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Preop US-Guided Nerve Blocks for Pain & Recovery After Ankle Arthroscopy
Sponsor: Second Affiliated Hospital, School of Medicine, Zhejiang University
Summary
This randomized, double-blind controlled trial investigates the effectiveness and potential trade-offs of preoperative ultrasound-guided popliteal sciatic and saphenous nerve blocks in patients undergoing ankle arthroscopy, a procedure often performed in day-case settings but associated with significant early postoperative pain and frequent opioid use. The study evaluates whether these nerve blocks can reduce early postoperative pain-measured by the highest NRS score within 24 hours-and examines their impact on functional recovery, including motor strength and ambulation. All patients receive standardized general anesthesia and multimodal analgesia, with outcomes including opioid consumption, ankle weakness, patient satisfaction, range of motion, muscle strength, hospital stay duration, and analgesia-related costs.
Official title: Effects of Preoperative Ultrasound-Guided Popliteal Sciatic and Saphenous Nerve Blocks on Early Pain and Functional Recovery After Ankle Arthroscopy: A Randomized, Double-Blind, Controlled Trial
Key Details
Gender
All
Age Range
18 Years - 65 Years
Study Type
INTERVENTIONAL
Enrollment
70
Start Date
2026-01-30
Completion Date
2026-12-30
Last Updated
2026-03-13
Healthy Volunteers
No
Interventions
Ultrasound-guided popliteal sciatic and saphenous nerve block
Ultrasound-guided sciatic (20 mL) and saphenous (10 mL) nerve blocks using 0.25% ropivacaine were administered in the prone position before induction. Block success was confirmed via ultrasound (circumferential spread) and sensory loss in relevant ankle dermatomes.
Placebo nerve block
The control group underwent the same procedure, with an equivalent volume of 0.9% normal saline injected instead of local anesthetic.
Locations (1)
The Second Affiliated Hospital Zhejiang University School of Medicine
Hangzhou, Zhejiang, China