Pain Management of ACL Reconstruction
Pain Management of Anterior Cruciate Ligament Reconstruction: Evaluation of Adductor Canal Block Versus Oral Pain Regimen
1 other identifier
interventional
60
1 country
1
Brief Summary
This study will compare the outcome of pain interventions that are considered standard of care during the surgical treatment of ACL injuries. The comparison will be looking at pain control during and after ACL surgery as well as functional outcomes in patients that had a nerve block versus those who did not. The investigators hypothesize that pain control will be equal between both groups.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Oct 2017
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 9, 2017
CompletedFirst Submitted
Initial submission to the registry
November 27, 2017
CompletedFirst Posted
Study publicly available on registry
December 7, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
July 1, 2026
December 2, 2025
November 1, 2025
8.7 years
November 27, 2017
November 24, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Immediate Post-op Pain Score
Measured via Visual Analog Scale (VAS) in recovery, scale from 0 (least) to 10 (maximum), no units, with 0 being no pain and 10 being extreme pain
15 min post-op
Opioid Use
Aggregated amount of narcotic medication used, measured in milligrams
6 weeks post-op
Secondary Outcomes (4)
Short-term Knee Function Post-op
6 weeks post-op
Intermediate-term Knee Function
12 weeks post-op
Long-term Knee Function
24 weeks post-op
Post-anaesthesia care unit (PACU) Time
Immediately after surgery
Study Arms (2)
Adductor Canal Nerve Block
EXPERIMENTALParticipant will receive an adductor canal nerve block via 15 mL 0.5% ropivacaine injection prior to OR for ACL reconstruction. Participant will receive pre-op oral medications.
No Nerve Block
NO INTERVENTIONParticipant will receive pre-op oral medications but no nerve block prior to OR for ACL reconstruction.
Interventions
An adductor canal nerve block with 15 mL of 0.5% ropivacaine will be performed pre-operatively by Anesthesiology.
15 mL of 0.5% ropivacaine will be administered for the adductor canal block
Eligibility Criteria
You may qualify if:
- Between the ages of 18 and 45 years old.
- Clinical and/or advanced imaging confirmation of ACL tear of which reconstructive surgery is recommended and accepted.
You may not qualify if:
- No prior surgery of the affected and contralateral knee
- Adults unable to consent
- Children (age \< 18 years old)
- Prisoners
- Pregnant women
- Inflammatory arthritis
- Non-English-speaking patients
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
UC Davis Health
Sacramento, California, 95817, United States
Related Publications (3)
Aronowitz ER, Kleinbart FA. Outpatient ACL reconstruction using intraoperative local analgesia and oral postoperative pain medication. Orthopedics. 1998 Jul;21(7):781-4. doi: 10.3928/0147-7447-19980701-07.
PMID: 9672915BACKGROUNDJaeger P, Nielsen ZJ, Henningsen MH, Hilsted KL, Mathiesen O, Dahl JB. Adductor canal block versus femoral nerve block and quadriceps strength: a randomized, double-blind, placebo-controlled, crossover study in healthy volunteers. Anesthesiology. 2013 Feb;118(2):409-15. doi: 10.1097/ALN.0b013e318279fa0b.
PMID: 23241723BACKGROUNDAbdallah FW, Whelan DB, Chan VW, Prasad GA, Endersby RV, Theodoropolous J, Oldfield S, Oh J, Brull R. Adductor Canal Block Provides Noninferior Analgesia and Superior Quadriceps Strength Compared with Femoral Nerve Block in Anterior Cruciate Ligament Reconstruction. Anesthesiology. 2016 May;124(5):1053-64. doi: 10.1097/ALN.0000000000001045.
PMID: 26938989BACKGROUND
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Cassandra Lee, MD
UC-Davis Health
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- INVESTIGATOR, OUTCOMES ASSESSOR
- Masking Details
- Operating surgeon and outcome assessor will be blind to whether patient had nerve block prior to OR.
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 27, 2017
First Posted
December 7, 2017
Study Start
October 9, 2017
Primary Completion (Estimated)
July 1, 2026
Study Completion (Estimated)
July 1, 2026
Last Updated
December 2, 2025
Record last verified: 2025-11
Data Sharing
- IPD Sharing
- Will not share