None listed
Conditions
Brief summary
Reconstruction of anterior cruciate ligament (ACL) of the knee is a common procedure. Perioperative analgesia for ACL reconstruction using hamstring autograft can be achieved with multimodal analgesia +/- addition of nerve block. Saphenous nerve block is commonly used in our practice for patients undergoing ACL reconstruction. Performing a saphenous nerve block adds cost, time and complications (overall rare) to the overall procedure with a perceived benefit of reduced opiate requirement and increased patient comfort. The benefit of saphenous nerve block for hamstring autograft ACL reconstruction has not been established in the literature. We hypothesize that saphenous nerve block in ACL reconstruction with hamstring autograft does not improve patient comfort.
Interventions
Saphenous nerve block for patients undergoing ACL reconstruction with hamstring autograft. This involves 15cc 0.5% Ropivacaine (75mg) with an ultrasound guided approach picking a spot 10 cm above the patella, after general anaesthesia.
Both groups will receive multimodal analgesia. This includes IV paracetamol 1g 20min before the end of the case, and Parecoxib 40mg IV during the case. Surgeons will infiltrate hamstring site and knee joint with Ropivacaine 2mg/kg and 10mg of Morphine into the k
Saphenous nerve block for patients undergoing ACL reconstruction with hamstring autograft. This involves 15cc 0.5% Ropivacaine (75mg) with an ultrasound guided approach picking a spot 10 cm above the patella, after general anaesthesia. Both groups will receive multimodal analgesia. This includes IV paracetamol 1g 20min before the end of the case, and Parecoxib 40mg IV during the case. Surgeons will infiltrate hamstring site and knee joint with Ropivacaine 2mg/kg and 10mg of Morphine into the knee joint (intra-articular).
Sponsors
Unisports Ltd
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
16 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
All patients undergoing ACL reconstruction with ipsilateral hamstring autograft at our practice.
Exclusion criteria
a. Previous ligamentous ipsilateral knee surgery b. Concurrent surgery on contralateral limb c. Any other graft use d. Lack of adequate English as this would inhibit VAS score e. Allergy or contraindication to Tramadol, Morphine, Fentanyl, Parecoxib, Ropivacaine, Postop NSAIDS, Paracetamol f. Neurological disease involving peripheral nerves g. Chronic pain issues h. Drug addiction or tolerance with analgesics i. Age less than 16
Outcome results
None listed