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

NCT ID: NCT01447277

Last Updated: 2020-02-21

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

COMPLETED

Clinical Phase

NA

Total Enrollment

68 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-10-31

Study Completion Date

2013-06-30

Brief Summary

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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.

Detailed Description

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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.

Conditions

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Anterior Cruciate Ligament Tear

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Femoral and Sciatic Block

Administration of preoperative femoral and sciatic nerve blocks

Group Type EXPERIMENTAL

Sciatic Block

Intervention Type PROCEDURE

Performing a sciatic block in addition to a femoral block preoperatively

Femoral Block Only

Administration of a femoral nerve block prior to surgery

Group Type OTHER

Femoral Block only

Intervention Type PROCEDURE

Performing a preoperative sciatic nerve block only

Interventions

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Sciatic Block

Performing a sciatic block in addition to a femoral block preoperatively

Intervention Type PROCEDURE

Femoral Block only

Performing a preoperative sciatic nerve block only

Intervention Type PROCEDURE

Eligibility Criteria

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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
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of California, San Francisco

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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UCSF Orthopedic Institute

San Francisco, California, United States

Site Status

Countries

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United States

Other Identifiers

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11-06776

Identifier Type: -

Identifier Source: org_study_id

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