Lumbar Plexus Block Versus Quadratus Lumborum Block for Primary Anterior Total Hip Arthroplasty
Completed · Not applicable
Conditions studied: Osteoarthritis, Total Hip Arthroplasty
In brief
Total hip arthroplasty (THA) is one of the most successful orthopedic procedures to effectively relieve pain and restore function in patients with end stage osteoarthritis. In an attempt to accelerate recovery many orthopedic surgeons have opted to utilize a direct anterior approach (DAA) as opposed to the more traditional posterolateral approach (PLA). The literature supports that DAA is superior to PLA with regard to lower blood loss, less pain, shorter hospital stay, and faster rehabilitation. Traditionally the study team has performed Lumbar Plexus blocks (LPB) to provide post-operative analgesia for total hip arthroplasty. The quadratus lumborum block (QLB) is a newer regional analgesic technique that may be as effective as LPB at providing pain control following DAA hip arthroplasty. This study is designed to compare the efficacy, with regards to post-operative pain management, between LPB and QLB following a DAA total hip arthroplasty.
Key facts
- Study ID
- NCT03409900
- Run by
- Wake Forest University Health Sciences
- People needed
- 44
- Starts
- 2019-03-04
- Expected to finish
- 2019-11-22
- Last updated by the study team
- 2020-05-12
Who can join
Age: 18 and older, up to 95. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Any patient between the ages of 18 and 95 years undergoing a primary elective, unilateral DAA total hip arthroplasty.
You may not qualify if…
- If the patient uses more than 40mg of Oxycodone equivalents per 24 hours or is on extended release opioid formulations.
- Indication for surgery is secondary to trauma and/or hip fracture
- If there is a contraindication to the performance of a regional block
- Concomitant anticoagulation use or documented coagulopathy
- Infectious or dermatologic conditions in the area of block placement that would otherwise increase the risk of peripheral nerve blockade
- Presence of progressive neurologic deficit effecting peripheral nerves
- Allergy or adverse reaction to study drugs to include: fentanyl, epinephrine, and amide local anesthetics
- American Society of Anesthesia Physical Classification score > or = to 4
- Allergies to study drugs other than local anesthetic
- BMI > 40
- Patient refusal
- Pregnancy
- Institutionalized individuals
- Extremes of age: Age > 95 or < 18
- Non English speaking or inability to reliably participate in the study
Where it is running
- Wake Forest Baptist Medical Center — Winston-Salem, North Carolina, United States
Full record on ClinicalTrials.gov
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