Combined PENG and LFCN Block for Total Hip Arthroplasty

Not Applicable

Completed

• Conditions: Anesthesia, Conduction; Pain, Postoperative; Arthroplasty, Replacement, Hip
• Interventions: Procedure: PENG + LFCN block; Drug: Ropivacaine injection

• Registration Number: NCT04996290
• Lead Sponsor: University Hospital, Antwerp

Brief Summary

A clinical trial investigating the effect of a combined locoregional anesthesia technique on the postoperative analgesia outcomes after a total hip arthroplasty. A PENG block will be used in combination with a LFCN block. The results will be compared to a control group that is solely treated with intravenous analgesia. This technique aims to provide improved pain scores after surgery without interference of revalidation.

Detailed Description

Not available

Study Timeline

• Study Start: 2020-06-01
• Primary Completion: 2020-09-30
• Study Completion: 2020-10-01
• Study First Submitted: 2021-07-19
• Status Verified: 2021-08
• Study First Submitted QC: 2021-08-06
• Last Update Submitted: 2021-08-06
• Study First Posted: 2021-08-09
• Last Update Posted: 2021-08-09

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• adult patients who underwent a primary total hip replacement under general anesthesia

Exclusion Criteria

• insulin dependent diabetes mellitus
• chronic pain
• severe dementia or mental retardation
• allergy to local anesthetics

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
PENG + LFCN block	PENG + LFCN block	The participants in this group received a combined regional technique just before surgery: * Pericapsular nerve group (PENG) block * Lateral femoral cutaneus nerve (LFCN) block
PENG + LFCN block	Ropivacaine injection	The participants in this group received a combined regional technique just before surgery: * Pericapsular nerve group (PENG) block * Lateral femoral cutaneus nerve (LFCN) block

Primary Outcome Measures

Name	Time	Method
Initial pain score	0 hours postoperative	numeric rating score (NRS) of 0 to 10
Pain score after 2h	2 hours postoperative	numeric rating score (NRS) of 0 to 10
Pain score after 24h	24 hours postoperative	numeric rating score (NRS) of 0 to 10

Secondary Outcome Measures

Name	Time	Method
Initial motor function	0 hours postoperative	score chart inspired by the Bromage score (NRS) of 0 to 3
Motor function after 2h	2 hours postoperative	score chart inspired by the Bromage score (NRS) of 0 to 3
Postoperative opioids	24 hours postoperative	dose of intravenous opioids in microgram per kilogram bodyweight
Intraoperative opioids	intraoperative	dose of intravenous opioids in microgram per kilogram bodyweight
Motor function after 24h	24 hours postoperative	score chart inspired by the Bromage score (NRS) of 0 to 3

Trial Locations

Locations (1)

AZ Monica; 🇧🇪 Deurne, Belgium