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OpenTrials
Completed

NCT Number: NCT05212038

An Iliopsoas Plane Block After Total Hip Arthroplasty

Nielsen et al. reported that when iliopsoas plane block was performed on healthy volunteers, the injection solution in Hip MRI was confined to the myofascial compartment, which was known to include all sensory branches of the femoral nerve that control the hip joint. The maximal muscle strength of knee extension did not decrease before and after Iliopsoas plane block in Volunteer. Since there is no clinical study conducted on patients after the volunteer study, the investigators intend to evaluate the analgesic and motor preserving effects of the iliopsoas plane block in a group of patients undergoing total hip arthroplasty.

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Key information

Age range

19 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Ji Yeong Kim

Seoul, South Korea

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patients 19 years of age or older who are expected to undergo unilateral hip arthroplasty
  • ASA PS 1-3

Exclusion criteria

  • Revision total hip arthroplasty
  • Allergy to drugs used in the study
  • Patients with moderate or more hepatic impairment (AST/ALT is more than 2.5 times the upper limit of normal)
  • Estimated glomerular filtration rate < 30 mL/min/1.73m2
  • Opioid dependence
  • Prolongation of PT and aPTT more than twice the upper limit of normal
  • Pre-existing neurological or anatomical disorders of the lower extremities
  • Serious psychiatric disorders

Treatment and study plan

iliopsoas plane block group

Procedure

Ultrasound-guided iliopsoas plane block with 0.75% ropivacaine 10 ml and epinephrine 0.05 ml (1:200,000) 10 ml

sham block group

Procedure

Ultrasound-guided iliopsoas plane block with normal saline 10 ml

Primary outcomes

  1. Numeric rating scale pain score at rest

    Time frame: up to 48 hours after the surgery

    Pain intensity at rest will be evaluated by an 11-point numeric rating scale (NRS: 0 = no pain, 10 = worst imaginable pain) 1, 6, 24, and 48 hours after the surgery.

Secondary outcomes

  1. Numeric rating scale pain score at movement

    Time frame: up to 48 hours postoperatively

    Pain intensity during 45-degree passive flexion of the hip with the ipsilateral knee flexed naturally will be evaluated by an 11-point numeric rating scale (NRS: 0 = no pain, 10 = worst imaginable pain) 1, 6, 24, and 48 hours after the surgery.

  2. Postoperative opioid consumption

    Time frame: postoperative 24, 48hours

    morphine equivalent dose

Sponsors and collaborators

Lead sponsor

Gangnam Severance Hospital

Other

Registry information

Official study title

An Iliopsoas Plane Block for Pain Management After Total Hip Arthroplasty: a Randomized Controlled Trial

Important dates

Study start
2022
Primary completion
2023
Study completion
2023
First posted
Jan 27, 2022
Registry last updated
Feb 15, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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