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| Name | Class |
|---|---|
| Hospital Universitaio Getafe | UNKNOWN |
| Hospital Rio Hortega | UNKNOWN |
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The main objective of the study is to assess whether the performance of type 2 quadratus lumborum block produces an improvement in the quality of life of the patient with osteoarthritis of the hip.
The quadratus lumborum block is an interfascial block of the posterior wall of the abdomen, initially described for the management of postoperative pain in abdominal surgery due to its suggested effect on the T7-11 roots. The analgesic efficacy of type 1 quadratus lumborum block (QL1) in hip surgery was subsequently published. Regarding chronic pain, QL2 has been successfully performed in posttherniorrhaphy pain or pancreatic cancer.
This quadratus lumborum type 2 or posterior, is performed in the patients with hip joint based on the innervation of the hip and taking the role of thoraco-lumbar fascia in the analgesia of these patients as a reference. The good results obtained in the first 5 patients have led us to evaluate whether this blockade can indeed be an analgesic alternative in patients with coxarthrosis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| quadratus lumborum | analgesic technique. The evaluation of the patient will consist of 2 stages. The first of these will consist of the evaluation consultation (clinical history, EVN evaluation, WOMAC) and initial treatment (QL2 block). In the second stage, the patient will be followed up with interviews at 3 weeks, 3 and 6 months. |
| |
| Control | Current analgesia , no QL block apply |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| levobupivacaine | Drug | local anesthetic |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| relieve chronic hip pain | The main objective of the study is to assess whether the performance of type 2 lumbar .square block produces an improvement in the quality of life of the patient with osteoarthritis of the hip. The evaluation of the patient will consist of 2 stages. The first of these will consist of the evaluation consultation evaluation with verbal numeric scale (VNS: 0 no dolor-10 the worst pain imaginable ) if patients improve their quality of pain | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| rate of adverse effects of the block | find if there is complications (hematome, kidney punction...) | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| relieve chronic pain at 6 month | the main objective was to asses how long was the effect of the analgesia | 6 months |
Inclusion Criteria:
Exclusion Criteria:
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patient with coxalgia
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| Name | Affiliation | Role |
|---|---|---|
| Maria Teresa Fernandez | Hospital Medina del Campo | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| MarÃa Teresa Fernandez | Valladolid | Castille and León | 47008 | Spain |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30386022 | Background | Adhikary SD, Short AJ, El-Boghdadly K, Abdelmalak MJ, Chin KJ. Transmuscular quadratus lumborum versus lumbar plexus block for total hip arthroplasty: A retrospective propensity score matched cohort study. J Anaesthesiol Clin Pharmacol. 2018 Jul-Sep;34(3):372-378. doi: 10.4103/joacp.JOACP_335_17. | |
| 27730633 | Background |
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| ID | Term |
|---|---|
| D000077554 | Levobupivacaine |
| D014463 | Ultrasonography |
| ID | Term |
|---|---|
| D002045 | Bupivacaine |
| D000813 | Anilides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000814 |
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| ultrasound device | Device | scream |
|
| Adhikary SD, El-Boghdadly K, Nasralah Z, Sarwani N, Nixon AM, Chin KJ. A radiologic and anatomic assessment of injectate spread following transmuscular quadratus lumborum block in cadavers. Anaesthesia. 2017 Jan;72(1):73-79. doi: 10.1111/anae.13647. Epub 2016 Oct 12. |
| 31767198 | Background | Fernandez Martin MT, Lopez Alvarez S, Ortigosa Solorzano E. Quadratus lumborum block. New approach for a chronic hip pain. Cases report. Rev Esp Anestesiol Reanim (Engl Ed). 2020 Jan;67(1):44-48. doi: 10.1016/j.redar.2019.10.001. Epub 2019 Nov 22. English, Spanish. |
| 36930793 | Background | Fernandez MT, Aguirre JA, Lopez S. Posterior Quadratus Lumborum Block, A Novel Approach to Treat Chronic Hip Pain: A Case Series. A A Pract. 2023 Mar 17;17(3):e01671. doi: 10.1213/XAA.0000000000001671. eCollection 2023 Mar 1. |
| 36282230 | Result | Fernandez Martin MT, Ortigosa E, Aguirre JA. Posterior quadratus lumborum block in chronic hip pain, preliminary results from a prospective study. Minerva Anestesiol. 2023 Mar;89(3):231-233. doi: 10.23736/S0375-9393.22.16892-6. Epub 2022 Oct 25. No abstract available. |
| 40214220 | Derived | Fernandez Martin MT, Aguado-Maestro I, Aguirre JA. Posterior quadratus lumborum block, a novel approach to treat chronic hip pain: a cohort study. Minerva Anestesiol. 2025 Sep;91(9):800-807. doi: 10.23736/S0375-9393.25.18749-X. Epub 2025 Apr 11. |
| Aniline Compounds |
| D000588 | Amines |
| D003952 | Diagnostic Imaging |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |