The Quadro-Iliac Plane (QIP) Block in Hip Arthroplasty

NCT07591311 | Recruiting

• 2 other identifiers: QIP_studyNo other
• Study Type: observational
• Target: 80
• Locations: 1 country
• Sites: 2

Brief Summary

The goal of this observational study is to learn about the effectiveness of different locoregional anesthesia techniques, particularly the Quadro-Iliac Plane (QIP) block, in patients undergoing total hip arthroplasty. The main question it aims to answer is: Does the QIP block improve postoperative recovery and pain control compared to other routinely used locoregional anesthesia techniques in patients undergoing hip replacement surgery? Participants undergoing hip arthroplasty as part of their standard clinical care will receive one of the locoregional anesthesia techniques already in use at the hospital (including QIP block, fascia iliaca block, PENG block, or others, according to anesthesiologist choice). Postoperative outcomes will be collected prospectively, including quality of recovery (QoR-15 at 24 hours), pain scores at rest and during movement at predefined time points up to 48 hours, analgesic consumption, time to first analgesic request, time to mobilization, and occurrence of complications.

Conditions

Hip Surgery; Hip Arthroplasty

Keywords

regional anesthesia; hip; hip fracture; QIP

Outcome Measures

Primary Outcomes (1)

• Quality of Recovery (QoR)-15 score

  The Quality of Recovery-15 (QoR-15) is a validated patient-reported outcome measure designed to assess the quality of postoperative recovery across multiple dimensions of physical and psychological well-being. The questionnaire consists of 15 items, each scored on an 11-point numerical scale, resulting in a total score ranging from: Minimum score: 0 → extremely poor quality of recovery Maximum score: 150 → excellent quality of recovery Higher QoR-15 scores indicate a better postoperative recovery experience. The questionnaire evaluates five key domains: Pain Physical comfort Physical independence Psychological support Emotional state

  24 hours postoperatively

Secondary Outcomes (4)

• Postoperative Pain

  0-2-4-6-8-12-24-48 hours after surgery

• First analgesia request

  up to 48 hours

• First mobilization

  24 hours postoperatively

• Complications

  up to 48 hours

Study Arms (1)

QIP

Quadro-Iliac Plane Block

Procedure: Fascia iliaca block (FIB)

Interventions

Fascia iliaca block (FIB) PROCEDURE

Fascia Iliaca Block

QIP

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients undergoing hip arthroplasty surgery, either elective or for a proximal femoral fracture

You may qualify if:

• Age ≥ 18 years
• Patients undergoing hip arthroplasty surgery, either elective or for a proximal femoral fracture
• Expected postoperative hospital stay ≥ 24 hours
• ASA physical status I-III
• Neuraxial and/or locoregional anesthesia according to standard clinical practice
• Provision of informed consent to participate in the study

You may not qualify if:

• Absence of informed consent
• Contraindications to locoregional and/or spinal anesthesia
• Allergy to local anesthetic agents
• Cognitive impairment preventing reliable assessment of outcomes
• Coagulation disorders and/or platelet abnormalities
• Antiplatelet or anticoagulant therapy that contraindicates spinal anesthesia
• Presence of localized infection or sepsis at the sites to be treated

Sponsors & Collaborators

• San Giovanni di Dio Hospital: lead

Study Sites (2)

Crotone Hospital

Crotone, Italy

RECRUITING

Crotone Hospital

Crotone, Italy

RECRUITING

MeSH Terms

Conditions

Hip Fractures

Condition Hierarchy (Ancestors)

Femoral Fractures; Fractures, Bone; Wounds and Injuries; Hip Injuries; Leg Injuries

Central Study Contacts

Tommaso Sorrentino, MD

CONTACT

+393277038017; dr.sorrentinotommaso@gmail.com

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: May 4, 2026
• First Posted: May 15, 2026
• Study Start: May 1, 2026
• Primary Completion (Estimated): June 1, 2027
• Study Completion (Estimated): November 1, 2027
• Last Updated: May 22, 2026

Record last verified: 2026-05

Data Sharing

• IPD Sharing: Will not share

Locations

IT (2)