SFIB vs Anterior QLB in Total Hip Arthroplasty

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

65 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-01-18

Study Completion Date

2024-05-07

Brief Summary

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Quadratus lumborum block (QLB) is a facial plane block defined to provide analgesia from T7-L3 dermatomes. There are articles reporting that it is an effective analgesic method in hip surgeries. Suprainguinal fascia iliaca block (SIFIB) also blocks components of the lumbar plexus and provides effective analgesia in hip surgeries. The investigators aim to compare the effectiveness of QLB and SIFIB in patients undergoing primary total hip arthroplasty (THA).

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Detailed Description

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Conditions

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Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Ultrasound Guided Suprainguinal Fascia iliaca Block

Patients randomized to receive suprainguinal fascia iliaca block

Group Type ACTIVE_COMPARATOR

Ultrasound Guided Suprainguinal Fascia iliaca Block

Intervention Type PROCEDURE

Patients in this group will be administered SFIB with 50 mL of local anesthetic solution (Bupivacaine %0.25) under ultrasound guidance after the surgery is completed.

Ultrasound Guided Anterior quadratus lumborum block

Patients randomized to receive anterior quadratus lumborum block

Group Type ACTIVE_COMPARATOR

Ultrasound Guided Anterior Quadratus Lumborum Block

Intervention Type PROCEDURE

Patients in this group will be administered anterior QLB with 40 mL of local anesthetic (Bupivacaine %0.25) under ultrasound guidance after the surgery is completed.

Interventions

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Ultrasound Guided Suprainguinal Fascia iliaca Block

Patients in this group will be administered SFIB with 50 mL of local anesthetic solution (Bupivacaine %0.25) under ultrasound guidance after the surgery is completed.

Intervention Type PROCEDURE

Ultrasound Guided Anterior Quadratus Lumborum Block

Patients in this group will be administered anterior QLB with 40 mL of local anesthetic (Bupivacaine %0.25) under ultrasound guidance after the surgery is completed.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* American Society of Anesthesiologists (ASA) classification I-II-III
* Scheduled for total hip artroplasty surgery under spinal anesthesia

Exclusion Criteria

* Patients who did not want to participate in the study
* Patients with cognitive dysfunction who cannot evaluate the NRS score and cannot use PCA
* Known local anesthetics and opioid allergy,
* Pregnancy or lactation
* Patients with a contraindication to spinal and regional anesthesia
* Presence of multiple fractures

Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No