Geniculate Nerve Block Versus Adductor Canal Block for ACL Reconstruction Surgery
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-50
SponsorHospital Clinic of Barcelona
About this trial
Anterior cruciate ligament repair (ACL) surgery presents moderate to severe pain during the inmediate postoperative period and the first days after surgery. In addition, due to the interest of surgeons and patients for early reinstatement, the use of blockages that decrease the strength of the quadriceps is avoided. Therefore, in recent years, the adductor canal block (ACB) has been used for postoperative analgesia with variable results.
Genicular nerve block (GNB) has been used for pain management in patients with knee osteoarthritis and recently in knee arthroplasty surgery with results similar to the local anesthetic infiltration techniques by the surgeon (LIA). Considering their good results in these patients in addition to being a 100% sensitive block without risk of motor involvement.
The investigators proposed this experimental study to evaluate tha analgesic efficacy of the genicular nerve block (GNB) compared with the adductor canal block (ACB) for the Anterior cruciate ligament (ACL) repair surgery.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients from 18 to 50 years old scheduled to undergo anterior cruciate ligament reconstruction
Disqualifiers
peripheral neuropathy
pre-existing femoral neuropathy
diabetes mellitus
alcoholism
Trial design
Design model
Parallel
Treatments tested in this trial
Adductor canal block
Procedure/SurgeryInjection of the local anesthetic prior to the surgery, either in the the adductor canal or in the genicular nerves by the anesthesiologist under ultrasound guidance.
Treatment groups
40 Participants
are divided into 2 treatment groupsGroup A: Adductor canal blockExperimental treatment 1 intervention
Group B: Genicular nerve blockExperimental treatment 1 intervention
Trial outcomes
Primary outcomes
1
Pain assessed by NRS at PACU
Numerical raiting score (NRS) 0-10 (0= No pain; 10=maximum pain)
Time frame
up to 6 hours postoperative2
Opioid consumption at PACU
Metadone consumption in mg.
Time frame
up to 6 hours postoperativeSecondary outcomes
1
Pain score at home
Numerical raiting score (NRS) 0-10 (0= No pain; 10=maximum pain)
Time frame
up to 24 hours2
Quality of rest
Sleep or wake-up during first night (Pain) (Awake because of pain: Yes / NO)
Time frame
First nightSponsors and contacts
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Source ClinicalTrials.gov