Quadratus Lumborum Block for Total Hip Arthroplasty
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Active Comparator, Placebo Comparator.
- Who it may be relevant to
- Registry conditions: Pain, Postoperative. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Quadratus Lumborum (QL) Nerve Block for Patients Undergoing Primary Total Hip Arthroplasty (THA)
Overview
The quadratus lumborum (QL) block is a fascial plane block that has been described to provide analgesia from T7-L3 dermatomes. The investigators aim to evaluate the efficacy of QL blocks in patients undergoing primary total hip arthroplasty (THA).
Detailed description
Investigators will enroll subjects planned for primary THA and allocate them into receiving a QL block with either saline or ropivacaine. Primary outcome will be pain scores over the first 48 hours after surgery.
Interventions
- Drug Active Comparator
QL block with 0.25% ropivacaine - Drug Placebo Comparator
QL block with saline
Primary outcome measures
- Pain score [Time frame: Up to 48 hrs post op]
Secondary outcome measures (6)
- Opioid usage [Time frame: Up to 48 hrs post op]
- Time to first stand [Time frame: Up to 1 week post surgery]
- Time to first ambulation [Time frame: Up to 1 week post surgery]
- Ambulation distance [Time frame: Up to 1 week post surgery]
- Length of hospital stay [Time frame: Until discharge from hospital, up to 1 week post surgery]
- Patient satisfaction [Time frame: Until day of discharge from the hospital, up to 1 week post surgery]
Eligibility criteria
Inclusion criteria
- Adult subjects undergoing elective primary total hip arthroplasty
Exclusion criteria
- patients age < 18,
- documented allergy to local anesthetic
- presence of peripheral neuropathy
- patients with current long term opioid use defined as receiving an opioid on most days in a 90 day period
- patients with a contraindication to spinal and regional anesthesia such as coagulopathy or infection at the site of the regional technique.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Quadruple blind
- Primary purpose
- Prevention
Study locations
United States · 1 center
- UCLA Medical Center, Santa Monica — Santa Monica
Identifiers
NCT: NCT05247255 · 21-001850