NCT05985629
IPACK on Early Pain Scores After ACL Reconstruction
- John Miller, MD - Role: CONTACT - Phone: 708-216-8730 - Email: johnmiller@lumc.edu
PHASE4
RECRUITING
NCT05985629
INTERVENTIONAL
The Effect of IPACK Nerve Blocks on Early ACL Pain Scores
The goal of this clinical trial is to learn whether using an anesthetic technique called IPACK block will control pain after ACL reconstruction surgery. The main questions it aims to answer are:
* if participants who receive the IPACK block prior to ACL reconstruction experience less pain after surgery and at 1 day after surgery
* if participants who receive the IPACK block prior to ACL reconstruction require less short-term opioid use immediately after surgery and up to one week after surgery.
Participants will be randomized 1:1 to 1 of 2 groups: Use of IPACK block during ACL reconstruction vs. placebo (a placebo is a look-alike substance that contains no active drug). Neither the participant nor the investigator will know which group the participants has been assigned to.
Researchers will compare self-reported pain scores and short-term opioid use of all study participants.
Inclusion Criteria:
* All patients presenting to Dr. John Miller with the Department of Orthopedic Surgery, Sports Medicine Division, at Loyola University Medical Center electing to undergo ACL reconstruction surgery.
* Patients 16 and over
* English speaking patients
* Patients who have the capacity to make their own medical decisions and consent to the study
Exclusion Criteria:
* Previous surgery on the operative knee
* Previous knee infection
* Chronic opioid use
* Have a known allergy to local anesthetics
* Patient using autograft (cadaver) for ACL reconstruction.
Pain, Postoperative
Anterior Cruciate Ligament Injuries
Analgesics, Opioid
- TREATMENT
-
- Type: DRUG
- Name: IPACK
- Description: Infiltration between the popliteal artery and capsules of the knee (IPACK) is a novel ultrasound-guided technique that provides additional regional analgesic relief to the posterior aspect of the knee without complications seen in a sciatic nerve block. The intention of the IPACK block is to anesthetize the terminal sensory nerves while sparing the main trucks of the common peroneal and tibial nerves.
- Arm Group Labels: IPACK
-
- Type: DRUG
- Name: PLACEBO
- Description: The control group will receive the normal pre-procedure care including a pre-operative visit, surgery, and post-operative care. The control group will receive a sham block consisting of saline in the same anatomical location and manner that the intervention IPACK block is administered.
- Arm Group Labels: Placebo
- Loyola University