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Nielsen et al. reported that when iliopsoas plane block was performed on healthy volunteers, the injection solution in Hip MRI was confined to the myofascial compartment, which was known to include all sensory branches of the femoral nerve that control the hip joint. The maximal muscle strength of knee extension did not decrease before and after Iliopsoas plane block in Volunteer. Since there is no clinical study conducted on patients after the volunteer study, the investigators intend to evaluate the analgesic and motor preserving effects of the iliopsoas plane block in a group of patients undergoing total hip arthroplasty.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| liopsoas plane block group | Experimental | Arm Description: a iliopsoas plane block before surgery |
|
| sham block group | Sham Comparator | sham block before surgery |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| iliopsoas plane block group | Procedure | Ultrasound-guided iliopsoas plane block with 0.75% ropivacaine 10 ml and epinephrine 0.05 ml (1:200,000) 10 ml |
|
| Measure | Description | Time Frame |
|---|---|---|
| Numeric rating scale pain score at rest | Pain intensity at rest will be evaluated by an 11-point numeric rating scale (NRS: 0 = no pain, 10 = worst imaginable pain) 1, 6, 24, and 48 hours after the surgery. | up to 48 hours after the surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Numeric rating scale pain score at movement | Pain intensity during 45-degree passive flexion of the hip with the ipsilateral knee flexed naturally will be evaluated by an 11-point numeric rating scale (NRS: 0 = no pain, 10 = worst imaginable pain) 1, 6, 24, and 48 hours after the surgery. | up to 48 hours postoperatively |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ji Yeong Kim | Seoul | South Korea |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38286736 | Derived | Kim JY, Lee JS, Kim JY, Yoon EJ, Lee W, Lee S, Kim DH. Iliopsoas plane block does not improve pain after primary total hip arthroplasty in the presence of multimodal analgesia: a single institution randomized controlled trial. Reg Anesth Pain Med. 2025 Mar 5;50(3):257-263. doi: 10.1136/rapm-2023-105092. |
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Parallel assignment
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Double
| sham block group | Procedure | Ultrasound-guided iliopsoas plane block with normal saline 10 ml |
|
| Postoperative opioid consumption |
morphine equivalent dose |
| postoperative 24, 48hours |