Effect of Quadro-Iliac Plane Block on Recovery After 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

64 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-03-11

Study Completion Date

2025-04-25

Brief Summary

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Total hip arthroplasty is a widely performed surgical procedure in the elderly population, aiming to relieve hip joint pain and restore function. Total hip arthroplasty is among the most critical surgical procedures in terms of morbidity and mortality within this demographic. To mitigate opioid-related adverse effects in this patient group, novel analgesic methods are needed. Regional anesthesia techniques used for postoperative pain management include epidural analgesia, lumbar plexus block, fascia iliaca block, femoral and obturator nerve blocks, and sacral erector spinae plane block. However, these procedures may result in complications such as epidural hematoma, postoperative headache, prolonged motor block, and extended hospital stay.

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Detailed Description

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Total hip arthroplasty is a widely performed surgical procedure in the elderly population, aiming to relieve hip joint pain and restore function. Total hip arthroplasty is among the most critical surgical procedures in terms of morbidity and mortality within this demographic. To mitigate opioid-related adverse effects in this patient group, novel analgesic methods are needed. Regional anesthesia techniques used for postoperative pain management include epidural analgesia, lumbar plexus block, fascia iliaca block, femoral and obturator nerve blocks, and sacral erector spinae plane block. However, these procedures may result in complications such as epidural hematoma, postoperative headache, prolonged motor block, and extended hospital stay.

Recently, Tulgar et al. introduced a novel fascial plane block called the "quadro-iliac plane block". This block is performed in the quadro-iliac plane, located between the inner surface of the iliac crest and the posterior surface of the quadratus lumborum muscle. In their study, Tulgar et al. bilaterally injected 40 mL of methylene blue into the quadro-iliac plane, observing widespread dye distribution along the posterior and anterior surfaces of the quadratus lumborum muscle, transversalis fascia, ilioinguinal, iliohypogastric, subcostal, and genitofemoral nerves, as well as the lumbar plexus. Based on these findings, quadro-iliac plane block has been proposed as a potentially effective technique for managing acute or chronic pain in the lumbosacral, abdominal, and hip regions. However, apart from a few case reports involving lumbar spine surgery and kidney transplantation, evidence regarding the efficacy of quadro-iliac plane block remains limited.

Conditions

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Postoperative Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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control group

IV paracetamol (1 g, 3×1) and IV dexketoprofen (50 mg, 2×1)

Group Type ACTIVE_COMPARATOR

Quadro iliac plane block

Intervention Type OTHER

40 mL of 0.25% bupivacaine

Quadro iliac plane block

40 mL of 0.25% bupivacaine

Group Type ACTIVE_COMPARATOR

Control group

Intervention Type OTHER

IV paracetamol (1 g, 3×1) and IV dexketoprofen (50 mg, 2×1)

Interventions

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Control group

IV paracetamol (1 g, 3×1) and IV dexketoprofen (50 mg, 2×1)

Intervention Type OTHER

Quadro iliac plane block

40 mL of 0.25% bupivacaine

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Unilateral THA.
* Spinal anesthesia.
* Age 18-85 years.
* ASA classification I-IV.

Exclusion Criteria

* Patients who declined consent.
* Contraindications to regional anesthesia.
* Coagulation disorders.
* Infections at the block site.
* Emergency surgeries.

Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No