Assessment of Sensory and Motor Blockade of the Adductor Canal Blockade Performed for Surgery of Arthroscopic Anterior Cruciate Ligament Repair
试验速览
- 阶段
- 不适用
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Cold sensitivity assessment (cold, very cold, no sensation)
研究概览
简要总结
Assessment of sensory and motor blockade of adductor canal blockade performed for anterior cruciate ligament repair in comparison with femoral nerve blockade.
详细描述
The adductor canal blockade is a reliable technique for analgesia after knee surgery. It is a safe technique, avoiding muscle weakness, and by this way limiting the risk of fall. Injection of local anaesthetics in the adductor canal does not block the sole saphenous nerve. Demonstration of a proximal spreading, around the branches of the femoral nerve have been made. The aim of this study is to assess a possible spreading from the adductor to the the popliteal fossa, where sciatic nerve and its branches are located. Pinprick test all around the knee and the leg, combined with motor assessment of the muscle of the leg and the ankle will be realised. This assessment was compared with femoral nerve blockade, classically used for analgesia after this kind of surgery (anterior cruciate ligament repair)
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients scheduled for anterior cruciate ligament repair
排除标准
- •Refusal to study,
- •coagulation disorder,
- •infection at the puncture site,
- •preexisting neuropathy,
- •allergy to local anesthetics,
- •renal or hepatocellular insufficiency,
- •context of chronic pain,
- •drugs abuse,
- •pregnant patient
研究组 & 干预措施
Adductor Canal Blockade
In this group, patient will benefit of an ultrasound guided adductor canal blockade (20 ml of Ropivacaine 0.75%) as analgesic nerve blockade for their surgery of anterior cruciate ligament repair
干预措施: Analgesic nerve blockade (Ropivacaine) (Drug)
Adductor Canal Blockade
In this group, patient will benefit of an ultrasound guided adductor canal blockade (20 ml of Ropivacaine 0.75%) as analgesic nerve blockade for their surgery of anterior cruciate ligament repair
干预措施: Arthroscopic surgical repair of the anterior cruciate ligament (Procedure)
Femoral Nerve Blockade
In this group, patient will benefit of an ultrasound guided femoral nerve blockade (20 ml of Ropivacaine 0.75%) as analgesic nerve blockade for their surgery of anterior cruciate ligament repair
干预措施: Analgesic nerve blockade (Ropivacaine) (Drug)
Femoral Nerve Blockade
In this group, patient will benefit of an ultrasound guided femoral nerve blockade (20 ml of Ropivacaine 0.75%) as analgesic nerve blockade for their surgery of anterior cruciate ligament repair
干预措施: Arthroscopic surgical repair of the anterior cruciate ligament (Procedure)
结局指标
主要结局
Cold sensitivity assessment (cold, very cold, no sensation)
时间窗: From 30 to 60 minutes after nerve blockade
sensitivity description (cold, very cold, no sensation)
Motor blockade assessment (dynamometer)
时间窗: From 30 to 60 minutes after nerve blockade
motor blockade evaluation with dynamometer
次要结局
- Postoperative pain assessment (visual analgesic scale)(At 2, 4, 6 postoperative hours)