Popliteal Plexus Block for Postoperative Pain After ACL Reconstruction
NCT ID: NCT03130049
Last Updated: 2018-01-23
Study Results
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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COMPLETED
NA
15 participants
INTERVENTIONAL
2017-09-27
2017-12-04
Brief Summary
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Detailed Description
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Cadaver dissection studies have shown that an injection into the distal part of the adductor canal will spread to the popliteal fossa, and one dissection study showed consistent spread to the popliteal plexus.
The study team hypothesized that a PPB will reduce the postoperative pain, when it is used as a supplement to the FTB in patients undergoing ACL reconstruction.
Conditions
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Study Design
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NON_RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Patients with postoperative pain, NRS >3
Patients reporting postoperative pain (NRS \>3) localized to the center of the knee (10 patients) will receive a popliteal plexus block
Popliteal plexus block
10 mL Marcain-adrenalin 5 mg/mL + 5 microgram/mL. Ultrasound-guided injection into the distal part of the adductor canal
Patients with postoperative pain, NRS ≤ 3
(approx. 90 patients)
No interventions assigned to this group
Interventions
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Popliteal plexus block
10 mL Marcain-adrenalin 5 mg/mL + 5 microgram/mL. Ultrasound-guided injection into the distal part of the adductor canal
Eligibility Criteria
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Inclusion Criteria
* Age ≥ 18
* American Society of Anesthesiologists (ASA) status I-III
* Informed consent
Exclusion Criteria
* Patients not able to speak Danish or with other communication problems
* Pregnancy
* Contraindication towards any medical product used in the study
* Preoperatively reduced sensation on the medial and lateral part of the lower leg
* Patients with diabetes requiring medical treatment
* Preoperative intake of opioids (dosed \> once daily)
* ACL revision
18 Years
ALL
No
Sponsors
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University of Aarhus
OTHER
Responsible Party
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Principal Investigators
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Jan M Jensen, MD
Role: PRINCIPAL_INVESTIGATOR
Aarhus University Hospital
Christian Jessen, MD
Role: PRINCIPAL_INVESTIGATOR
The Regional Hospital in Horsens
Locations
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Aarhus University Hospital
Aarhus C, , Denmark
The Regional Hospital in Horsens
Horsens, , Denmark
Countries
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References
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Wong WY, Bjorn S, Strid JM, Borglum J, Bendtsen TF. Defining the Location of the Adductor Canal Using Ultrasound. Reg Anesth Pain Med. 2017 Mar/Apr;42(2):241-245. doi: 10.1097/AAP.0000000000000539.
Bendtsen TF, Moriggl B, Chan V, Borglum J. The Optimal Analgesic Block for Total Knee Arthroplasty. Reg Anesth Pain Med. 2016 Nov/Dec;41(6):711-719. doi: 10.1097/AAP.0000000000000485.
Grevstad U, Mathiesen O, Valentiner LS, Jaeger P, Hilsted KL, Dahl JB. Effect of adductor canal block versus femoral nerve block on quadriceps strength, mobilization, and pain after total knee arthroplasty: a randomized, blinded study. Reg Anesth Pain Med. 2015 Jan-Feb;40(1):3-10. doi: 10.1097/AAP.0000000000000169.
Goffin P, Lecoq JP, Ninane V, Brichant JF, Sala-Blanch X, Gautier PE, Bonnet P, Carlier A, Hadzic A. Interfascial Spread of Injectate After Adductor Canal Injection in Fresh Human Cadavers. Anesth Analg. 2016 Aug;123(2):501-3. doi: 10.1213/ANE.0000000000001441.
Other Identifiers
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Protokol_PPB_ACL_21042017
Identifier Type: -
Identifier Source: org_study_id
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