Pelvic instability Sacroiliac joint dysfunction
Conditions
Interventions
Intra-articular injection with 1.5-5 cc bupivacaine 0.25% or placebo (1.5-5 cc
NaCl 0.9%)
Sponsors
Zuyderland Medisch Centrum
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: 1. Indication for MISJF surgery. 2. Age over and equal to 18 years. 3. Informed consent prior to this study.
Exclusion criteria
Exclusion criteria: 1. Revision surgery. 2. Intraoperative inability to infiltrate the SI joint. 3. Contra-indications for the use of bupivacaine or other amide type local anesthetics, anesthesia or surgery. 4. Inadequate command of the Dutch language.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary endpoints: group difference in NRS pain score during the first 48h after surgery between intervention and placebo, with interval measurements at recovery entry, recovery exit, 2, 4, 6 and 24 hours. Secondary endpoints: Total postoperative opioid consumption at 48 hours postoperatively with interim measurements at 2, 4, 6 and 24 hours. Patient satisfaction (measured by EQ-5D and GSRI), hospital stay in days and number of adverse events. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. To determine whether SI joint infiltration with bupivacaine 0.25% leads to a reduction in cumulative opioid use until 48 hours postoperatively with measurements at 2, 4, 6, 24 and 48 hours compared to placebo. 2. To determine whether SI joint infiltration with bupivacaine 0.25% leads to higher patient satisfaction than placebo. 3. To determine whether SI joint infiltration with bupivacaine 0.25% leads to shorter hospital stay than placebo. 4. To determine whether SI joint infiltration with bupivacaine 0.25% leads to less adverse events than placebo. | — |
Countries
Netherlands
Outcome results
None listed