Effect of Femoral Rami and Obturator Nerve Trunk (FRONT) Block on Postoperative Quality of Recovery After Total Hip Arthroplasty: A Prospective Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 80
- 试验地点
- 1
- 主要终点
- Postoperative Quality of Recovery (QoR-15 Score)
研究概览
简要总结
This prospective randomized controlled trial evaluates the effect of ultrasound-guided unilateral Femoral Rami and Obturator Nerve Trunk (FRONT) block on postoperative quality of recovery in patients undergoing elective total hip arthroplasty.
详细描述
Total hip arthroplasty (THA) is associated with significant postoperative pain that may impair early recovery. The Femoral Rami and Obturator Nerve Trunk (FRONT) block is a regional anesthesia technique targeting sensory innervation of the anterior hip capsule and may improve postoperative recovery while preserving motor function. This prospective randomized controlled trial aims to evaluate whether the addition of ultrasound-guided unilateral FRONT block to standard multimodal analgesia improves postoperative quality of recovery in patients undergoing THA.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
盲法说明
Outcome assessments will be performed by independent researchers blinded to group allocation.
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age ≥ 18 years
- •Scheduled for total hip arthroplasty under spinal anesthesia
- •American Society of Anesthesiologists (ASA) physical status I-III
- •Ability to understand and complete the QoR-15 questionnaire
- •Provided written informed consent
排除标准
- •Refusal to participate
- •Contraindication to spinal anesthesia or regional block
- •Allergy to study medications
- •Chronic opioid use (daily use for more than 3 months)
- •Neurological or neuromuscular disorders affecting the lower extremities
- •Infection at the injection site
- •Coagulation disorders
- •Cognitive impairment prevents questionnaire completion
研究组 & 干预措施
FRONT Block Group
Participants in this group will receive an ultrasound-guided unilateral Femoral Rami and Obturator Nerve Trunk (FRONT) block in addition to standardized multimodal postoperative analgesia.
干预措施: FRONT Block (Femoral Rami and Obturator Nerve Trunk Block) (Procedure)
FRONT Block Group
Participants in this group will receive an ultrasound-guided unilateral Femoral Rami and Obturator Nerve Trunk (FRONT) block in addition to standardized multimodal postoperative analgesia.
干预措施: Standard Multimodal Analgesia (Procedure)
Control Group
Participants in this group will receive standardized multimodal postoperative analgesia without FRONT block.
干预措施: Standard Multimodal Analgesia (Procedure)
结局指标
主要结局
Postoperative Quality of Recovery (QoR-15 Score)
时间窗: 24 hours after surgery
Postoperative quality of recovery will be assessed using the validated Quality of Recovery-15 (QoR-15) questionnaire. The total score ranges from 0 to 150, with higher scores indicating better recovery.
次要结局
- Time to First Mobilization(Within the first 48 hours after surgery)
- Quadriceps Motor Strength(0-48 hours after surgery)
- Quality of Recovery (QoR-15) Score at 48 Hours(48 hours after surgery)
- Postoperative Pain Intensity(2, 6, 12, 24, and 48 hours after surgery)
- Total Opioid Consumption(0-24 hours after surgery)
- Time to First Rescue Analgesia(Within the first 24 hours after surgery)
研究者
Betul Kozanhan
Prof. Dr.
Konya Meram State Hospital