Femoroacetabular Impingement
Conditions
Keywords
Fascia Iliaca Block, Local Anaesthetic Infiltration, Hip Arthroscopy
Brief summary
A prospective randomised controlled trial involving patients undergoing hip arthroscopy. Participants were randomised to receiving either Fascia Iliaca Compartment Block (FICB) or Local Anaesthetic Infiltration (LAI) of the portal tracts with local anaesthetic. Supplemental analgesia was also used in both groups on an on-demand basis. Pain level is assessed at 1,3,6, and 24 hours post surgery. The primary outcome measure was the post-operative level of pain as assessed by Numeric Pain Score 6 hours after surgery. Secondary outcome measures were the frequency and the dose of morphine and other medications consumed at 1 and 24 hours after surgery as well as any other adverse events relating to pain or medications used for pain relief in both the groups.
Interventions
Fascia Iliaca Compartment Block
Local Anaesthetic Infiltration (LAI) of the portal tracts
Levobupivacaine 0.125% - 40ml
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients over the age of 18 years * Primary elective hip arthroscopy on a native hip for combined soft tissue injuries and FAI pathology * Able to read, write and communicate in English
Exclusion criteria
* Patients who did not want to be involved in the Trial * Unable to give informed consent * Previous hip surgery * Patients younger than 18 years of age * Chronic opioids users * Patients known to have an allergy or intolerance to local anaesthetic agents or none steroidal anti-inflammatory medications
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Level of pain as assessed by Numeric Pain Score | 6 hours after surgery |
Secondary
| Measure | Time frame |
|---|---|
| Frequency of morphine consumed | 1 and 24 hours after surgery |
| Total dose of morphine consumed | 1 and 24 hours after surgery |
| Total dose of codeine consumed | 1 and 24 hours after surgery |
| Nausea and Vomiting | 1 and 24 hours after surgery |