Saphenous Nerve Block for Partial Meniscectomy

Phase 3

• Conditions: Meniscectomy; Pain, Procedural; Pain, Joint
• Interventions: Procedure: Saphenous Nerve Block; Drug: Ropivacaine injection

• Registration Number: NCT04717609
• Lead Sponsor: Rothman Institute Orthopaedics

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.

Detailed Description

Not available

Study Timeline

• Status Verified: 2021-01
• Study First Submitted: 2021-01-18
• Study First Submitted QC: 2021-01-18
• Last Update Submitted: 2021-01-18
• Study First Posted: 2021-01-22
• Last Update Posted: 2021-01-22
• Study Start: 2021-01-25
• Primary Completion: 2022-01-25
• Study Completion: 2022-01-25

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 160

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Partial Meniscectomy with Saphenous Nerve Block	Saphenous Nerve Block	Participants scheduled for a partial meniscectomy will preoperatively receive a saphenous nerve block at the medial femoral condyle in addition to an injection of 0.5% ropivacaine with epinephrine
Partial Meniscectomy without Saphenous Nerve Block	Ropivacaine injection	Participants scheduled for partial meniscectomy will preoperatively receive 0.5% ropivacaine with epinephrine
Partial Meniscectomy with Saphenous Nerve Block	Ropivacaine injection	Participants scheduled for a partial meniscectomy will preoperatively receive a saphenous nerve block at the medial femoral condyle in addition to an injection of 0.5% ropivacaine with epinephrine

Primary Outcome Measures

Name	Time	Method
Reduced Pain Levels	10 days	This will be measured using the numeric rating score (NRS). It will be collected at 1 and 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

Trial Locations

Locations (1)

Rothman Orthopaedic Institute; 🇺🇸 Philadelphia, Pennsylvania, United States