Surgery of Arthroscopic Anterior Cruciate Ligament Repair
Conditions
Keywords
knee surgery, anterior cruciate ligament surgery, nerve block
Brief summary
Assessment of sensory and motor blockade of adductor canal blockade performed for anterior cruciate ligament repair in comparison with femoral nerve blockade.
Detailed description
The adductor canal blockade is a reliable technique for analgesia after knee surgery. It is a safe technique, avoiding muscle weakness, and by this way limiting the risk of fall. Injection of local anaesthetics in the adductor canal does not block the sole saphenous nerve. Demonstration of a proximal spreading, around the branches of the femoral nerve have been made. The aim of this study is to assess a possible spreading from the adductor to the the popliteal fossa, where sciatic nerve and its branches are located. Pinprick test all around the knee and the leg, combined with motor assessment of the muscle of the leg and the ankle will be realised. This assessment was compared with femoral nerve blockade, classically used for analgesia after this kind of surgery (anterior cruciate ligament repair)
Interventions
Analgesic nerve blockade for Arthroscopic surgical repair of the anterior cruciate ligament
PROCEDUREArthroscopic surgical repair of the anterior cruciate ligament
Sponsors
University of Liege
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Patients scheduled for anterior cruciate ligament repair
Exclusion criteria
* Refusal to study, * coagulation disorder, * infection at the puncture site, * preexisting neuropathy, * allergy to local anesthetics, * renal or hepatocellular insufficiency, * context of chronic pain, * drugs abuse, * pregnant patient
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cold sensitivity assessment (cold, very cold, no sensation) | From 30 to 60 minutes after nerve blockade | sensitivity description (cold, very cold, no sensation) |
| Motor blockade assessment (dynamometer) | From 30 to 60 minutes after nerve blockade | motor blockade evaluation with dynamometer |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative pain assessment (visual analgesic scale) | At 2, 4, 6 postoperative hours | Evaluation with visual analgesic scale |
Countries
Belgium
Contacts
Primary ContactJean-Pierre H Lecoq, MD PhD
Outcome results
None listed