Pain Relief After Forefoot Surgery

NCT ID: NCT01019005

Last Updated: 2009-11-25

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

75 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-02-28

Study Completion Date

2011-04-30

Brief Summary

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The aim to test whether continues local anaesthetic infusion via tibial catheter or wound catheter will improve pain relief following forefoot surgery

In this sequential prospective randomised, controlled clinical trial,75 Patients undergoing forefoot surgery will be randomized into three groups (tibial, wound, control). All groups will receive ankle block ± general anesthetic (standard technique). The tibial group will have a tibial catheter inserted through which local anaesthetic will be infused. The wound group will have a catheter inserted directly into the wound immediately after surgery. The control group will have a sham catheter (covered by a bandage across foot) attached to a pump which will not infuse. Patient maximum pain scores (primary outcome measure), nausea/ vomiting, analgesia use, satisfaction and sleep disturbance will be recorded postoperatively. All groups will be then followed by telephone calls 48 hours. Patients will be instructed to come to the clinic on the 4th postoperative day where the catheter will be removed.

Detailed Description

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Conditions

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Orthopedic Surgery

Keywords

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post-operative analgesia opioid catheter tibial nerve block

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Caregivers

Study Groups

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Tibial

Group Type EXPERIMENTAL

Catheter

Intervention Type DEVICE

Catheter inserted into either perineural tibial nerve or wound

Wound

Group Type EXPERIMENTAL

Catheter

Intervention Type DEVICE

Catheter inserted into either perineural tibial nerve or wound

Sham

Group Type NO_INTERVENTION

Catheter

Intervention Type DEVICE

Catheter inserted into either perineural tibial nerve or wound

Interventions

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Catheter

Catheter inserted into either perineural tibial nerve or wound

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Age 18 years or older (ASA I \& II)
* Able to give written consent
* Patients having elective forefoot surgery with a planned ankle block.
* Expected postoperative pain to be at least moderate in severity the day following surgery

Exclusion Criteria

* Refusal
* Inability to communicate
* History of alcohol or opioid abuse (also chronic opioid user)
* Mental or medical conditions which may affect quantifying pain scores (VAS)
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Nottingham University Hospitals NHS Trust

OTHER

Sponsor Role lead

Responsible Party

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Queens' Medical Centre

Locations

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Nottingham University Hospitals NHS Trust

Nottingham, , United Kingdom

Site Status

Countries

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United Kingdom

Other Identifiers

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QMC-1975-NB

Identifier Type: OTHER

Identifier Source: secondary_id

QMC-1975-HJ

Identifier Type: -

Identifier Source: org_study_id