Comparison of Femoral and Obturatory Nerve Joint Branches Conventional Radiofrequency Thermocoagulation ,Intraarticular Steroid Injection and Pericapsular Nerve Group (PENG) Block in Chronic Hip Pain
1 other identifier
interventional
60
1 country
1
Brief Summary
In this study ,the investigators aimed to show the decrease in pain levels and the effect on quality of life of patients who underwent chronic hip painRFT , intraartıcular steroid injection and Peng block.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Apr 2023
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 19, 2023
CompletedStudy Start
First participant enrolled
April 15, 2023
CompletedFirst Posted
Study publicly available on registry
April 20, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2024
CompletedApril 20, 2023
April 1, 2023
12 months
January 19, 2023
April 19, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
NRS(Numerating Rating Scale) for chronic pain
İt is a pain intensity determination system based on the system where there person tells a point between 0=(no pain) 10=( unbearable pain) and to describe their pain
preoperative
NRS(Numerating Rating Scale) for chronic pain
İt is a pain intensity determination system based on the system where there person tells a point between 0=(no pain) 10=( unbearable pain) and to describe their pain
Postoperative first month
NRS(Numerating Rating Scale) for chronic pain
İt is a pain intensity determination system based on the system where there person tells a point between 0=(no pain) 10=( unbearable pain) and to describe their pain
Postoperative third month
Secondary Outcomes (3)
WOMAC (Western OntarioandMcMasterUniversitiesArthritisIndex )
Preoperative
WOMAC (Western OntarioandMcMasterUniversitiesArthritisIndex )
Postoperative first month
WOMAC (Western OntarioandMcMasterUniversitiesArthritisIndex )
Postoperative third month
Other Outcomes (1)
NRS(Numerating Rating Scale) for acute pain
postoperative second hour
Study Arms (3)
radiofrequency thermocoagulation to the articular branches of the femoral and obturatory nerves
EXPERIMENTALradiofrequency thermocoagulation to the articular branches of the femoral and obturatory nerves applied
intraairticular steroid injection
ACTIVE COMPARATORintraairticular steroid injection applied
pericapsular nerve group (PENG) block
ACTIVE COMPARATORpericapsular nerve group (PENG) block applied
Interventions
Patients are operated under sedation in the operating room. C-arm fluoroscopy device is used for imaging purposes for radiofrequency thermocoagulation process. In order to prevent vascular injury, the needle is advanced under the guidance of ultrasonography. There are target points determined in fluoroscopy for the femoral nerve and the obturatory nerve. Before the thermocoagulation procedure, local anesthetic and steroid are injected into each of the target points.
The patients were placed in the supine position in the operating room. The patient was stained sterile with povidone iodide. The femoral neck was detected under ultrasonography and the joint capsule was entered with a 22G 9 cm spinal needle. Then, 5 cc bupivacaine and 5 mg betamethasone were given and the procedure was terminated.
The patients were placed in the supine position in the operating room. The patient was stained sterile with povidone iodide. The high-frequency linear ultrasonography probe was placed on the anterior superior iliacspina (ASIS). Later, the anterior inferior iliac spine (AIIS) was detected by descending caudally. Afterwards, the probe was brought to the oblique position and AIIS, iliopubikeminence, psoas muscle and tendon were seen. Using a 22G 90-mm Quinckespinal needle, the tendon of the iliopsoas muscle was entered in the lateral-medial direction in the in-plane plane and bone contact was achieved. After negative aspiration, 15 ml of 0.5% bupivacaine were administered by seeing the appropriate drug distribution.
Eligibility Criteria
You may qualify if:
- be over 18 years old
- Written consent has been obtained
- Those with chronic hip pain for more than 3 weeks
You may not qualify if:
- Major psychiatric illness
- The patient has lumbar compression pain or referred pain
- Patients using anticoagulant agents
- Patients with infection in the area to be treated
- Those who are allergic to local anesthetics
- Those who are allergic to betamethasone
- Pregnancy
- Patients who underwent hip surgery during the 3-month follow-up period during the study
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Adnan Menderes University Faculty of Medicine
Aydin, 09010, Turkey (Türkiye)
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate professor
Study Record Dates
First Submitted
January 19, 2023
First Posted
April 20, 2023
Study Start
April 15, 2023
Primary Completion
April 1, 2024
Study Completion
April 1, 2024
Last Updated
April 20, 2023
Record last verified: 2023-04