Early Ambulation After Adductor Canal Block for Total Knee Arthroplasty
|ClinicalTrials.gov Identifier: NCT01459861|
Recruitment Status : Terminated (Administratively closed early)
First Posted : October 26, 2011
Last Update Posted : March 6, 2013
|Condition or disease||Intervention/treatment|
|Pain Osteoarthritis||Procedure: Canal Block and Capsular Injection Procedure: Femoral Nerve Block with Tibial Nerve Block|
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||11 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||Single (Care Provider)|
|Official Title:||Assessment of Early Ambulation in Patients Receiving Continuous Adductor Canal Block With Ultrasound Guided Posterior Capsular Knee Injection vs. Femoral Nerve Block With Tibial Nerve Block Following Total Knee Replacement|
|Study Start Date :||October 2011|
|Primary Completion Date :||September 2012|
|Study Completion Date :||September 2012|
Experimental: Canal Block and Capsular Injection
Adductor canal block with a continuous catheter and ultrasound guided posterior capsular injection with local anesthetic solution.
Procedure: Canal Block and Capsular Injection
Continuous Adductor canal block with 15ml of ropivacaine 0.2% with epinephrine 1:400,000 followed by an infusion of ropivacaine 0.2% at 6ml per hour for 2 days post operatively. This is combined with ultrasound guided posterior capsular knee injection with 30ml ropivacaine 0.2% with epinephrine 1:400,000.
Active Comparator: Femoral with Tibial Nerve Block
Continuous femoral nerve block with catheter and selective tibial nerve block in the popliteal fossa.
Procedure: Femoral Nerve Block with Tibial Nerve Block
Continuous femoral nerve block with 15ml of ropivacaine 0.2% followed by an infusion of ropivacaine 0.2% at 6ml per hour for 2 days after surgery combined with tibial nerve block in the popliteal fossa with ropivacaine 0.5% up to 15ml.
- Ability to ambulate post operatively. [ Time Frame: Up to 3 days (72 hours) post surgery. ]Ability to ambulate and perform tasks of the rehabilitation program and reach rehabilitation milestones after total knee arthroplasty.
- Pain scores at rest and with knee flexion. [ Time Frame: Up to 3 days ( 72 hours) after surgery ]Measures of pain score using numeric pain rating scale (0=no pain, 10=worst pain) completed by patient in recovery room and every 6 hours for a 72 hour period after discharge from recovery room.
- Pain Medication Consumption [ Time Frame: Up to 3 days (72 hours) post surgery ]Amount of opioid consumption post surgery for 72 hours.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01459861
|United States, Connecticut|
|Saint Francis Hospital and Medical Center|
|Hartford, Connecticut, United States, 06105|
|Principal Investigator:||Sanjay Sinha, M.D.||Saint Francis Memorial Hospital|