An Iliopsoas Plane Block After Total Hip Arthroplasty

N/ACompletedNCT05212038

Gangnam Severance Hospital56 enrolled

Overview

Nielsen et al. reported that when iliopsoas plane block was performed on healthy volunteers, the injection solution in Hip MRI was confined to the myofascial compartment, which was known to include all sensory branches of the femoral nerve that control the hip joint. The maximal muscle strength of knee extension did not decrease before and after Iliopsoas plane block in Volunteer. Since there is no clinical study conducted on patients after the volunteer study, the investigators intend to evaluate the analgesic and motor preserving effects of the iliopsoas plane block in a group of patients undergoing total hip arthroplasty.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

DOUBLE

Enrollment

Conditions

Total Hip Arthroplasty

Interventions

iliopsoas plane block groupPROCEDURE

Ultrasound-guided iliopsoas plane block with 0.75% ropivacaine 10 ml and epinephrine 0.05 ml (1:200,000) 10 ml

sham block groupPROCEDURE

Ultrasound-guided iliopsoas plane block with normal saline 10 ml

Eligibility

Sex: ALLMin age: 19 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Patients 19 years of age or older who are expected to undergo unilateral hip arthroplasty 2. ASA PS 1-3 Exclusion Criteria: 1. Revision total hip arthroplasty 2. Allergy to drugs used in the study 3. Patients with moderate or more hepatic impairment (AST/ALT is more than 2.5 times the upper limit of normal) 4. Estimated glomerular filtration rate \< 30 mL/min/1.73m2 5. Opioid dependence 6. Prolongation of PT and aPTT more than twice the upper limit of normal 7. Pre-existing neurological or anatomical disorders of the lower extremities 8. Serious psychiatric disorders

Locations (1)

Ji Yeong Kim

Seoul, South Korea

Outcomes

Primary Outcomes

Numeric rating scale pain score at rest

Pain intensity at rest will be evaluated by an 11-point numeric rating scale (NRS: 0 = no pain, 10 = worst imaginable pain) 1, 6, 24, and 48 hours after the surgery.

Time frame: up to 48 hours after the surgery

Secondary Outcomes

Numeric rating scale pain score at movement

Pain intensity during 45-degree passive flexion of the hip with the ipsilateral knee flexed naturally will be evaluated by an 11-point numeric rating scale (NRS: 0 = no pain, 10 = worst imaginable pain) 1, 6, 24, and 48 hours after the surgery.

Time frame: up to 48 hours postoperatively

Postoperative opioid consumption

morphine equivalent dose

Time frame: postoperative 24, 48hours

Data from ClinicalTrials.gov

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