The objective of this study is to compare the pain control benefit of two different types of nerve blocks in patients undergoing anterior cruciate ligament (ACL) reconstruction.
This trial is a prospective, randomized, surgeon-blinded, two-armed trial to investigate the safety and efficacy of femoral nerve blocks versus adductor canal blocks for participants undergoing outpatient anterior cruciate ligament (ACL) reconstruction surgery. The objective of this study is to compare the pain control benefit of two different types of nerve blocks. Ropivacaine, which is FDA-approved for use in both femoral nerve blocks as well as adductor canal blocks, will be utilized. The study will be comparing the efficacy between FDA approved treatments.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
115
Ropivacaine 0.5% will be administered to the femoral nerve or adductor canal.
Percocet 7.5/325 will taken as needed up to every four hours.
Naprosyn 500 mg will be taken twice daily.
Emory Healthcare Orthopaedics and Spine Center
Atlanta, Georgia, United States
Pain Score
Pain scores range from 0 (no pain at all) to 10 (worst imaginable pain). Pain level was reported at the time of discharge from the surgery recovery room, the evening of the day of surgery, and then three times per day for six days post-surgery. During the six days after surgery, the morning assessment asked about typical knee pain levels overnight, the afternoon assessment asked about knee pain levels since the morning entry, and the evening assessment asked about knee pain levels since the afternoon entry.
Time frame: Post-surgery (day of surgery to 6 days post-surgery)
Number of Percocet Tablets Consumed
Participants recorded the total number of Percocet 7.5/325 (acetaminophen and oxycodone) tablets they took every day, in order to assess post-surgical use of opioids between the study arms,
Time frame: Post surgery, Day 0 to Day 6
Total Hours of Sleep
The total hours of sleep first postoperative night, between 0 to 12 hours.
Time frame: First Postoperative Night (up to 12 hours)
Patient-Reported Nausea
Total occurrences of patient-reported nausea post-surgery.
Time frame: Post-Surgery (up to 6 days)
Patient-Reported Vomiting
Total occurrences of patient-reported vomiting post-surgery.
Time frame: Post-Surgery (up to 6 days)
Patient-Reported Constipation
Total occurrences of patient-reported constipation post-surgery.
Time frame: Post-Surgery (up to 6 days)
Patient-Reported Sedation
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Total occurrences of patient-reported feelings of sedation post-surgery.
Time frame: Post-Surgery (up to 6 days)
Patient-Reported Itching
Total occurrences of patient-reported itching post-surgery.
Time frame: Post-Surgery (up to 6 days)
Time to Straight Less Raise
The amount of time (in hours) it takes for participants to have the ability to perform a straight leg raise post-surgery.
Time frame: Post-Surgery (up to 6 days)
Percent of Patients Rating Their Satisfaction as "Excellent" or "Good"
Patient satisfaction will be reported on a scale of excellent, good, satisfactory, or poor, two weeks following surgery.
Time frame: 2 Weeks Post-Surgery