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CompletedNCT01987128Updated Feb 27, 2015

Popliteal Sciatic Nerve Block: Intraneural or Extraneural?

A Phase 4 interventional study of Intraneural injection and Extraneural injection in Hallux Valgus, sponsored by ASST Gaetano Pini-CTO. Completed at 1 site in Italy. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2015-02-27.

Sponsored by ASST Gaetano Pini-CTO · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
88
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Aim of this study is to demonstrate the advantages of intraneural injection over extraneural injection in terms of onset and duration on peripheral block. In addition we will evaluate the frequency of possible adverse effects.

02

Conditions studied

  • Hallux Valgus

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03

In context

Hallux Valgus

149 studies on the registry are indexed under Hallux Valgus; 31 are open to participants now.

This study's enrollment of 88 is above the median of 60 across 111 interventional studies indexed under Hallux Valgus.

Browse Hallux Valgus studies →

Lead sponsor

ASST Gaetano Pini-CTO is the lead sponsor of 16 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • ASA I-II

Exclusion criteria

Exclusion Criteria:

  • Neurological diseases
  • Diabetes
  • Allergies to used drugs
  • Chronic pain in treatment
  • Electrophysiological alterations at time zero analysis
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Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Investigator, Outcomes assessor)
Enrollment
88 participants (actual)

Study arms

  • Experimental
    Intraneural injection

    All patients in the arm will receive a single intraneural injection of 12 ml Ropivacaine 1% BBraun, Germany, in the sciatic nerve under echographic guidance.

    Procedure: Intraneural injection · Drug: Ropivacaine · Device: PAJUNK SonoPlex 22G needle.

  • Active comparator
    extraneural injection

    All patients in the arm will receive a single extraneural injection of 12 ml Ropivacaine 1% BBraun, Germany, around the sciatic nerve under echographic guidance.

    Procedure: Extraneural injection · Drug: Ropivacaine · Device: PAJUNK SonoPlex 22G needle.

Interventions

  • ProcedureIntraneural injection

    BBraun Ropivacaine 1% 12ml injection divided in each sciatic components under echographic guidance with a PAJUNK SonoPlex 22G needle.

  • ProcedureExtraneural injection

    BBraun Ropivacaine 1% 12ml extraneural injection around sciatic nerve under echographic guidance with a PAJUNK SonoPlex 22G needle.

  • DevicePAJUNK SonoPlex 22G needle.
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What researchers measure

Primary outcomes

  1. onset time

    Pinprick test evaluation on sciatic nerve territory: With a 22G needle the blinded operator will assess sensitiveness to puncture and then assign a score every 2 minutes for 30 minutes. A score of 0 will describe no sensation to puncture, on the other hand a score of 1 will be assigned if sensation to puncture is still present. Evaluation of motor blockade: Plantar and dorsal flexion of the foot will be evaluated for motor blockade of sciatic nerve. A score of 1 will be assigned if foot movement is conserved, 2 if is impaired and 3 when disappears. Onset time is described as the time at which pinprick score turns to 0 and motor blockade score turns to 3.

    Time frame: every 2 minutes for a maximum of 30 minutes

Secondary outcomes

  1. success rate in each group

    Success rate is described as the percentage of subjects with an onset time within 30 minutes in a group among all subjects treated in that group

    Time frame: at 30 minutes

  2. Nerve injuries

    Neurophysiological and clinic evaluation will be assessed either with clinical examination and electrophysiological tests by a neurophysiologist eventually evidencing any movement impairment or dysesthesia in the sciatic territory.

    Time frame: 1, 5 weeks and at 6 months after surgery

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Study locations

1 site
  • Istituto Ortopedico G. Pini
    Milan, Milano 20122, Italy
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References and documents

Publications

  • Cappelleri G, Cedrati VL, Fedele LL, Gemma M, Camici L, Loiero M, Gallazzi MB, Cornaggia G. Effects of the Intraneural and Subparaneural Ultrasound-Guided Popliteal Sciatic Nerve Block: A Prospective, Randomized, Double-Blind Clinical and Electrophysiological Comparison. Reg Anesth Pain Med. 2016 Jul-Aug;41(4):430-7. doi: 10.1097/AAP.0000000000000413. PubMed 27281720 ↗
09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Nov 2013, a primary completion of Feb 2015 and a completion of Feb 2015. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 5, 2013
First posted
Nov 19, 2013
Start
Nov 2013
Primary completionActual
Feb 2015
CompletionActual
Feb 2015
Last update
Feb 27, 2015
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 27, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01987128
Lead sponsor
ASST Gaetano Pini-CTO
Responsible party
Gianluca Cappelleri (Medical Doctor, ASST Gaetano Pini-CTO) — Principal investigator
First posted
Nov 19, 2013
Start date
Nov 2013
Primary completion
Feb 2015
Completion
Feb 2015
Last update
Feb 27, 2015

Study contacts

Gianluca Cappelleri, MD
principal investigator · ASST Gaetano Pini-CTO

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Feb 2015. You cannot join it, but the record below documents what was studied.

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