Multimodal Pain Management Following Primary TKA

NCT ID: NCT02369523

Last Updated: 2023-08-15

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

TERMINATED

Clinical Phase

EARLY_PHASE1

Total Enrollment

84 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-09-30

Study Completion Date

2017-04-30

Brief Summary

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The investigators plan to evaluate the length of time to discharge readiness between the groups (continuous femoral nerve blocks (cFNB) vs. liposomal bupivacaine (LB) vs. periarticular infusion cocktails (PIC) following primary total knee arthroplasty (TKA). In addition, the investigators will compare quadriceps strength recovery over time and exploratory variables between the groups.

Detailed Description

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Conditions

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Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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liposomal bupivacaine (LB) (Exparel)

Mixture of 50 milliliters (mL) of 0.25% Bupivacaine with epinephrine, 40 mL of sterile saline and 20 mL of Exparel®.

Group Type ACTIVE_COMPARATOR

Exparel

Intervention Type DRUG

Mixture of 50 mL of 0.25% Bupivacaine with epinephrine, 40 mL of sterile saline and 20 mL of Exparel®.

Ropivacaine cocktail (PIC)

400 milligrams (mg) Ropivacaine, 5 mg morphine, and 0.4 mg epinephrine in 100 cc solution

Group Type ACTIVE_COMPARATOR

Ropivacaine cocktail (PIC)

Intervention Type DRUG

400 mg Ropivacaine, 5 mg morphine, and 0.4 mg epinephrine in 100 cc solution

continuous femoral nerve blocks (cFNB)

Continuous Femoral Nerve Block- 0.25% Bupivacaine at a rate of 5 ml/hour for 48 Hours.

Sciatic nerve block - 0.125% bupivacaine

Group Type ACTIVE_COMPARATOR

Bupivacaine

Intervention Type DRUG

Continuous Femoral Nerve Block- 0.25% Bupivacaine at a rate of 5 ml/hour for 48 Hours.

Sciatic nerve block - 0.125% bupivacaine

Interventions

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Exparel

Mixture of 50 mL of 0.25% Bupivacaine with epinephrine, 40 mL of sterile saline and 20 mL of Exparel®.

Intervention Type DRUG

Ropivacaine cocktail (PIC)

400 mg Ropivacaine, 5 mg morphine, and 0.4 mg epinephrine in 100 cc solution

Intervention Type DRUG

Bupivacaine

Continuous Femoral Nerve Block- 0.25% Bupivacaine at a rate of 5 ml/hour for 48 Hours.

Sciatic nerve block - 0.125% bupivacaine

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* ≥ 40 Years Old
* Scheduled for Primary Total Knee Arthroplasty

Exclusion Criteria

* Opiate Tolerant (≥60mg/day oral morphine/equivalent for ≥1 week)
* Neuromuscular deficit affecting the lower limbs

* Peripheral neuropathy
* Radiculopathy/Sciatica
* Known allergy or intolerance to Bupivacaine or Ropivacaine
* Hepatic Disease
* Renal Disease/Patients needing Dialysis
* Planned unicompartmental knee replacement
* Less than 90 degree of knee flexion preoperatively.
* Patients who lack the capacity to consent or are unwilling to do so
* At the discretion of the PI, patients who may have difficulty complying with standard of care (SOC) followup may also be excluded
Minimum Eligible Age

40 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Utah

OTHER

Sponsor Role lead

Responsible Party

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Christopher Pelt

M.D.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Christopher Pelt, M.D.

Role: PRINCIPAL_INVESTIGATOR

University of Utah

Locations

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University of Utah Orthopaedic Center

Salt Lake City, Utah, United States

Site Status

Countries

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United States

Other Identifiers

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74975

Identifier Type: -

Identifier Source: org_study_id

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