Total Knee Arthroplasty Utilizing Adductor Canal Block: Effect on Quadriceps Sparing
Stopped early · Not applicable
Conditions studied: Osteoarthritis (Knee)
In brief
The purpose of this study is to investigate whether there is quantitative motor-sparing of the quadriceps muscles following adductor canal nerve block versus femoral nerve block. Patients will be randomly placed into one of three treatment groups: 1) Femoral nerve block, 2) Adductor canal nerve block - low volume, or 3) Adductor canal nerve block - high volume. Quadriceps function will be assessed in the operating room using a skin patch and electrical stimulation. Follow up visits with the patients will continue over the course of 2 days during patient's stay at the hospital. A total of 60 patients will be enrolled for the study.
Key facts
- Study ID
- NCT02081911
- Run by
- Hospital for Special Surgery, New York
- People needed
- 33
- Starts
- 2014-02-01
- Expected to finish
- 2015-12-01
- Last updated by the study team
- 2016-02-02
Who can join
Age: 18 and older, up to 80. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- All patients undergoing primary unilateral total knee arthroplasty
- Planned use of combined spinal epidural (CSE) anesthesia
- Ability to follow study protocol
You may not qualify if…
- Contraindication to a spinal or epidural anesthetic
- Chronic opioid use (defined as daily or almost daily use of opioids for >3 months)
- Allergy to local anesthetics
- Pre-existing neuropathy or weakness of the operative limb
- Any neuromuscular disorder
- Diabetes type I and II
- Contraindication to a femoral nerve block or adductor canal nerve block
- Allergy or intolerance to any of the study medications
- BMI > 35 kg/m2
Where it is running
- Hospital for Special Surgery — New York, New York, United States
Full record on ClinicalTrials.gov
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