Arthroplasty, Replacement, Hip, Pain, Postoperative, Ropivacaine, Therapeutic Use
Conditions
Keywords
US guided nerve block, Total hip Arthroplasty, NCFL, nervus cutaneous femoralis lateralis
Brief summary
The patients will be included the 1. or 2. day after surgery. All THA patients will be screened. Those reporting VAS \> 40 during active 30 degrees hip flexion will be asked to participate. Included patients will receive 2xNCFL (singleshot) first placebo (8 ml saline) and then ropivacaine (8 ml ropivacaine 7,5mg/ml) or the other way around (randomized). There will be 45 minutes between the two blockades. The blockades will be ultrasound guided.
Interventions
Arm RP is receiving 8 ml of ropivacaine 7,5 mg/ml at first blockade (NCFL) and after 45 minutes another blockade (NCFL) with placebo (saline 8ml). Arm PR is receiving 8 ml of placebo (saline) at first blockade (NCFL) and after 45 minutes another blockade (NCFL) with ropivacaine 8 ml.
Arm RP is receiving 8 ml of ropivacaine 7,5 mg/ml at first blockade (NCFL) and after 45 minutes another blockade (NCFL) with placebo (saline 8ml). Arm PR is receiving 8 ml of placebo (saline) at first blockade (NCFL) and after 45 minutes another blockade (NCFL) with ropivacaine 8 ml.
Sponsors
Study design
Eligibility
Inclusion criteria
* THA within 48 hours and VAS\>40 during active 30 degrees hip flexion despite conventional pain medication. * informed consent * ASA 1-3 * BMI 18-40
Exclusion criteria
* Unable to communicate in danish * Allergic reactions toward drugs used * Abuse of alcohol/drugs * Unable to cooperate * Pregnant women
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Difference in VAS between NCFL and placebo during active 30 degrees hip flexion | 45 min |
Secondary
| Measure | Time frame |
|---|---|
| Difference in mean VAS between the groups during active hip flexion | 15, 30, 45, 60, 75, 90 min |
| Difference in mean VAS between the groups at rest | 15, 30, 45, 60, 75, 90 min |
Countries
Denmark