Actively Recruiting

Phase 4
Age: 18Years - 40Years
All Genders
ID06511232

Intraosseous Morphine Administration During Anterior Cruciate Ligament Reconstruction: A Randomized Control Trial

Led by The Methodist Hospital Research Institute · Updated on 2026-04-09

84

Participants Needed

1

Research Sites

104 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating whether giving morphine through an intraosseous (IO) injection into the tibial tubercle can reduce pain and the need for opioids after anterior cruciate ligament (ACL) reconstruction surgery. This study focuses on patients undergoing ACL reconstruction using a bone-patellar tendon-bone (BTB) autograft, an area not previously studied for this type of pain management. The trial is a randomized, single-masked study sponsored by The Methodist Hospital Research Institute, aiming to improve post-operative outcomes. Participants will be randomly assigned to one of two groups. The intervention group will receive a 10mg morphine injection mixed with saline directly into the bone during standard ACL reconstruction surgery. The control group will receive the usual care without the intraosseous injection. This treatment occurs during the surgery and compares the effects of the IO morphine to standard care alone. During the study, patients will report pain levels using a post-operative symptom journal and the Lysholm Knee Survey at 2, 6, and 12 weeks after surgery. Researchers will also track opioid use during the first 2 weeks post-surgery. Additional assessments will include knee range of motion and activity levels measured before surgery and at follow-up visits. The total participation covers these evaluations and monitoring of pain and function over 12 weeks to understand the impact of the IO morphine treatment.

CONDITIONS

Brief Title

Intraosseous Morphine Administration During Anterior Cruciate Ligament Reconstruction

Who Can Participate

Age: 18Years - 40Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients undergoing ACL reconstruction with bone-to-bone (BTB) autograft
  • Patients aged between 18 and 40 years old at the time of surgery
Not Eligible

You will not qualify if you...

  • Patients undergoing ACL reconstruction with any autograft or allograft other than BTB
  • Patients younger than 18 years old or older than 40 years old
  • Patients undergoing meniscal root repair or other repairs that change weight-bearing status
  • Patients with a history of substance abuse
  • Vulnerable populations
  • Patients on chronic pain medication within the last 6 months
  • Patients with a body mass index (BMI) of 35 or higher
  • Allergy to morphine
  • Unwillingness to participate
  • Any additional reason the principal investigator deems reasonable

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

Treatment

Duration - Surgery day

Participants undergo anterior cruciate ligament reconstruction surgery where the experimental group receives an intraosseous injection of morphine into the tibial tubercle during surgery, and the control group receives standard care without the injection.

1 surgical visit (in-person)

Post-operative Follow-up

Duration - 12 weeks post-surgery

Participants are monitored for pain levels, opioid use, and knee function after surgery.

Visits at 2 weeks, 6 weeks, and 12 weeks postoperatively

Trial Site Locations

Total: 1 location

1

Houston Methodist Research Institute

Houston, Texas, United States, 77030

Actively Recruiting

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Research Team

H

Haley Goble, MHA

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

SUPPORTIVE_CARE

Number of Arms

2

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