Columbia, South Carolina 29203

  • Achilles Tendon Surgery

Purpose:

Orthopedic surgeons frequently prescribe and over-prescribe narcotic pain medications during the postoperative period, despite the ongoing opioid crisis in the United States. While opioid-free multimodal pathways have shown promising results, there remains a lack of published literature evaluating opiate-free multimodal pain protocols for elective outpatient foot and ankle surgeries. This study aims to evaluate post-operative pain following the use of an opioid-free pain treatment plan for patients undergoing foot and ankle surgeries.


Study summary:

Despite the presence and increased understanding of the opioid crisis in the United States, orthopedic surgeons frequently prescribe and over-prescribe narcotic pain medications during the postoperative period. In an effort to minimize narcotic analgesia and its potential side effects, opioid-free multimodal pathways have been developed in many orthopaedic sub-specialties with promising results. There have been early studies reporting the results of non-narcotic protocols during the intra-operative period. Likewise, there have been several studies reporting the results of inpatient non-narcotic pain protocols in select foot and ankle surgeries. However, there remains a lack of published literature evaluating opiate-free multimodal pain protocols for elective outpatient foot and ankle surgeries. Currently, our practice utilizes an opioid-free post-operative pain protocol for patients undergoing elective outpatient foot and ankle surgery. The goal of this study is to evaluate post-operative pain using this opioid-free multimodal pain protocol at days 1,3, and 8 following elective outpatient foot and ankle surgery.


Criteria:

Inclusion Criteria: - ≥18 years of age - Outpatient, elective, primary foot and ankle surgery not due to infection including: - Bunion or bunionette surgery, hammertoe surgery, ankle fracture, Achilles tendon surgery (primary mid-substance repair, Haglund's deformity correction with debridement), ankle arthroscopy Exclusion Criteria: - <18 years of age - Undergoing revision surgery - Allergic to more than 1 medication listed in protocol - Creatinine clearance >1.5 - Known end-stage renal, stage 2 or higher - History of GI bleed, ulcer, NSAID-induced gastritis, and/or gastric bypass - History of active liver disease or Child-Pugh Class 2 liver failure or above - History of pain syndromes including: fibromyalgia, complex regional pain syndrome/reflex sympathetic dystrophy, hyperalgesia - Inability to undergo regional anesthesia due to inability to obtain nerve block, prior nerve damage or anatomy, or anesthesiologic best judgement - Currently pregnant


NCT ID:

NCT04771741


Primary Contact:

Principal Investigator
J. Benjamin Jackson, MD, MBA
Prisma Health-Midlands


Backup Contact:

N/A


Location Contact:

Columbia, South Carolina 29203
United States



There is no listed contact information for this specific location.

Site Status: N/A


Data Source: ClinicalTrials.gov

Date Processed: June 16, 2021

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