Pain, Joint, Pain, Procedural, Meniscectomy
Conditions
Brief summary
Partial meniscectomy and meniscus repair are two of the most common orthopedic surgery procedures. As these procedures are being increasingly performed in ambulatory surgical centers, there has been a shift towards providing improved analgesia to ensure timely discharge, as well as preventing unwanted pain and side effects. As such, it has become common practice to use an intra-articular injection of local anesthetic to achieve post-operative pain control. However, these effects are short lived, requiring a multimodal approach to analgesia. To date, no optimal pain control strategy has been described for arthroscopic partial meniscectomy or meniscus repair. The purpose of this study is to examine the outcomes of subcutaneous saphenous nerve block with 0.5% ropivacaine at the medial femoral epicondyle/adductor hiatus plus portal 0.5% ropivacaine injection vs portal 0.5% ropivacaine injection alone for patients undergoing arthroscopic partial meniscectomy or meniscus repair.
Interventions
PROCEDURESaphenous Nerve Block
Preoperative Saphenous Nerve Block for partial Meniscectomy
DRUGRopivacaine injection
preoperatively the participant will receive an injection ar the surgical site of 5 milliliters (mL) of 0.5% ropivacaine
Sponsors
Rothman Institute Orthopaedics
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Age ≥ 18 * Scheduled for arthroscopic meniscectomy or meniscus repair
Exclusion criteria
* Multiple-ligament injury * Primary ACL reconstruction or ACL revision reconstruction * Articular cartilage restoration surgery * Evidence of microfracture * History of allergy to local anesthetics * Pre-existing saphenous neuropathy * Unable to be prescribed opioids due to allergy or other reason
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Reduced Pain Levels | 10 days | This will be measured by Participant Opioid Use will be collected everyday for 10 days after surgery |
| Quality of Recovery | 20 minutes | After surgery while in the recovery room a 40 question survey will be administered regarding your comfort level, emotional state and pain |
Countries
United States
Outcome results
None listed