Plantar Compartment Block Versus Sciatic Block in Hallux Valgus Ambulatory Surgery
- Conditions
- Anesthesia
- Interventions
- Procedure: Sciatic popliteal blockProcedure: PLANTAR BLOCK
- Registration Number
- NCT03922412
- Lead Sponsor
- University Hospital, Montpellier
- Brief Summary
Hallux valgus surgery is known as a painful surgery. Qualitative pain management is the key to successful early recovery and rehabilitation.
Sciatic popliteal nerve block is widely used despite the risk of falling due to prolonged motor blockade.
Plantar block combined with distal peroneal block may be a better analgesic option in order to provide fast track rehabilitation.
This study aims to determine the quality of deambulation following hallux valgus surgery.
Block quality, post operative pain, patient satisfaction and length of hospital stay will be compared in this study.
Patients scheduled for ambulatory (hallux valgus) surgery under regional anaesthesia alone (without general anesthesia) will be recruited.
Consenting patients will be randomized the day of surgery to one of those two groups :
1. Short lasting sciatic nerve block (mepivacaine 1% 200mg) and long lasting plantar block (ropivacaine 0,5% 25mg + 2mg dexamethasone) with distal deep peroneal block (ropivacaine 0,5% 2ml).
2. Long lasting sciatic nerve block (ropivacaine 0,5% 100mg + 2mg dexamethasone)
All patients will benefit from post operative analgesia including paracetamol, nonsteroidal antiinflammatory drugs intravenously.
During PACU stay, pain will be assessed using the VAS (visual analogue scale) score, and analgesic IV consumption.
Temporospatial gait analysis will be assessed with a GAITRITE system before the patient leave the hospital.
Deambulation and walking ability will be evaluated at home postoperatively to day 3 using an acetimetry bracelet.
Pain, postoperative analgesic requirement, sleep quality and overall patient satisfaction (EVAN-LR) will also be assessed during the first 3 postoperative days.
- Detailed Description
Hallux valgus surgery is known as a painful surgery. Qualitative pain management is the key to successful early recovery and rehabilitation.
Sciatic popliteal nerve block is widely used despite the risk of falling due to prolonged motor blockade.
Plantar block combined with distal peroneal block may be a better analgesic option in order to provide fast track rehabilitation.
This study aims to determine the quality of deambulation following hallux valgus surgery.
Block quality, post operative pain, patient satisfaction and length of hospital stay will be compared in this study.
Patients scheduled for ambulatory (hallux valgus) surgery under regional anaesthesia alone (without general anesthesia) will be recruited.
Consenting patients will be randomized the day of surgery to one of those two groups :
1. Short lasting sciatic nerve block (mepivacaine 1% 200mg) and long lasting plantar block (ropivacaine 0,5% 25mg + 2mg dexamethasone) with distal deep peroneal block (ropivacaine 0,5% 2ml).
2. Long lasting sciatic nerve block (ropivacaine 0,5% 100mg + 2mg dexamethasone)
All patients will benefit from post operative analgesia including paracetamol, nonsteroidal antiinflammatory drugs intravenously.
During PACU stay, pain will be assessed using the VAS (visual analogue scale) score, and analgesic IV consumption.
Temporospatial gait analysis will be assessed with a GAITRITE system before the patient leave the hospital (6 hours after ALR).
Deambulation and walking ability will be evaluated at home postoperatively to day 3 using an acetimetry bracelet.
Pain, postoperative analgesic requirement, sleep quality and overall patient satisfaction (EVAN-LR) will also be assessed during the first 3 postoperative days.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 60
- Age between 18 and 75 years old
- patient covered by social health insurance
- have signed written informed consent
- scheduled for hallux valgus ambulatory surgery
- protected patients or patients incapable of giving written informed consent
- pregnant or breastfeeding woman
- vulnerable adult
- inability to participate in pain scoring scales
- severe coagulopathy
- allergy or contraindications to study drugs
- preoperative gait disorders
- chronic kidney disease with glomerular filtration rate (GFR) ≤ 50 ml/min (estimated by the Cockcroft and Gault formula)
- severe chronic liver disease
- chronic pain (treated by non steroidal anti inflammatory drugs, opioids, neuroleptic drugs, antidepressant or anticonvulsants)
- peripheral neuropathy
- intervention under general anesthesia
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Sciatic popliteal block Sciatic popliteal block Long lasting sciatic nerve block (ropivacaine 0,5% 100mg + 2mg dexamethasone) plantar block PLANTAR BLOCK Short lasting sciatic nerve block (mepivacaine 1% 200mg) and long lasting plantar block (ropivacaine 0,5% 25mg + 2mg dexamethasone) with distal deep peroneal block (ropivacaine 0,5% 2ml).
- Primary Outcome Measures
Name Time Method Number of steps walking ability assessed by GAITRITE Test 6 hours after ALR Comparison of the deambulation assessed by GAITRITE test (walking test) between patient who received plantar block and patient who received sciatic popliteal block
- Secondary Outcome Measures
Name Time Method Assessment of the quality of the sensory blocks during the surgery Comparison of the sensory territories of anesthesia using cold between each group
Assessment of the patient hospitalisation duration up to 3 days after surgery Comparison of the duration of hospitalization between each group
Assessment of overall patient satisfaction assessed by the scale EVAN Loco regional up to 3 days after surgery Comparison of overall patient satisfaction between each group
Efficacity of patient walking ability up to 3 days after surgery Comparison of the deambulation assessed by acetemeter between patient who received plantar block and patient who received sciatic popliteal block
Quantity of postoperative rescue analgesics taken up to 3 days after surgery Comparison of the postoperative pain assessed by the Quantity of post-operative rescue analgesics between each group of patients
Assessment of sleep quality Assessment of patient sleep quality up to 3 days after surgery Comparison of patient sleep quality assessed by the somnifer consumption during the postoperative hospitalization between each group
Trial Locations
- Locations (1)
UH Montpellier
🇫🇷Montpellier, France