Anterior Cruciate Ligament Reconstruction
Conditions
Keywords
anterior cruciate ligament reconstruction, femoral nerve block, articular injection and obturator nerve block
Brief summary
Surgery of the anterior cruciate ligament of the knee is frequently a young patient surgery. The post-operative pain of this surgery is managed according to recommendation. In the majority of case, femoral nerve block is performed. The femoral nerve block can cause paralysis of the quadriceps more or less complete that no allowing a good quadriceps locking. This locking is indispensable to avoid post-operative flexima and to ensure stabilization of the knee during walking. In France, the surgery requires a duration of hospitalization from 2 to 4 days in the most cases. It is sometimes performed in ambulatory especially in the USA. But, at the home, pain requires powerful analgesics with their adverse events. Today, no anesthesic technics for surgery of anterior cruciate ligament of the knee ensure in the same time optimal analgesia and optimal quadriceps locking. The main objective of the investigators study is to compare two analgesia techniques : femoral nerve block vs intra articular injection and obturator nerve block in surgery of the anterior cruciate ligament of the knee
Interventions
Sponsors
Centre Hospitalier Universitaire de Saint Etienne
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Physical Status score = 1 or Physical Status score = 2 * Major Patient * indication of anterior cruciate ligament reconstruction * informed consent for participation in the study
Exclusion criteria
* Contraindication to general analgesia * Contraindication to peripheral nerve block * Allergy to analgesic treatment * Porphyria, * Neurologic deficit * Contraindication antiinflammatory drugs * Simultaneous reconstruction of another ligament or complex gesture intended * Patient treated with an anti-arrhythmic drug class III * Patient with severe hepatic impairment * Pregnant woman
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| number of patients with success | 4 postoperative hours | success is defined by : score chung \> or egal to 9 and quadriceps locking \> or egal to 3/5 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain for all patients | Postoperative hours : 0, 1, 2, 4, 6, 8, 12, 18, 24, 36 and 48 | pain measured by EVA |
| analgesic consumption for all patients | Postoperative hours : 0, 1, 2, 4, 6, 8, 12, 18, 24, 36 and 48 | analgesic consumption of tramadol and morphine (use, number) |
| analgesic adverse events for all patients | Postoperative hours : 0, 1, 2, 4, 6, 8, 12, 18, 24, 36 and 48 | Frequency of nausea and vomiting |
Countries
France
Outcome results
None listed