Analgesia in Total Hip Arthroplasty by Quadratus Lumborum Block

NCT03666260 | Completed

• 1 other identifier: PO18122
• Study Type: interventional
• Target: 179
• Locations: 1 country
• Sites: 1

Brief Summary

Patients are painful after total hip arthroplasty. These patients have significant co-morbidities. Analgesics cause significant side effects in this population. Locoregional analgesia is therefore an effective means of reducing the consumption of opioids in this surgery. The "gold standard" of locoregional analgesia after Total Hip Arthroplasty is the femoral block. However, a new technique has recently been described: the Quadratus Lumborum Block. The comparison of these two techniques is lacking in the literature. The comparison of the Quadratus Lumborum Block to the femoral block in Total Hip arthroplasty is important in the analgesic strategy of patients undergoing this surgery.

Conditions

Total Hip Replacement Surgery

Keywords

Total hip replacement surgery; post operative pain; quadratus lumborum block; femoral block

Outcome Measures

Primary Outcomes (1)

• morphine consumption

  Morphine consumption during the 24 hours postoperative

  24 hours

Study Arms (2)

Quadratus Lumborum Block arm

EXPERIMENTAL

Procedure: Quadratus Lumborum Block

Femoral block arm

ACTIVE COMPARATOR

Procedure: femoral block

Interventions

Quadratus Lumborum Block PROCEDURE

Quadratus Lumborum Block with echography

Quadratus Lumborum Block arm

femoral block PROCEDURE

femoral block with echography

Femoral block arm

Eligibility Criteria

• Age: 18 Years - 95 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients eligible for total hip replacement surgery in Reims University Hospital
• Patients agreeing to participate in the research and having signed informed consent
• between 18 yo and 95 yo
• Patients affiliated to a social security system

You may not qualify if:

• Patients with allergy to local anesthetics
• Patients with neuropathy
• Patients with an ASA score of 4
• Patients undergoing revision surgery for total hip arthroplasty
• Patients receiving anterior hip total hip replacement surgery
• Patients with a contraindication to the realization of the quadratus lumborum block, femoral block or spinal anesthesia (clinical coagulopathy, infection at the point of puncture ...)
• Patients refusing the proposed techniques

Sponsors & Collaborators

• CHU de Reims: lead

Study Sites (1)

Damien JOLLY

Reims, France

Location

MeSH Terms

Conditions

Pain, Postoperative

Condition Hierarchy (Ancestors)

Postoperative Complications; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Pain; Neurologic Manifestations; Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 10, 2018
• First Posted: September 11, 2018
• Study Start: October 8, 2018
• Primary Completion: July 9, 2020
• Study Completion: July 9, 2021
• Last Updated: May 16, 2024

Record last verified: 2024-05

Locations

FR (1)