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
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Studientyp
Studientyp
Einschreibung (Geschätzt)
Einschreibung
Phase
Phase
- Unzutreffend
Kontakte und Standorte
Studienkontakt
Studienkontakt
- Name: Layne Estes
- Telefonnummer: 646-501-7208
- E-Mail: Layne.estes@nyulangone.org
Studieren Sie die Kontaktsicherung
- Name: Eric J. Strauss, MD
- Telefonnummer: 646-501-7208
- E-Mail: Eric.strauss@nyulangone.org
Studienorte
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New York
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New York, New York, Vereinigte Staaten, 10016
- NYU Langone Health
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Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
- Erwachsene
Akzeptiert gesunde Freiwillige
Beschreibung
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.
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Single
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
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Experimental: 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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Schein-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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Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Difference in Knee Injury and Osteoarthritis Outcome Score (KOOS)
Zeitfenster: 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)
Zeitfenster: 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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Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Change in Visual Analogue Scale (VAS) for Pain score
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: Baseline, Month 6
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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, Month 6
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Change in Numeric Rating Scale (NRS)
Zeitfenster: 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)
Zeitfenster: 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)
Zeitfenster: 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)
Zeitfenster: Up to 21 days post-operative
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Up to 21 days post-operative
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Mitarbeiter und Ermittler
Sponsor
Sponsor
Ermittler
Ermittler
- Hauptermittler: Eric J. Strauss, MD, NYU Langone Health
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Geschätzt)
Studienbeginn
Primärer Abschluss (Geschätzt)
Primärer Abschluss
Studienabschluss (Geschätzt)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- 25-00771
Plan für individuelle Teilnehmerdaten (IPD)
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Beschreibung des IPD-Plans
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Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
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