Effects of Pericapsular Nerve Group Block on Postoperative Recovery for Total Hip Arthroplasty

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age40-85
SponsorUmraniye Education and Research Hospital

About this trial

The hypothesis of this study is that patients who undergo PENG block in before Total Hip Artroplasthy (THA) surgery with spinal anesthesia will have reduced postoperative pain scores, less need for opioid analgesics and earlier mobilisation.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

THA performed by posterior approach

40-85 age range

ASA 1-3

Disqualifiers

ASA 4 and above,

Cognitive impairment (Alzheimer's disease, dementia, delirium etc.),

Hip fracture,

Application site infection,

Trial design

Design model

Parallel

Treatments tested in this trial

  • Pericapsular Nerve Group (PENG) Block

    Procedure/Surgery

    With ultrasonography-guided PENG block, the femoral, obturator and accessory obturator nerve branches that provide sensory innervation of the anterior surface of the hip joint capsule are blocked .

Treatment groups

60 Participants
are divided into 2 treatment groups
Group A: PENG groupActive comparator 1 intervention
Group B: non-PENG groupPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

postoperative pain score

VAS pain score

Time frame
recovery room 30 min, 12., 24. and 48. hours in the postoperative period
2

mobilisation time

walking 5 steps with walker

Time frame
24 -48 hours
3

hip joint patency

Measurement of joint movement angle with goniometer (angle)

Time frame
24. hours
4

total opioid consumption

Tramadol total usage (mg)

Time frame
48 hours

Secondary outcomes

1

PENG block side effects

motor block, nausea, vomiting, anaphylaxis, nerve damage

Time frame
The first 48 hours after performing the PENG block
2

Perioperative haemodynamic data

heart rate, mean arterial pressure

Time frame
T1: 30 minutes (min) after spinal anesthesia, T2: at the end of the surgical procedure, T3: at 30 minutes after recovery
3

length of hospital stay

hospitalization and discharge time for surgery

Time frame
day

Other outcomes

Sponsors and contacts

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