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Pain Relief After Forefoot Surgery

The recruitment status of this study is unknown. The completion date has passed and the status has not been verified in more than two years.
Verified November 2009 by Nottingham University Hospitals NHS Trust.
Recruitment status was:  Not yet recruiting
Information provided by:
Nottingham University Hospitals NHS Trust Identifier:
First received: November 24, 2009
Last updated: NA
Last verified: November 2009
History: No changes posted

The aim to test whether continues local anaesthetic infusion via tibial catheter or wound catheter will improve pain relief following forefoot surgery

In this sequential prospective randomised, controlled clinical trial,75 Patients undergoing forefoot surgery will be randomized into three groups (tibial, wound, control). All groups will receive ankle block ± general anesthetic (standard technique). The tibial group will have a tibial catheter inserted through which local anaesthetic will be infused. The wound group will have a catheter inserted directly into the wound immediately after surgery. The control group will have a sham catheter (covered by a bandage across foot) attached to a pump which will not infuse. Patient maximum pain scores (primary outcome measure), nausea/ vomiting, analgesia use, satisfaction and sleep disturbance will be recorded postoperatively. All groups will be then followed by telephone calls 48 hours. Patients will be instructed to come to the clinic on the 4th postoperative day where the catheter will be removed.

Condition Intervention
Orthopedic Surgery
Device: Catheter

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double Blind (Participant, Care Provider)
Primary Purpose: Treatment
Official Title: Pain Relief After Forefoot Surgery: Tibial Perineural Catheter vs. Wound Catheter Infusion

Resource links provided by NLM:

Further study details as provided by Nottingham University Hospitals NHS Trust:

Primary Outcome Measures:
  • Post-operative pain [ Time Frame: 2,8,12,24,48 hr ]

Estimated Enrollment: 75
Study Start Date: February 2010
Estimated Study Completion Date: April 2011
Estimated Primary Completion Date: February 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Tibial Device: Catheter
Catheter inserted into either perineural tibial nerve or wound
Experimental: Wound Device: Catheter
Catheter inserted into either perineural tibial nerve or wound
No Intervention: Sham Device: Catheter
Catheter inserted into either perineural tibial nerve or wound


Ages Eligible for Study:   18 Years to 80 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • Age 18 years or older (ASA I & II)
  • Able to give written consent
  • Patients having elective forefoot surgery with a planned ankle block.
  • Expected postoperative pain to be at least moderate in severity the day following surgery

Exclusion Criteria:

  • Refusal
  • Inability to communicate
  • History of alcohol or opioid abuse (also chronic opioid user)
  • Mental or medical conditions which may affect quantifying pain scores (VAS)
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Please refer to this study by its identifier: NCT01019005

United Kingdom
Nottingham University Hospitals NHS Trust Not yet recruiting
Nottingham, United Kingdom
Sponsors and Collaborators
Nottingham University Hospitals NHS Trust
  More Information

Responsible Party: Nottingham University Hospitals NHS Trust, Queens' Medical Centre Identifier: NCT01019005     History of Changes
Other Study ID Numbers: QMC-1975-HJ
QMC-1975-NB ( Other Identifier: QMC )
Study First Received: November 24, 2009
Last Updated: November 24, 2009

Keywords provided by Nottingham University Hospitals NHS Trust:
post-operative analgesia
tibial nerve block processed this record on May 25, 2017