Does Limb Pre-Conditioning Reduce Pain After Hip Arthroscopy

Not Applicable

Completed

• Conditions: Hip Injuries; Hip Dislocation; Hip Fractures
• Interventions: Diagnostic Test: standardized pre-conditioning treatment; Diagnostic Test: Partial occlusion

• Registration Number: NCT04925791
• Lead Sponsor: Cedars-Sinai Medical Center

Brief Summary

The purpose of this study is to determine if the utilization of Ischemic Pre-Conditioning 24-hours prior to hip arthroscopy decreases patient's post-operative pain and opioid consumption.

Detailed Description

Subjects will be asked to take part in one of two treatment procedures 24 hours prior to their scheduled hip arthroscopy date. Subjects will be randomized into either the IPC or CON group.

These treatments consist of either 3 rounds of 5 minutes of occlusion alternating with 5 minutes of reperfusion or 3 rounds of 5 minutes of minimal occlusion alternating with 5 minutes of reperfusion. The treatment will last 30 minutes. Days 0-7 post-op will consist of self-reported pain scales and opioid consumption documentation in the morning and evening. This is a randomized single-blind research study.

This study has two study groups:

* The IPC group will get a standardized pre-conditioning treatment 24 hours prior to their hip arthroscopy. This consists of 3 rounds of 5 minutes of occlusion alternating with 5 minutes of reperfusion while seated.

* The CON group will get a controlled treatment of 20% of limb occlusion pressure 24 hours prior to their hip arthroscopy. This consists of 3 rounds of 5 minutes of minimal occlusion alternating with 5 minutes of reperfusion while seated.

Study Timeline

• Study First Submitted: 2021-06-09
• Study First Submitted QC: 2021-06-09
• Study First Posted: 2021-06-14
• Study Start: 2021-10-18
• Primary Completion: 2023-10-20
• Study Completion: 2023-10-20
• Status Verified: 2024-08
• Last Update Submitted: 2024-08-19
• Last Update Posted: 2024-08-20

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 68

Inclusion Criteria

• Patients undergoing a primary hip arthroscopy by the PI between the ages of 18 and 55.

Exclusion Criteria

• Patients younger than 18 or older than 55 who have had a previous hip arthroscopy, venous thromboembolism, and/or who take medications and/or supplements known to increase the risk of blood clots.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
The IPC group	standardized pre-conditioning treatment	subjects will get a standardized pre-conditioning treatment 24 hours prior to their hip arthroscopy. This consists of 3 rounds of 5 minutes of occlusion alternating with 5 minutes of reperfusion while seated.
The CON group	Partial occlusion	subjects will get a controlled treatment of 20% of limb occlusion pressure 24 hours prior to their hip arthroscopy. This consists of 3 rounds of 5 minutes of minimal occlusion alternating with 5 minutes of reperfusion while seated.

Primary Outcome Measures

Name	Time	Method
Pain levels VAS score	7 days post op	Pain score 0-10 with 0 being no pain and 10 being the worst

Secondary Outcome Measures

Name	Time	Method
number of days opioids were consumed post op	7 days post op	Total number days the patient had to take pain medication

Trial Locations

Locations (1)

Kerlan Jobe; 🇺🇸 Los Angeles, California, United States