Surgery of the anterior cruciate ligament of the knee is frequently a young patient surgery. The post-operative pain of this surgery is managed according to recommendation. In the majority of case, femoral nerve block is performed. The femoral nerve block can cause "paralysis" of the quadriceps more or less complete that no allowing a good quadriceps locking. This locking is indispensable to avoid post-operative flexima and to ensure stabilization of the knee during walking. In France, the surgery requires a duration of hospitalization from 2 to 4 days in the most cases. It is sometimes performed in ambulatory especially in the USA. But, at the home, pain requires powerful analgesics with their adverse events. Today, no anesthesic technics for surgery of anterior cruciate ligament of the knee ensure in the same time optimal analgesia and optimal quadriceps locking. The main objective of the investigators study is to compare two analgesia techniques : femoral nerve block vs intra articular injection and obturator nerve block in surgery of the anterior cruciate ligament of the knee
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
48
PASSOT
Saint-Etienne, France
number of patients with success
success is defined by : score chung \> or egal to 9 and quadriceps locking \> or egal to 3/5
Time frame: 4 postoperative hours
Pain for all patients
pain measured by EVA
Time frame: Postoperative hours : 0, 1, 2, 4, 6, 8, 12, 18, 24, 36 and 48
analgesic consumption for all patients
analgesic consumption of tramadol and morphine (use, number)
Time frame: Postoperative hours : 0, 1, 2, 4, 6, 8, 12, 18, 24, 36 and 48
analgesic adverse events for all patients
Frequency of nausea and vomiting
Time frame: Postoperative hours : 0, 1, 2, 4, 6, 8, 12, 18, 24, 36 and 48
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