Multimodal Analgesia vs. Femoral Block in ACL Surgery
Comparison of Preemptive Multimodal Analgesia and Femoral Triangle Block on Early Rehabilitation in ACL Reconstruction: A Prospective, Randomized, Double-Blind Study
Ankara University
62 participants
Jan 21, 2025
INTERVENTIONAL
Conditions
Summary
This study aims to compare the effects of a preemptive multimodal intravenous analgesia protocol and a femoral triangle block on early postoperative rehabilitation compliance in patients undergoing anterior cruciate ligament (ACL) reconstruction under general anesthesia. Adult patients aged 18 to 65 will be randomized to receive either multimodal intravenous analgesia or femoral triangle block prior to surgery. Rehabilitation compliance will be evaluated using the straight leg raise test, sit-to-stand success, and pain scores at multiple postoperative time points. Secondary outcomes include opioid consumption, incidence of opioid-related side effects.
Eligibility
Inclusion Criteria3
- Age: 18 years or older. Condition: Patients scheduled for anterior cruciate ligament (ACL) reconstruction surgery.
- ASA Classification: Patients classified as ASA I, II, or III. Orientation: Patients who are fully oriented and can cooperate with study procedures.
- Consent: Patients capable of providing informed consent to participate in the study.
Exclusion Criteria3
- Informed Consent: Patients unable to provide informed consent. BMI: Patients with a BMI of ≥30 kg/m². Allergy: Known allergy to local anesthetics. Orientation and Cooperation: Patients who are not fully oriented or cannot cooperate with study procedures.
- Additional Trauma: Patients with other traumatic injuries requiring opioid analgesia.
- Neuropathic Pain History: Patients with a history of neuropathic pain. Chronic Pain Syndrome: Patients with a history of chronic pain syndrome.
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Interventions
Combination of opioids, NSAIDs, and adjunctive medications to manage postoperative pain before and during surgery.
Local anesthetic injection around the femoral nerve to manage postoperative pain via regional anesthesia.
Locations(1)
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NCT06936995