FRONT Block for Quality of Recovery After 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: FRONT Block (Femoral Rami and Obturator Nerve Trunk Block), Standard Multimodal Analgesia.
- Who it may be relevant to
- Registry conditions: Osteoarthritis of the Hip, Postoperative Pain, Quality of Recovery. 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
- Turkey (Türkiye)
- 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
Effect of Femoral Rami and Obturator Nerve Trunk (FRONT) Block on Postoperative Quality of Recovery After Total Hip Arthroplasty: A Prospective Randomized Controlled Trial
Overview
This prospective randomized controlled trial evaluates the effect of ultrasound-guided unilateral Femoral Rami and Obturator Nerve Trunk (FRONT) block on postoperative quality of recovery in patients undergoing elective total hip arthroplasty.
Detailed description
Total hip arthroplasty (THA) is associated with significant postoperative pain that may impair early recovery. The Femoral Rami and Obturator Nerve Trunk (FRONT) block is a regional anesthesia technique targeting sensory innervation of the anterior hip capsule and may improve postoperative recovery while preserving motor function. This prospective randomized controlled trial aims to evaluate whether the addition of ultrasound-guided unilateral FRONT block to standard multimodal analgesia improves postoperative quality of recovery in patients undergoing THA.
Interventions
- Procedure FRONT Block (Femoral Rami and Obturator Nerve Trunk Block)
Ultrasound-guided unilateral FRONT block targeting the femoral rami and obturator nerve trunk will be performed - Procedure Standard Multimodal Analgesia
Standardized postoperative multimodal analgesia including intravenous paracetamol, nonsteroidal anti-inflammatory drugs, and rescue opioid analgesia as required.
Primary outcome measures
- Postoperative Quality of Recovery (QoR-15 Score) [Time frame: 24 hours after surgery]
Secondary outcome measures (6)
- Quality of Recovery (QoR-15) Score at 48 Hours [Time frame: 48 hours after surgery]
- Postoperative Pain Intensity [Time frame: 2, 6, 12, 24, and 48 hours after surgery]
- Total Opioid Consumption [Time frame: 0-24 hours after surgery]
- Time to First Rescue Analgesia [Time frame: Within the first 24 hours after surgery]
- Time to First Mobilization [Time frame: Within the first 48 hours after surgery]
- Quadriceps Motor Strength [Time frame: 0-48 hours after surgery]
Eligibility criteria
Inclusion criteria
- Age ≥ 18 years
- Scheduled for total hip arthroplasty under spinal anesthesia
- American Society of Anesthesiologists (ASA) physical status I-III
- Ability to understand and complete the QoR-15 questionnaire
- Provided written informed consent
Exclusion criteria
- Refusal to participate
- Contraindication to spinal anesthesia or regional block
- Allergy to study medications
- Chronic opioid use (daily use for more than 3 months)
- Neurological or neuromuscular disorders affecting the lower extremities
- Infection at the injection site
- Coagulation disorders
- Cognitive impairment prevents questionnaire completion
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
- Single blind
- Primary purpose
- Treatment
Study locations
Turkey (Türkiye) · 1 center
- Betul Kozanhan — Konya
Identifiers
NCT: NCT07458360 · FRONT BLOCK