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Ideal Anatomic Location for Saphenous Nerve Blocks: A Prospective Clinical Evaluation

Not Applicable
Completed
Conditions
Ankle Injury
Foot Injury
Registration Number
NCT02645097
Lead Sponsor
Paul J. Juliano, M.D.
Brief Summary

This research is being done to compare two different saphenous nerve block locations and will help to determine which site best maintains knee strength and pain control.

Detailed Description

This is a prospective, randomized, observer blinded clinical trial comparing motor strength in knee extension between two sets of patients, one receiving a proximal thigh block of the saphenous nerve and one receiving a distal thigh block of the saphenous nerve. The secondary objectives are to compare the pain relief and quality of life of participants in these two groups.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
30
Inclusion Criteria
  • Age 18-65
  • Upcoming elective foot or ankle surgery
Exclusion Criteria
  • Preoperative weakness in knee extension
  • Documented neuropathy
  • Previous knee surgery
  • Inability to provide informed consent

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
knee extensor strength measured in kilogramschange from baseline preoperatively to 30 minutes after nerve block placement

Strength of the knee extensors in both treatment arms (distal vs. proximal block) will be tested preoperatively and again 30 minutes after the nerve block by using a hand-held dynamometer measured in kilograms

Secondary Outcome Measures
NameTimeMethod
quality of life assessmentchange from baseline preoperatively to two weeks post-operatively

PROMIS Global Health Survey will be completed by patients in both treatment arms pre-operatively and again two weeks post-operatively

pain levelchange from baseline preoperatively to two weeks post-operatively

Pain relief will be measured by review of the medical record for type and amount of pain medications used

Trial Locations

Locations (1)

Penn State Milton S. Hershey Medical Center

🇺🇸

Hershey, Pennsylvania, United States

Penn State Milton S. Hershey Medical Center
🇺🇸Hershey, Pennsylvania, United States

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