Trial Outcomes & Findings for Sciatic Technique Comparison of Nerve Blockade for Pain Control Following Hamstring Autograft Harvest in Adolescents (NCT NCT02947633)

NCT ID: NCT02947633

Last Updated: 2026-04-22

Results Overview

Guardian collects Numeric Rating Scale (NRS) pain score. The range is 0 - 10. 0 being no pain, 10 being the worst pain imaginable.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

141 participants

Primary outcome timeframe

72 Hours

Results posted on

2026-04-22

Participant Flow

141 patients were enrolled in the study. Enrollment was to include 140 participants. I believe one patient was recruited accidentally. However, 123 patients completed the study, and 18 patients were withdrawn.

Patients were assigned to one of two groups. They were either in the Experimental: Continuous Sciatic PNB, or the Active Comparator: Single-injection Sciatic PNB

Participant milestones

Participant milestones
Measure
Experimental : Continuous Sciatic PNB,
Patients randomized into the Continuous Sciatic PNB group will have the CPI catheter placed under ultra-sound guidance, with the tip of the catheter being placed immediately adjacent to the sciatic nerve, after the local anesthesia has been deposited. CPI catheters will only remain in-situ for 48 hours.
Active Comparator : Single-injection Sciatic PNB
Patients randomized into the Single-injection Sciatic PNB will go under ultrasound-guidance, where the sciatic nerve can readily be identified in the posterior thigh. The nerve appears hyperechoic and can be traced distally to the popliteal fossa, where it divides into the tibial and common peroneal nerves. Local anesthesia is injected under real-time visualization following a negative aspiration. If a single-injection block is done, local anesthesia is deposited adjacent to the sciatic nerve within the fascial plane, but not within the epineurium. As such, single-injection sciatic PNB, which can last up to 24 hours, should provide adequate analgesia precluding the need for oral narcotic or nonsteroidal anti-inflammatory medications following ACL reconstruction with a hamstring autograft.
Overall Study
STARTED
66
75
Overall Study
COMPLETED
63
57
Overall Study
NOT COMPLETED
3
18

Reasons for withdrawal

Reasons for withdrawal
Measure
Experimental : Continuous Sciatic PNB,
Patients randomized into the Continuous Sciatic PNB group will have the CPI catheter placed under ultra-sound guidance, with the tip of the catheter being placed immediately adjacent to the sciatic nerve, after the local anesthesia has been deposited. CPI catheters will only remain in-situ for 48 hours.
Active Comparator : Single-injection Sciatic PNB
Patients randomized into the Single-injection Sciatic PNB will go under ultrasound-guidance, where the sciatic nerve can readily be identified in the posterior thigh. The nerve appears hyperechoic and can be traced distally to the popliteal fossa, where it divides into the tibial and common peroneal nerves. Local anesthesia is injected under real-time visualization following a negative aspiration. If a single-injection block is done, local anesthesia is deposited adjacent to the sciatic nerve within the fascial plane, but not within the epineurium. As such, single-injection sciatic PNB, which can last up to 24 hours, should provide adequate analgesia precluding the need for oral narcotic or nonsteroidal anti-inflammatory medications following ACL reconstruction with a hamstring autograft.
Overall Study
Withdrawal by Subject
3
18

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Single-injection Sciatic PNB
n=75 Participants
Under ultrasound-guidance, the sciatic nerve can readily be identified in the posterior thigh. The nerve appears hyperechoic and can be traced distally to the popliteal fossa, where it divides into the tibial and common peroneal nerves. Local anesthesia is injected under real-time visualization following a negative aspiration. If a single-injection block is done, local anesthesia is deposited adjacent to the sciatic nerve within the fascial plane, but not within the epineurium. As such, single-injection sciatic PNB, which can last up to 24 hours, should provide adequate analgesia precluding the need for oral narcotic or nonsteroidal anti-inflammatory medications following ACL reconstruction with a hamstring autograft.
Total
n=141 Participants
Total of all reporting groups
Continuous Sciatic PNB
n=66 Participants
If a CPI catheter is placed, the CPI catheter will be placed under ultra-sound guidance, with the tip of the catheter being placed immediately adjacent to the sciatic nerve, after the local anesthesia has been deposited. CPI catheters will only remain in-situ for 48 hours.
Age, Categorical
<=18 years
6 Participants
n=75 Participants
9 Participants
n=141 Participants
3 Participants
n=66 Participants
Age, Categorical
Between 18 and 65 years
69 Participants
n=75 Participants
132 Participants
n=141 Participants
63 Participants
n=66 Participants
Age, Categorical
>=65 years
0 Participants
n=75 Participants
0 Participants
n=141 Participants
0 Participants
n=66 Participants
Sex: Female, Male
Female
35 Participants
n=75 Participants
72 Participants
n=141 Participants
37 Participants
n=66 Participants
Sex: Female, Male
Male
40 Participants
n=75 Participants
69 Participants
n=141 Participants
29 Participants
n=66 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.

PRIMARY outcome

Timeframe: 72 Hours

Population: 18 participants were withdrawn from the study.

Guardian collects Numeric Rating Scale (NRS) pain score. The range is 0 - 10. 0 being no pain, 10 being the worst pain imaginable.

Outcome measures

Outcome measures
Measure
Single-injection Sciatic PNB
n=57 Participants
Under ultrasound-guidance, the sciatic nerve can readily be identified in the posterior thigh. The nerve appears hyperechoic and can be traced distally to the popliteal fossa, where it divides into the tibial and common peroneal nerves. Local anesthesia is injected under real-time visualization following a negative aspiration. If a single-injection block is done, local anesthesia is deposited adjacent to the sciatic nerve within the fascial plane, but not within the epineurium. As such, single-injection sciatic PNB, which can last up to 24 hours, should provide adequate analgesia precluding the need for oral narcotic or nonsteroidal anti-inflammatory medications following ACL reconstruction with a hamstring autograft.
Continuous Sciatic PNB
n=66 Participants
If a CPI catheter is placed, the CPI catheter will be placed under ultra-sound guidance, with the tip of the catheter being placed immediately adjacent to the sciatic nerve, after the local anesthesia has been deposited. CPI catheters will only remain in-situ for 48 hours.
Pain Reduction
2.615 Numerical Rating Scale (NRS)
Standard Deviation 2.836
1.438 Numerical Rating Scale (NRS)
Standard Deviation 1.671

Adverse Events

Continuous Sciatic PNB

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Single-injection Sciatic PNB

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Marc Mecoli

Cincinnati Children's Hospital

Phone: 513-636-4200

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place