Deep Posterior Post Gluteal Compartment Block in Total Hip Arthroplasty: Feasability and Safety

NCT06896591 | Not Yet Recruiting DMC

• 1 other identifier: COS-RGDS-2024-06-039-P-ELMALEH
• Study Type: interventional
• Target: 35
• Locations: 0 countries
• Sites: N/A

Brief Summary

This study aims to evaluate the effectiveness of a posterior hip capsule block performed in addition to a PENG (Pericapsular Nerve Group) block for patients undergoing hip arthroplasty. The primary objective is to assess whether this combined approach provides enhanced perioperative analgesia compared to the standard analgesic protocol or the PENG block alone. Secondary outcomes will focus on opioid consumption, functional recovery, and any potential complications. By targeting both the anterior and posterior innervation pathways around the hip joint, this combined technique could improve patient comfort, decrease opioid requirements, and potentially expedite rehabilitation after hip arthroplasty.

Conditions

Total Hip Arthroplasty

Keywords

total hip arthroplasty; peng block; Hip; Anatomy; Sciatic nerve block

Outcome Measures

Primary Outcomes (1)

• Sciatic nerve block

  number of patients with postoperative sciatic motor or sensitory nerve block collected by clinical examination (test with hot and cold in the sciatic territory and motricity of the feet)

  From enrollment to the end of treatment at 1 month

Secondary Outcomes (5)

• Pain postoperative

  From enrollment to the end of treatment at 1 MONTH

• pain 2

  From enrollment to the end of treatment at 1 MONTH

• oPIOID Consumption

  From enrollment to the end of treatment at 7 months

• RAAC

  From enrollment to the end of treatment at 1 MONTH

• Surgical complication

  From enrollment to the end of treatment at 1 MONTH

Study Arms (1)

DPPG compartment block

EXPERIMENTAL

Deep posterior post gluteal compartment block with different volume of product 5,10 and 15 ml (local anesthetics such as naropeine 0.35%) to compare the efficiency of the block without sciatic nerve block effect

Procedure: Deep posterior post gluteal nerve block

Interventions

Deep posterior post gluteal nerve block PROCEDURE

One injection with ultrasound guidance injection of 5, 10 or 15 mL of naropeine 0.35 % Procedure : injection below the piriformis muscle in front of the head of the femur.

DPPG compartment block

Eligibility Criteria

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

You may qualify if:

• All adults with total hip arthroplasty

You may not qualify if:

• Contraindication to regional anesthesia
• allergy
• refusal of the injection

Sponsors & Collaborators

• Quincy Anesthésie: lead

Related Publications (1)

• Pun M, Ng T, Vermeylen K, Tran J. Innervation of the hip joint: implications for regional anaesthesia and image-guided interventional pain procedures. BJA Educ. 2024 Jun;24(6):191-202. doi: 10.1016/j.bjae.2024.02.005. Epub 2024 Apr 8. No abstract available.

  PMID: 38764441 BACKGROUND

Study Officials

• yoann ELMALEH, M.D

  Hopital Privé Claude Galien

  PRINCIPAL INVESTIGATOR

Central Study Contacts

YOANN ELMALEH, M.D

CONTACT

+33781330431; Yoyo.elmaleh@hotmail.fr

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: NETWORK
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Medical Doctor, Anesthesiology and Pain Medicine, Principal Investigator

Study Record Dates

• First Submitted: March 13, 2025
• First Posted: March 26, 2025
• Study Start: June 1, 2025
• Primary Completion: February 1, 2026
• Study Completion: March 1, 2026
• Last Updated: March 26, 2025

Record last verified: 2025-03