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Pericapsular Nerve Group Block Chemical Neurolysis in Advanced Hip Osteoarthritis

Phase 4
Completed
Conditions
Osteoarthritis
Osteoarthritis, Hip
Interventions
Registration Number
NCT06087588
Lead Sponsor
Poznan University of Medical Sciences
Brief Summary

PENG neurolysis in advanced osteoarthritis of the hip joint.

Detailed Description

The study aims to assess the safety and effectiveness of regional pain treatment methods and their impact on the quality of life of patients with advanced osteoarthritis of the hip joint.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
100
Inclusion Criteria
  • Patients of the Pain Treatment Clinic of the Transfiguration of Jesus Clinical Hospital of the Medical University of Poznań will be qualified for the study
  • patients with coxarthrosis or gonarthrosis who failed to achieve satisfactory pain control (NRS>3) despite the use of NSAIDs, Paracetamol, and co-analgetics
  • Age of patients: from 18 to 110 years of age.
  • Caucasian patients can give informed, complete, written consent.
Exclusion Criteria
  • suspected or diagnosed opioid dependence syndrome
  • active cancer
  • dementia

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
sham PENG block0.9%sodium chloridePENG block - 20ml 0,9% normal saline
PENG neurolysis95% ethanolPENG neurolysis with 5ml 95% ethanol
Primary Outcome Measures
NameTimeMethod
NRS score6 months after procedure

The NRS (Numeric Pain Rating Scale) is a segmented numeric version of the visual analog scale (VAS) in which a respondent selects a whole number (0-10 integers) that best reflects the intensity of his/her pain.

Secondary Outcome Measures
NameTimeMethod
Health Questionnaire (EQ-5D-5L)6 months after procedure

The descriptive system comprises five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems and extreme problems. The patient is asked to indicate his/her health state by ticking the box next to the most appropriate statement in each of the five dimensions. This decision results in a 1-digit number that expresses the level selected for that dimension. The digits for the five dimensions can be combined into a 5-digit number that describes the patient's health state

neurological deficits6 months after procedure

yes/no

total opioid consumption6 months after procedure

milligrams of oral morphine per day

Trial Locations

Locations (1)

Poznan University of Medical Sciences

🇵🇱

Poznan, Poznań, Poland

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