Anterior Cruciate Ligament tear, Anterolateral Corner Injury Ruptured Anterior Cruciate Ligament
Conditions
Interventions
Anterolateral genicular nerve block using ropivacaine
Sponsors
Ziekenhuis Gelderse Vallei
Eligibility
Age
16 Years to 64 Years
Inclusion criteria
Inclusion criteria: -Clinical indication and willingness to undergo combined ACL and anterolateral corner reconstruction-(Sub)total primary ACL tear on physical examination and MRI, with or without concomitant meniscal injury and/or cartilage injury and/or partial concomitant knee ligament injury not requiring surgery-Age 16 years and older -Preinjury Tegner score 5 and desire to return to preinjury level
Exclusion criteria
Exclusion criteria: -Multiligamentous knee injury requiring multiligamentous knee surgery-Patients undergoing ACL revision surgery-Contraindications to peripheral nerve blocks including but not limited to local infection at the injection site, significant hematological disease, allergy to local anasthetics, and relevant cardiovascular conditions (e.g. atrioventricular conduction disorders, use of anti-arrhythmic medication)-Pre-existing neurological deficits-Pre-existing chronic pain condition not related to ACL injury-History of allergy to drugs used in this study-No understanding of Dutch language or not capable of understanding the study and participation-Pregnancy or breastfeeding at the time of surgery or during the perioperative study period
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome is the Numeric Rating Scale (NRS) pain score during movement at 2 hours postoperatively | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes include cumulative opioid consumption, use of rescue analgesics, patient-reported outcomes (VAS-pain, IKDC-subjective, Tegner, Lysholm, ACL-RSI) at six weeks, and incidence of adverse events. Statistical analyses include mixed-effects models to compare outcomes between groups while adjusting for baseline variables. | — |
Countries
Netherlands
Contacts
Public ContactW.A. van der Wal
Ziekenhuis Gelderse Vallei
Outcome results
None listed