Cryoneurolysis in Anterior Cruciate Ligament Reconstruction (ACLR)
Evaluating the Efficacy of Preoperative Cryoneurolysis With Iovera on Postoperative Pain, Function, and Opioid Use Following ACL Reconstruction With Bone-Patellar Tendon-Bone Autograft
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Layne Estes
- Telefonnummer: 646-501-7208
- E-mail: Layne.estes@nyulangone.org
Undersøgelse Kontakt Backup
- Navn: Eric J. Strauss, MD
- Telefonnummer: 646-501-7208
- E-mail: Eric.strauss@nyulangone.org
Studiesteder
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-
New York
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New York, New York, Forenede Stater, 10016
- NYU Langone Health
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-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- Age 18-45 years
- Scheduled for primary ACLR with BPTB autograft
- Willingness and ability to participate in Iovera
- No chronic opioid use preoperatively
- No known neurologic disorders affecting the lower extremity
- Capacity and willingness to provide informed consent and comply with follow-up schedules
Exclusion Criteria:
- Prior surgery on the affected knee.
- Non-English speaking if validated PRO instruments at the site are only available in English; include validated translations if available and approved.
- Contraindications to cryoneurolysis (e.g., cryoglobulinemia, cold urticaria, Raynaud's phenomenon, paroxysmal cold hemoglobinuria) or to local anesthetics.
- Active skin infection, dermatitis, or compromised skin integrity at or near treatment sites.
- Bleeding diathesis or anticoagulant therapy not compatible with minor percutaneous procedures per institutional policy.
- Pregnancy or breastfeeding.
- Known peripheral neuropathy or significant sensory deficit of the target region.
- Any condition that, in the investigator's judgment, increases risk or interferes with participation
- Concomitant use of other opioid drugs or prior chronic use.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Enkelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
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Eksperimentel: Ioveraº cryoneurolysis study group
Participants will receive the ioveraº cryoneurolysis intervention before surgery.
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The device includes a hand-held piece, charging port with cord, and disposable components: the nitrous oxide capsule and a small probe called the Smart Tip, which has needles that administer the cold to the nerve.
It works immediately by freezing nerves that transmit pain signals to reduce pain transmission after surgery.
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Sham-komparator: Placebo study group
Participants will have a sham intervention that does not have cryoneurolysis before surgery.
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The placebo/sham device looks just like the ioveraº device, but does not contain cyoneurolysis or any treatment.
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Difference in Knee Injury and Osteoarthritis Outcome Score (KOOS)
Tidsramme: Baseline, 1 Month
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The KOOS survey is comprised of 42 questions.
The questions are divided into 5 sub-categories: symptoms (7 questions), pain (9 questions), function/daily living (17 questions), function/sports and recreational activities (5 questions), and quality of life (4 questions).
The total range for each sub-category is 0-100, making the total range for the whole survey 0-500.
The higher the score, the worse the symptoms and pain/ higher difficulty in function.
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Baseline, 1 Month
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Difference in Lysholm knee scoring scale (LKSS)
Tidsramme: Baseline, 1 Month
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The Lysholm knee scoring scale is a 100-point patient-reported questionnaire designed to assess functional knee ligament injuries.
It evaluates eight areas - limp, support, locking, instability, pain, swelling, stair climbing, and squatting - with higher scores (up to 100) indicating better function.
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Baseline, 1 Month
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Change in Visual Analogue Scale (VAS) for Pain score
Tidsramme: Baseline, Post-operative Day 1
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VAS is a tool widely used to measure pain.
A patient is asked to indicate his/her perceived pain intensity (most commonly) along a 10 mm horizontal line, and this rating is then measured from the left edge (=VAS score).
The total score range is 0 (no pain) to 10 (worst pain imaginable); the higher the score, the worse the pain.
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Baseline, Post-operative Day 1
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Change in Visual Analogue Scale (VAS) for Pain score
Tidsramme: Baseline, Week 3
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VAS is a tool widely used to measure pain.
A patient is asked to indicate his/her perceived pain intensity (most commonly) along a 10 mm horizontal line, and this rating is then measured from the left edge (=VAS score).
The total score range is 0 (no pain) to 10 (worst pain imaginable); the higher the score, the worse the pain.
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Baseline, Week 3
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Change in Visual Analogue Scale (VAS) for Pain score
Tidsramme: Baseline, Month 6
|
VAS is a tool widely used to measure pain.
A patient is asked to indicate his/her perceived pain intensity (most commonly) along a 10 mm horizontal line, and this rating is then measured from the left edge (=VAS score).
The total score range is 0 (no pain) to 10 (worst pain imaginable); the higher the score, the worse the pain.
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Baseline, Month 6
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Change in Numeric Rating Scale (NRS)
Tidsramme: Baseline, Post-operative Day 1
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A segmented, numbered version of the VAS.
Patients select a whole number from 0 to 10 where 0 is "no pain" and 10 is the "worst pain imaginable"
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Baseline, Post-operative Day 1
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Change in Numeric Rating Scale (NRS)
Tidsramme: Baseline, Week 3
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A segmented, numbered version of the VAS.
Patients select a whole number from 0 to 10 where 0 is "no pain" and 10 is the "worst pain imaginable"
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Baseline, Week 3
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Change in Numeric Rating Scale (NRS)
Tidsramme: Baseline, Month 6
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A segmented, numbered version of the VAS.
Patients select a whole number from 0 to 10 where 0 is "no pain" and 10 is the "worst pain imaginable"
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Baseline, Month 6
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Cumulative opioid consumption as measured by morphine milligram equivalents (MME)
Tidsramme: Up to 21 days post-operative
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Up to 21 days post-operative
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Ledende efterforsker: Eric J. Strauss, MD, NYU Langone Health
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- 25-00771
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
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