Anterior Cruciate Ligament InjuryPhase 4FNB vs ACBNCT03704376
Clinical Comparison of Femoral Nerve Versus Adductor Canal Block Following Anterior Ligament Reconstruction
A Phase 4 study testing 30 ml of 0.2% ropivacaine, 15 ml of 0.2% ropivacaine and 100 mcg clonidine in people with Anterior Cruciate Ligament Injury, run by The University of Texas Health Science Center, Houston at 1 site in United States.
Trial summary
This study will examine the potential differences between femoral nerve blockade (FNB) and adductor canal blockade (ACB) for pain control and quadriceps muscle activation for patients following anterior cruciate ligament (ACL) reconstruction. Read more about this study
- Who is it for?
- Ages 16 to 30 years
- Conditions the study is for
- Anterior Cruciate Ligament Injury
- What is being tested?
- 30 ml of 0.2% ropivacaine, 15 ml of 0.2% ropivacaine and 100 mcg clonidine
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 125 participants
- Where
- 1 siteUnited States
- Study dates
- 1 Feb 2016to 16 Nov 2017
- Phase
- Phase 4
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 16 to 30 years
- All sexes
- No healthy volunteers
- Child, Adult
Who may be able to join
- Males \& Females ages 16-30 yrs
- Undergoing ACL reconstruction by Co-Investigator (Walter Lowe)
- Receiving peri-operative FNB or ACB
Who cannot join
- Not enrolled within the COFAKS study
- Receiving intrathecal nerve blockade or no blockade
Trial locations and contacts
1 site in 1 country.
United States1 site
The University of Texas Health Science Center-Houston
Houston, Texas, 77030
About this study
Official title: Clinical Outcome Following Arthroscopic Knee Surgery (COFAKS)-Addendum
This study will examine the potential differences between femoral nerve blockade (FNB) and adductor canal blockade (ACB) for pain control and quadriceps muscle activation for patients following anterior cruciate ligament (ACL) reconstruction.
Read the detailed description
Adequate pain control following anterior cruciate ligament reconstruction (ACL) often requires a regional nerve block. The femoral nerve block (FNB) has been traditionally employed. More recently, ultrasound application to regional nerve blocks allows for the use of alternatives such as the adductor canal block following ACL reconstruction. In 2009, Manickam et al. were the first to describe the ultrasound guided adductor canal technique for the purposes of knee joint analgesia. Unlike other traditional techniques that seek to cause a sensory as well as a motor blockade, the adductor canal block attempts to spare the motor block of the neighboring distributions in an attempt to offer selective analgesia and strength preservation. Chisholm et al demonstrated the adductor canal block provides similar and adequate postoperative analgesia when compared to the FNB, following arthroscopic ACL reconstruction with patellar tendon autograft. Their study focused on analgesia and did not evaluate quadriceps function or impact on rehabilitation. Sharma et al drew the first association between femoral nerve blocks and increased fall risk due to muscle weakness in total knee arthroplasty population. A randomized, blinded study to compare quadriceps strength following adductor canal versus FNB was performed by Kwofie et al. They showed that compared with FNB, adductor canal block results in significant quadriceps motor sparing and significantly preserved balance. These studies focused on acute muscle weakness after regional anesthesia and its relation to safety. Quadriceps function is very important in rehabilitation of ACL reconstruction. Luo et al demonstrated long term deficits related to FNB. They demonstrated that patients treated with FNB after ACL reconstruction had significant isokinetic deficits in knee extension and flexion strength at 6 months when compared with patients who did not receive a nerve block. Patients without a block were 4 times more likely to meet criteria for clearance to return to sports at 6 months. In addition, Krych et al found significantly inferior quadriceps strength and function at 6 months in FNB group. Based on the available literature, we aim to compare femoral nerve versus adductor canal block in regards to pain control and muscle strength in ACL reconstruction patients until return to sport.
- Conditions
- Anterior Cruciate Ligament Injury
- Being tested
- 30 ml of 0.2% ropivacaine, 15 ml of 0.2% ropivacaine, 100 mcg clonidine, High-frequency linear ultrasound transducer
- Keywords
- Femoral Nerve Block, Adductor Canal Block
- Medical subject headings
- Anterior Cruciate Ligament Injuries
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
30 ml of 0.2% ropivacaineDrug
15 ml of 0.2% ropivacaineDrug
100 mcg clonidineDrug
High-frequency linear ultrasound transducerDevice
| Study group | Role | What they receive |
|---|---|---|
| Femoral Nerve Blockade | Active comparator | Ultrasound guided FNB (30 ml of 0.2% ropivacaine with 100 mcg clonidine using a 22-gauge 40 mm ProBloc II insulated needle; Kimberly-Clark, Roswell, Georgia) below the inguinal ligament using a high-frequency linear ultrasound transducer (4-12 Hz; Mindray M7; Mindray North America, Mahwah, NJ) with stimulator confirmation. Receives: Drug: 30 ml of 0.2% ropivacaine; Drug: 100 mcg clonidine; Device: High-frequency linear ultrasound transducer |
| Adductor Canal Blockade | Active comparator | Ultrasound guided ACB (15 ml of 0.2% ropivacaine with 100 mcg clonidine using a 22-gauge 40 mm ProBloc II insulated needle; Kimberly-Clark, Roswell, Georgia) at the mid-thigh using a high-frequency linear ultrasound transducer (4-12 Hz; Mindray M7; Mindray North America, Mahwah, NJ). Receives: Drug: 15 ml of 0.2% ropivacaine; Drug: 100 mcg clonidine; Device: High-frequency linear ultrasound transducer |
What is being measured
The primary outcome is the main question the study is designed to answer.
Quadriceps Muscle Activation as Assessed by Surface Electromyography (sEMG)
Quadriceps muscle activation was examined using surface electromyography (sEMG) of the vastus medialis oblique muscle. Peak sEMG activity was recorded in microvolts (uV) on the surgical and contralateral limbs while performing five maximal effort isometric contractions in full knee extension--the reported values are equal to the quadriceps sEMG in uV of the contralateral limb minus the quadriceps sEMG in uV of the surgical limb.
Measured: Post-operative day 1
Quadriceps Muscle Activation as Assessed by Surface Electromyography (EMG)
Quadriceps muscle activation was examined using surface electromyography (sEMG) of the vastus medialis oblique muscle. Peak sEMG activity was recorded in microvolts (uV) on the surgical and contralateral limbs while performing five maximal effort isometric contractions in full knee extension--the reported values are equal to the quadriceps sEMG in uV of the contralateral limb minus the quadriceps sEMG in uV of the surgical limb.
Measured: Post-operative day 14
Quadriceps Muscle Activation as Assessed by Surface Electromyography (EMG)
Quadriceps muscle activation was examined using surface electromyography (sEMG) of the vastus medialis oblique muscle. Peak sEMG activity was recorded in microvolts (uV) on the surgical and contralateral limbs while performing five maximal effort isometric contractions in full knee extension--the reported values are equal to the quadriceps sEMG in uV of the contralateral limb minus the quadriceps sEMG in uV of the surgical limb.
Measured: 4 weeks post operative
Secondary outcomes (17)
Number of Successful Repetitions With Straight Leg Raise Test
The straight leg raise assessment was performed in a standardized long-sitting position with well-knee flexed to 90 degrees. Patients were asked to complete 30 repetitions of straight leg raises with a small bolster supporting the heel using the following criteria; (1) perform with no visible quad lag (2) reach the height of the opposite tibial tubercle and (3) maintain a controlled rate of 30 hertz for the ascending and descending phases. The examination was only performed on the surgical limb and the absolute number of successful repetitions is reported.
Measured: Post-operative day 1
Number of Successful Repetitions With Straight Leg Raise Test
The straight leg raise assessment was performed in a standardized long-sitting position with well-knee flexed to 90 degrees. Patients were asked to complete 30 repetitions of straight leg raises with a small bolster supporting the heel using the following criteria; (1) perform with no visible quad lag (2) reach the height of the opposite tibial tubercle and (3) maintain a controlled rate of 30 hertz for the ascending and descending phases. The examination was only performed on the surgical limb and the absolute number of successful repetitions is reported.
Measured: Post-operative day 14
Number of Successful Repetitions With Straight Leg Raise Test
The straight leg raise assessment was performed in a standardized long-sitting position with well-knee flexed to 90 degrees. Patients were asked to complete 30 repetitions of straight leg raises with a small bolster supporting the heel using the following criteria; (1) perform with no visible quad lag (2) reach the height of the opposite tibial tubercle and (3) maintain a controlled rate of 30 hertz for the ascending and descending phases. The examination was only performed on the surgical limb and the absolute number of successful repetitions is reported.
Measured: 4 weeks post operative
Postoperative Pain Control as Assessed by a Numeric Pain Rating Scale
The items are scored on a visual analogical scale from 0-10, 0 being the better outcome.
Measured: 1 hr post surgery
Postoperative Pain Control as Assessed by a Numeric Pain Rating Scale
The items are scored on a visual analogical scale from 0-10, with 0 being the better outcome.
Measured: 2 hr post surgery
Postoperative Pain Control as Assessed by a Numeric Pain Rating Scale
The items are scored on a visual analogical scale from 0-10, with 0 being the better
Measured: 3 hr post surgery
Postoperative Pain Control as Assessed by a Numeric Pain Rating Scale
The items are scored on a visual analogical scale from 0-10, with 0 being the better outcome.
Measured: 4 hr post surgery
Postoperative Pain Control as Assessed by a Numeric Pain Rating Scale
The items are scored on a visual analogical scale from 0-10, with 0 being the better outcome.
Measured: 5 hr post surgery
Postoperative Pain Control as Assessed by a Numeric Pain Rating Scale
The items are scored on a visual analogical scale from 0-10, with 0 being the better outcome.
Measured: 6 hr post surgery
Postoperative Pain Control as Assessed by a Numeric Pain Rating Scale
The items are scored on a visual analogical scale from 0-10, with 0 being the better outcome.
Measured: 7 hr post surgery
Postoperative Pain Control as Assessed by a Numeric Pain Rating Scale
The items are scored on a visual analogical scale from 0-10, with 0 being the better outcome.
Measured: 8 hr post surgery
Postoperative Pain Control as Assessed by a Numeric Pain Rating Scale
The items are scored on a visual analogical scale from 0-10, with 0 being the better outcome.
Measured: 9 hr post surgery
Postoperative Pain Control as Assessed by a Numeric Pain Rating Scale
The items are scored on a visual analogical scale from 0-10, with 0 being the better outcome.
Measured: 10 hr post surgery
Postoperative Pain Control as Assessed by a Numeric Pain Rating Scale
The items are scored on a visual analogical scale from 0-10, with 0 being the better outcome.
Measured: 11 hr post surgery
Postoperative Pain Control as Assessed by a Numeric Pain Rating Scale
The items are scored on a visual analogical scale from 0-10, with 0 being the better outcome.
Measured: 12 hr post surgery
Postoperative Pain Control as Assessed by a Numeric Pain Rating Scale
The items are scored on a visual analogical scale from 0-10, with 0 being the better
Measured: Postoperative physicians visit
Narcotics Use as Assessed by Morphine Equivalents Consumed
morphine equivalents consumed during the entire post-anesthesia care unit (PACU) visit post surgery will be obtained from the All-scripts electronic medical record (EMR) system.
Measured: Entire post-anesthesia care unit (PACU) visit post surgery, PACU range 1 hr to 12 hrs post surgery
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Oct 2018
- Study start1 Feb 2016
- Primary completion16 Nov 2017
- Study completion16 Nov 2017
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for Anterior Cruciate Ligament InjuryStudies of the same condition, open and under way.
- More trials run by The University of Texas Health Science Center, HoustonThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 4
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 125 participants (actual)
Sponsor and investigators
- Sponsor type
- University, hospital or other
- Collaborators
- Memorial Hermann Hospital
- Responsible party
- Principal investigator, Lane Bailey, The University of Texas Health Science Center, Houston
- Investigators
- Lane Bailey, PhD, PT, Principal investigator, The University of Texas Health Science Center, Houston
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03704376
- Sponsor's protocol ID
- HSC-MH-14-0734 (addendum)
- Acronym
- FNB vs ACB
- Status last verified
- Sep 2021
- First submitted
- 27 Sep 2018
- Last updated
- 21 Oct 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Duncan BR, Reid M, Kleihege J, Higbie S, Gardner EP, Lowe W, Bailey L. Comparison of Psychological Readiness to Return to Sport After Primary Versus Revision Anterior Cruciate Ligament Reconstruction. Orthop J Sports Med. 2023 May 2;11(5):23259671231159408. doi: 10.1177/23259671231159408. eCollection 2023 May.
PubMed 37152546Galloway C, Ward H, Higbie S, Kleihege J, Kumaravel M, Lowe WR, Bailey L. Relationship Between Bone Bruise Volume and Patient Outcomes After ACL Reconstruction. Orthop J Sports Med. 2023 Feb 24;11(2):23259671221146205. doi: 10.1177/23259671221146205. eCollection 2023 Feb.
PubMed 36860772Bailey L, Weldon M, Kleihege J, Lauck K, Syed M, Mascarenhas R, Lowe WR. Platelet-Rich Plasma Augmentation of Meniscal Repair in the Setting of Anterior Cruciate Ligament Reconstruction. Am J Sports Med. 2021 Oct;49(12):3287-3292. doi: 10.1177/03635465211036471. Epub 2021 Sep 3.
PubMed 34477016Worsham J, Lowe WR, Copa D, Williams S, Kleihege J, Lauck K, Mascarenhas R, Bailey L. Subsequent Surgery for Loss of Motion After Anterior Cruciate Ligament Reconstruction Does Not Influence Function at 2 Years: A Matched Case-Control Analysis. Am J Sports Med. 2019 Sep;47(11):2550-2556. doi: 10.1177/0363546519863347. Epub 2019 Jul 26.
PubMed 31348866Bailey L, Griffin J, Elliott M, Wu J, Papavasiliou T, Harner C, Lowe W. Adductor Canal Nerve Versus Femoral Nerve Blockade for Pain Control and Quadriceps Function Following Anterior Cruciate Ligament Reconstruction With Patellar Tendon Autograft: A Prospective Randomized Trial. Arthroscopy. 2019 Mar;35(3):921-929. doi: 10.1016/j.arthro.2018.10.149. Epub 2019 Feb 4.
PubMed 30733025
Study at a glance
From the registry record, last updated by the sponsor on 21 Oct 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Clinical Outcome Following Arthroscopic Knee Surgery (COFAKS)-Addendum
- ClinicalTrials.gov ID
- NCT03704376
- Acronym / sponsor ID
- FNB vs ACB / HSC-MH-14-0734 (addendum)
- Conditions
- Anterior Cruciate Ligament Injury
- Keywords
- Femoral Nerve Block, Adductor Canal Block
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 125 participants (actual)
- Lead sponsor
- The University of Texas Health Science Center, HoustonUniversity, hospital or other
- Collaborators
- Memorial Hermann Hospital
- Study start
- 1 Feb 2016 (actual)
- Primary completion
- 16 Nov 2017 (actual)
- Study completion
- 16 Nov 2017 (actual)
- First posted
- 12 Oct 2018 (actual)
- Results
- Posted 11 Dec 2018
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will examine the potential differences between femoral nerve blockade (FNB) and adductor canal blockade (ACB) for pain control and quadriceps muscle activation for patients following anterior cruciate ligament (ACL) reconstruction.
Detailed description
Adequate pain control following anterior cruciate ligament reconstruction (ACL) often requires a regional nerve block. The femoral nerve block (FNB) has been traditionally employed. More recently, ultrasound application to regional nerve blocks allows for the use of alternatives such as the adductor canal block following ACL reconstruction. In 2009, Manickam et al. were the first to describe the ultrasound guided adductor canal technique for the purposes of knee joint analgesia. Unlike other traditional techniques that seek to cause a sensory as well as a motor blockade, the adductor canal block attempts to spare the motor block of the neighboring distributions in an attempt to offer selective analgesia and strength preservation. Chisholm et al demonstrated the adductor canal block provides similar and adequate postoperative analgesia when compared to the FNB, following arthroscopic ACL reconstruction with patellar tendon autograft. Their study focused on analgesia and did not evaluate quadriceps function or impact on rehabilitation. Sharma et al drew the first association between femoral nerve blocks and increased fall risk due to muscle weakness in total knee arthroplasty population. A randomized, blinded study to compare quadriceps strength following adductor canal versus FNB was performed by Kwofie et al. They showed that compared with FNB, adductor canal block results in significant quadriceps motor sparing and significantly preserved balance. These studies focused on acute muscle weakness after regional anesthesia and its relation to safety. Quadriceps function is very important in rehabilitation of ACL reconstruction. Luo et al demonstrated long term deficits related to FNB. They demonstrated that patients treated with FNB after ACL reconstruction had significant isokinetic deficits in knee extension and flexion strength at 6 months when compared with patients who did not receive a nerve block. Patients without a block were 4 times more likely to meet criteria for clearance to return to sports at 6 months. In addition, Krych et al found significantly inferior quadriceps strength and function at 6 months in FNB group. Based on the available literature, we aim to compare femoral nerve versus adductor canal block in regards to pain control and muscle strength in ACL reconstruction patients until return to sport.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Femoral Nerve Blockade | Active comparator | Drug: 30 ml of 0.2% ropivacaine, Drug: 100 mcg clonidine, Device: High-frequency linear ultrasound transducerUltrasound guided FNB (30 ml of 0.2% ropivacaine with 100 mcg clonidine using a 22-gauge 40 mm ProBloc II insulated needle; Kimberly-Clark, Roswell, Georgia) below the inguinal ligament using a high-frequency linear ultrasound transducer (4-12 Hz; Mindray M7; Mindray North America, Mahwah, NJ) with stimulator confirmation. |
| Adductor Canal Blockade | Active comparator | Drug: 15 ml of 0.2% ropivacaine, Drug: 100 mcg clonidine, Device: High-frequency linear ultrasound transducerUltrasound guided ACB (15 ml of 0.2% ropivacaine with 100 mcg clonidine using a 22-gauge 40 mm ProBloc II insulated needle; Kimberly-Clark, Roswell, Georgia) at the mid-thigh using a high-frequency linear ultrasound transducer (4-12 Hz; Mindray M7; Mindray North America, Mahwah, NJ). |
Who may qualify
- Ages
- 16 to 30 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult
Key inclusion criteria (3 listed)
- Males \& Females ages 16-30 yrs
- Undergoing ACL reconstruction by Co-Investigator (Walter Lowe)
- Receiving peri-operative FNB or ACB
Key exclusion criteria (2 listed)
- Not enrolled within the COFAKS study
- Receiving intrathecal nerve blockade or no blockade
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| 30 ml of 0.2% ropivacaine | Drug | Femoral Nerve Blockade |
| 15 ml of 0.2% ropivacaine | Drug | Adductor Canal Blockade |
| 100 mcg clonidine | Drug | Adductor Canal Blockade, Femoral Nerve Blockade |
| High-frequency linear ultrasound transducer | Device | Adductor Canal Blockade, Femoral Nerve Blockade |
Primary outcome
Quadriceps Muscle Activation as Assessed by Surface Electromyography (sEMG)
Time frame: Post-operative day 1
Quadriceps muscle activation was examined using surface electromyography (sEMG) of the vastus medialis oblique muscle. Peak sEMG activity was recorded in microvolts (uV) on the surgical and contralateral limbs while performing five maximal effort isometric contractions in full knee extension--the reported values are equal to the quadriceps sEMG in uV of the contralateral limb minus the quadriceps sEMG in uV of the surgical limb.
Quadriceps Muscle Activation as Assessed by Surface Electromyography (EMG)
Time frame: Post-operative day 14
Quadriceps muscle activation was examined using surface electromyography (sEMG) of the vastus medialis oblique muscle. Peak sEMG activity was recorded in microvolts (uV) on the surgical and contralateral limbs while performing five maximal effort isometric contractions in full knee extension--the reported values are equal to the quadriceps sEMG in uV of the contralateral limb minus the quadriceps sEMG in uV of the surgical limb.
Quadriceps Muscle Activation as Assessed by Surface Electromyography (EMG)
Time frame: 4 weeks post operative
Quadriceps muscle activation was examined using surface electromyography (sEMG) of the vastus medialis oblique muscle. Peak sEMG activity was recorded in microvolts (uV) on the surgical and contralateral limbs while performing five maximal effort isometric contractions in full knee extension--the reported values are equal to the quadriceps sEMG in uV of the contralateral limb minus the quadriceps sEMG in uV of the surgical limb.
17 secondary outcomes
Number of Successful Repetitions With Straight Leg Raise Test
Time frame: Post-operative day 1
Number of Successful Repetitions With Straight Leg Raise Test
Time frame: Post-operative day 14
Number of Successful Repetitions With Straight Leg Raise Test
Time frame: 4 weeks post operative
Postoperative Pain Control as Assessed by a Numeric Pain Rating Scale
Time frame: 1 hr post surgery
Postoperative Pain Control as Assessed by a Numeric Pain Rating Scale
Time frame: 2 hr post surgery
Postoperative Pain Control as Assessed by a Numeric Pain Rating Scale
Time frame: 3 hr post surgery
Postoperative Pain Control as Assessed by a Numeric Pain Rating Scale
Time frame: 4 hr post surgery
Postoperative Pain Control as Assessed by a Numeric Pain Rating Scale
Time frame: 5 hr post surgery
Postoperative Pain Control as Assessed by a Numeric Pain Rating Scale
Time frame: 6 hr post surgery
Postoperative Pain Control as Assessed by a Numeric Pain Rating Scale
Time frame: 7 hr post surgery
Postoperative Pain Control as Assessed by a Numeric Pain Rating Scale
Time frame: 8 hr post surgery
Postoperative Pain Control as Assessed by a Numeric Pain Rating Scale
Time frame: 9 hr post surgery
Postoperative Pain Control as Assessed by a Numeric Pain Rating Scale
Time frame: 10 hr post surgery
Postoperative Pain Control as Assessed by a Numeric Pain Rating Scale
Time frame: 11 hr post surgery
Postoperative Pain Control as Assessed by a Numeric Pain Rating Scale
Time frame: 12 hr post surgery
Postoperative Pain Control as Assessed by a Numeric Pain Rating Scale
Time frame: Postoperative physicians visit
Narcotics Use as Assessed by Morphine Equivalents Consumed
Time frame: Entire post-anesthesia care unit (PACU) visit post surgery, PACU range 1 hr to 12 hrs post surgery
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Oct 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 37152546Duncan BR, Reid M, Kleihege J, Higbie S, Gardner EP, Lowe W, Bailey L. Comparison of Psychological Readiness to Return to Sport After Primary Versus Revision Anterior Cruciate Ligament Reconstruction. Orthop J Sports Med. 2023 May 2;11(5):23259671231159408. doi: 10.1177/23259671231159408. eCollection 2023 May.
- Derived from this study: PubMed 36860772Galloway C, Ward H, Higbie S, Kleihege J, Kumaravel M, Lowe WR, Bailey L. Relationship Between Bone Bruise Volume and Patient Outcomes After ACL Reconstruction. Orthop J Sports Med. 2023 Feb 24;11(2):23259671221146205. doi: 10.1177/23259671221146205. eCollection 2023 Feb.
- Derived from this study: PubMed 34477016Bailey L, Weldon M, Kleihege J, Lauck K, Syed M, Mascarenhas R, Lowe WR. Platelet-Rich Plasma Augmentation of Meniscal Repair in the Setting of Anterior Cruciate Ligament Reconstruction. Am J Sports Med. 2021 Oct;49(12):3287-3292. doi: 10.1177/03635465211036471. Epub 2021 Sep 3.
- Derived from this study: PubMed 31348866Worsham J, Lowe WR, Copa D, Williams S, Kleihege J, Lauck K, Mascarenhas R, Bailey L. Subsequent Surgery for Loss of Motion After Anterior Cruciate Ligament Reconstruction Does Not Influence Function at 2 Years: A Matched Case-Control Analysis. Am J Sports Med. 2019 Sep;47(11):2550-2556. doi: 10.1177/0363546519863347. Epub 2019 Jul 26.
- Derived from this study: PubMed 30733025Bailey L, Griffin J, Elliott M, Wu J, Papavasiliou T, Harner C, Lowe W. Adductor Canal Nerve Versus Femoral Nerve Blockade for Pain Control and Quadriceps Function Following Anterior Cruciate Ligament Reconstruction With Patellar Tendon Autograft: A Prospective Randomized Trial. Arthroscopy. 2019 Mar;35(3):921-929. doi: 10.1016/j.arthro.2018.10.149. Epub 2019 Feb 4.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Lane Bailey, PhD, PT principal investigator
The University of Texas Health Science Center, Houston
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing 30 ml of 0.2% ropivacaine, 15 ml of 0.2% ropivacaine and 100 mcg clonidine in people with Anterior Cruciate Ligament Injury, run by The University of Texas Health Science Center, Houston at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 21 Oct 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 11 Dec 2018). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Quadriceps Muscle Activation as Assessed by Surface Electromyography (sEMG) (time frame: Post-operative day 1). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03704376, which also lists 5 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Oct 2021.