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Prospective, Randomized Controlled Trial Comparing Continuous Posterior Lumbar Plexus Nerve Block vs Periarticular Injection With Ropivacaine or Liposomal Bupivacaine (Exparel®) on Patients Undergoing Total Hip Arthroplasty
Total hip arthroplasty is a one of the most commonly performed surgical procedures with increasing numbers anticipated over the next several decades. The purpose of this study was to find a better way to make patients comfortable after their hip surgery. Three different ways of providing pain relief were compared, a peripheral nerve block in the lower back outside of the spinal space (using bupivacaine, a numbing medicine), or injections around the hip joint with one of two different medicines, either Ropivacaine or Liposomal Bupivacaine (Exparel®).
Details
| Lead sponsor | Mayo Clinic |
|---|---|
| Phase | Phase 4 |
| Status | COMPLETED |
| Enrolment | 165 |
| Start date | 2014-09 |
| Completion | 2016-09 |
Conditions
- Total Hip Arthroplasty
Interventions
- PNB Bupivacaine
- PAI Ropivacaine
- PAI liposomal bupivacaine
- Epinephrine
- Ketorolac
Primary outcomes
- Maximum Postoperative Pain Score — Post-Operative Day 1 (0600-1200)
Pain was measured on an ascending numeric rating scale (NRS) from 0-10 where 1-3 equaled mild pain, 4-6 equaled moderate pain, 7-9 equaled severe pain, and 10 equaled worst possible pain.
Countries
United States