Adductor Canal Block With Posterior Capsular Injection for Total Knee Replacement
|ClinicalTrials.gov Identifier: NCT01805661|
Recruitment Status : Completed
First Posted : March 6, 2013
Last Update Posted : March 17, 2015
|Condition or disease||Intervention/treatment||Phase|
|Pain Osteoarthritis||Procedure: Canal Block and Capsular Injection Procedure: Femoral with Tibial Nerve Block||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||56 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||Single (Care Provider)|
|Official Title:||Assessment of Early Ambulation and Participation in Rehabilitation Program in Patients Receiving Continuous Adductor Canal Block With Ultrasound Guided Posterior Capsular Knee Injection vs Continuous Femoral Nerve Block With Tibial Nerve Block Following Total Knee Replacement.|
|Study Start Date :||March 2013|
|Actual Primary Completion Date :||December 2013|
|Actual Study Completion Date :||December 2013|
Active Comparator: Femoral With Tibial Nerve Block
Continuous femoral nerve block with catheter and selective tibial nerve block in the popliteal fossa
Procedure: Femoral with Tibial Nerve Block
Continuous femoral nerve block with 15 ml of ropivacaine 0.1% followed by an infusion of ropivacaine 0.1% at 6 ml per hour for 2 days after surgery combined with tibial nerve block in the popliteal fossa with ropivacaine 0.1% up to 15 ml.
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 15-30ml of ropivacaine 0.1% with epinephrine 1:400,000 followed by an infusion of ropivacaine 0.1% at 6 ml per hour for 2 days post operatively. This is combined with ultrasound guided posterior capsular knee injection with 30 ml ropivacaine 0.1% with epinephrine 1:400,000.
- 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): NCT01805661
|United States, Connecticut|
|Saint Francis Hospital and Medical Center|
|Hartford, Connecticut, United States, 06105|
|Principal Investigator:||Sanjay Sinha, M.D.||Saint Francis Hospital and Medical Center|