A Study on Knee Immobilization and Pain Levels After an Anterior Cruciate Ligament (ACL) Reconstruction Surgery
Study Details
Study Description
Brief Summary
The purpose of the study is to determine if there is difference in immediate postoperative pain levels (48 hours) between patients who wear a knee immobilizer splint compared to patients who do not wear a knee immobilizer splint after an anterior cruciate ligament reconstruction surgery.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
This study will attempt to evaluate the efficacy of knee immobilization on patient postoperative pain levels following an ACL reconstruction. There is a lack of consensus in the area of postoperative knee bracing/immobilization. A survey of Canadian surgeons indicates that the primary reason for postoperative knee immobilization is to reduce pain. To the investigators' knowledge, there are no studies comparing the use of immediate (0-48 hours) postoperative knee immobilization versus no immobilization and pain control in this patient population.
Study Design
Outcome Measures
Primary Outcome Measures
- Patient self-assessed pain levels using an unmarked zero to one hundred mm visual analog scale (VAS) at forty eight hours postoperative. []
Secondary Outcome Measures
- Patient self-assessed pain levels using an unmarked zero to one hundred mm visual analog scale (VAS) at seven and fourteen days postoperative. []
- Analgesic type and time taken will be self reported by the patient at each VAS entry. []
- Range of motion including both flexion and extension will be assessed at fourteen days postoperative by the surgeon. []
Eligibility Criteria
Criteria
Inclusion Criteria:
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Clinical: Patients' aged 18-40, ACL deficiency as determined by MRI or physical exam (positive lachmann and pivot shift tests) resulting in giving way episodes (acute or chronic) unresponsive to non-operative management and therefore requiring primary ACL reconstruction.
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Arthroscopic: Concomitant meniscal resection.
Exclusion Criteria:
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Clinical: Previous surgery on either knee (not including a diagnostic arthroscopy arthroscopy or simple partial meniscectomy,) Concomitant lower extremity fracture, Ipsilateral collateral ligament injury within past 3 months, Time from ACL injury less than 6 weeks, Allergy/intolerance to Tylenol 3 with codeine and to Percocet, Third Party or Medical Legal.
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Radiological: Skeletal immaturity (open growth plates).
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Arthroscopic/surgical: Concomitant posterior cruciate ligament or collateral ligament repairs, Osteochondral lesions requiring microfracture, Meniscal repair, Patients not having both their semitendinosus and gracilis harvested.
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Banff Sport Medicine Clinic | Banff | Alberta | Canada | T1L 1B3 |
| 2 | Lindsay Park Sports Injury Clinic | Calgary | Alberta | Canada | T2G 5B6 |
Sponsors and Collaborators
- LifeMark Health Research Group
- LifeMark Health
- Calgary Orthopaedic Research and Education Fund
Investigators
- Principal Investigator: Laurie A Hiemstra, MD, PhD, LifeMark Health Research Group
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- E-20041