductor Canal Block and Adductor Canal Block-Local Infiltration Analgesia for Post-operative Pain Management

Related Clinical Trial
LIVing Donor Allograft for Anterior Cruciate Ligament Reconstruction Study Post Operative Pain Management Through Adductor Canal Block With Bupivacaine for ACL Reconstruction What is the Influence of Visual-motor Reliance on Planned and Unplanned Change of Direction Biomechanics 7 Months Post Anterior Cruciate Ligament Reconstruction? What is the Effect of Vision on Movement Control in Anterior Cruciate Ligament Reconstructed Patients 7 Months Post-surgery? Risk of Osteoarthritis of the Knee at Least 5 Years After ACL Reconstruction: Comparative Study Between an Isolated ACL Reconstruction and a Reconstruction Combining ACL and ALL THE EFFECT OF RAMP LESION REPAIR ON RETURN TO SPORTS IN ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION Semitendinosus Graft as Meniscal Transplant Comparing Adductor Canal Block and Adductor Canal Block-Local Infiltration Analgesia for Post-operative Pain Management Prospective Analysis of Introperative RegenLab PRP and Hyaluronic Acid in Patients With Knee ACL Tear The Effect of Bone-void Filler on Anterior Knee Pain Following ACL Reconstruction Blood Flow Restriction Following ACLR Feasibility of Electro Auricular Acupuncture for Analgesia After ACL Surgery: The Feasibility of Patient Blinding and Effects on Early Postoperative Pain Decreasing Knee Injury Risk Factors With Neuromuscular Training Tibial Tunnel Widening in Anterior Cruciate Ligament (ACL) Reconstruction-Comparing Two Bioscrews Laval University Rouge et or Post ACL Surgery Program Effectiveness Use of an Osteoconductive Scaffold in ACL-Reconstruction RescueTEE for In-hospital Cardiac Arrest (ReTEECA Trial) ACL-reconstruction vs ACL-reconstruction With EAT Dynamic ACL Brace: In Vivo Kinematics

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