Saphenous Nerve Block for Post-Op Pain Control After Tibial Plateau ORIF
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Tibial Plateau Fracture
- Sponsor
- Stanford University
- Enrollment
- 50
- Primary Endpoint
- Pain Scores
- Status
- Not yet recruiting
- Last Updated
- last year
Overview
Brief Summary
Fractures of the tibial plateau, while very painful, typically do not receive nerve blocks. This is because of a concern that the numbness from a nerve block would "mask" the typically painful symptoms of compartment syndrome, a condition that can lead to a permanent loss of function of the injured limb. Our study aims to evaluate the effectiveness of saphenous nerve block for pain management after surgical repair of a tibial plateau fracture. Based on cadaver studies and our clinical experience, we suspect that the saphenous nerve contributes to pain sensations of the tibial plateau and will not mask the pain from a compartment syndrome. In summary, while saphenous nerve block represents a safe option after tibial plateau open reduction internal fixation (ORIF), we aim to evaluate its effectiveness in this patient population.
Investigators
Jean-Louis Horn
Principal Investigator
Stanford University
Eligibility Criteria
Inclusion Criteria
- •Tibial plateau fracture presenting for ORIF
- •Age greater than or equal to 18 years
Exclusion Criteria
- •Other concomitant life-threatening injuries
- •History of chronic pain prior to tibial plateau ORIF
- •Age \<18 years old
- •Pregnancy
- •Any condition impairing patient's ability to consent to participation in study
- •Existing condition contraindicating a nerve block
- •Non-English Speaking
Outcomes
Primary Outcomes
Pain Scores
Time Frame: Through hospital stay, an average of 3 days
Pain scores on a scale from 0 to 10 will be collected by the research staff for 1 hour following the post-operative block. Pain scores will also be collected by the nurses throughout the patient's stay.
Opioid requirements
Time Frame: Through hospital stay, an average of 3 days
Opioid medications recorded in opioid morphine equivalents will be recorded by the research staff for the first hour following the post-operative nerve block. Opioid medications will be collected by the nurses throughout the patient's stay.
Length of Stay
Time Frame: Through hospital stay, an average of 3 days
The patient's length of stay in the hospital will be collected by the research staff following the patient's discharge.