Continuous Tibial Nerve Block Versus Single Shot Tibial Nerve Block

Not Applicable

Withdrawn

• Conditions: Hallux Valgus
• Interventions: Drug: Posterior tibial nerve catheter; Drug: Single injection posterior tibial nerve block

• Registration Number: NCT01555216
• Lead Sponsor: Northwestern University

Brief Summary

Foot surgery often causes severe and prolonged pain postoperatively. Prior methods of postoperative pain control included oral narcotics, single injection regional techniques and more recently continuous nerve catheters. Recent studies have demonstrated a benefit with continuous popliteal catheters when compared to single injection techniques in regards to postoperative pain control and patient satisfaction for foot surgeries.

Nerve blocks in the popliteal fossa involve both the common peroneal nerve and the tibial nerve. The innervation to the plantar surface of the forefoot involves the tibial nerve and does not involve the peroneal nerve. The purpose of this study is to compare the continuous posterior tibial nerve catheter with a single injection posterior tibial nerve block when used as part of a surgical ankle block for forefoot surgery.

Detailed Description

Not available

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study Start: 2011-10
• Study First Submitted: 2011-10-20
• Study First Submitted QC: 2012-03-13
• Study First Posted: 2012-03-15
• Primary Completion: 2014-12
• Study Completion: 2014-12
• Status Verified: 2016-05
• Last Update Submitted: 2016-05-25
• Last Update Posted: 2016-05-27

Recruitment & Eligibility

• Status: WITHDRAWN
• Sex: All
• Target Recruitment: Not specified

Inclusion Criteria

• Adult patients (18 to 65 years old) undergoing elective scheduled forefoot surgery (hallux valgus repair and metatarsal osteotomy).

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Exclusion Criteria

• Patient refusal to be included
• Presence of language barrier that prohibits proper communication with patient
• Under age of 18,
• Pregnancy
• History of allergy to local anesthetics or opioids
• Presence of a progressive neurological deficit
• Chronic opioid or drug abuse
• Diabetes
• Active infection in leg
• Unstable cardiovascular, renal or hepatic disease,
• Unwillingness to comply with follow up.

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Posterior tibial nerve catheter	Posterior tibial nerve catheter	5 ml bolus of 0.5% ropivacaine. The catheter will then be connected to a portable pump delivering 3 ml/h of 0.2% ropivacaine with a 2ml bolus every two hours.
Single injection PTNB	Single injection posterior tibial nerve block	Single injection posterior tibial nerve block (PTNB) of 0.5% ropivacaine

Primary Outcome Measures

Name	Time	Method
Quality of recovery	Up to five days	Quality of recovery

Secondary Outcome Measures

Name	Time	Method
Opioid consumption	Up to 1 week	Opioid consumption
patient satisfaction	Up to 1 week	patient satisfaction with pain control
Pain control (pain score)	Up to 1 week	pain control (pain score) between groups

Trial Locations

Locations (1)

Northwestern Memorial Hospital; 🇺🇸 Chicago, Illinois, United States