Comparison of Postoperative Analgesic Efficacy of Suprainguinal Fascia Iliaca Block and Pericapsular Nerve Group Block with Lateral Femoral Cutaneous Nerve Block in Patients Undergoing Total Hip Arthroplasty

Recruiting

• Conditions: Coxarthrosis; Primary

• Registration Number: NCT06844162
• Lead Sponsor: Hacettepe University

Brief Summary

The goal of this observational study is to compare the analgesic efficacy of SFIB and PENG with LFCN block, and study their effects on opioid consumption, motor strength and ability to perform physiotherapy in the postoperative period in patients who underwent primary total hip arthroplasty under general anesthesia.

Detailed Description

48 patients undergoing THA under general anesthesia who received either SFIB or PENG block with LFCN block using will be included in the study. Postoperative static and dynamic VAS scores, opioid consumption, quadriceps motor strength, ability to perform physiotherapy and presence of opioid or nerve block related complications will be recorded.

Study Timeline

• Status Verified: 2025-02
• Study Start: 2025-02-01
• Study First Submitted: 2025-02-19
• Study First Submitted QC: 2025-02-19
• Study First Posted: 2025-02-25
• Last Update Submitted: 2025-02-25
• Last Update Posted: 2025-02-27
• Primary Completion: 2025-04
• Study Completion: 2025-04

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 48

Inclusion Criteria

• Patients who are scheduled to undergo primary total hip arthroplasty with a diagnosis of coxarthosis

Exclusion Criteria

• Patients who have a history of neuropathy, patients with renal and hepatic insufficiency, patients with known coagulopathy, patients with a history of allergy to local anesthetics, patients with a history of inguinal surgery on the same side and patients with impaired mental status

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Visual Analogue Scale scores	In the 48 hours following surgery	Postoperative Visual Analogue Scale scores ( Minimum of 0 and maximum of 10 with higher scores indicative of more severe pain) will be measured at rest and 45 degrees passive flexion at 3, 6, 12, 24 and 48th hours postoperatively

Secondary Outcome Measures

Name	Time	Method
Opioid consumption	In the 48 hours following surgery	Opioid consumption during 0-3, 3-6, 6-12, 12-24, 24-48 hours and cumulative opioid consumption at 48h will be recorded following surgery
Quadriceps weakness	In the 48 hours following surgery	Quadriceps weakness will be assessed at 6 and 24th hours after surgery. The patient will be asked to extend the knee with the hip flexed at 45 degrees. Quadriceps strength will be graded according to the following: Grade 0: No extension, Grade 1: Extension against gravity but not against resistance, Grade 2: Extension against gravity and resistance.
Ability to perform physiotherapy	In the 48 hours following surgery	Ability to perform physiotherapy and whether the inability to perform physiotherapy was due to pain or motor weakness will be recorded by the physiotherapist at 24 and 48 hours after surgery

Trial Locations

Locations (1)

Hacettepe University Hospitals; 🇹🇷 Ankara, Turkey