FRONT Block for Quality of Recovery After Total Hip Arthroplasty
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorKonya Meram State Hospital
About this trial
This prospective randomized controlled trial evaluates the effect of ultrasound-guided unilateral Femoral Rami and Obturator Nerve Trunk (FRONT) block on postoperative quality of recovery in patients undergoing elective total hip arthroplasty.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥ 18 years
Scheduled for total hip arthroplasty under spinal anesthesia
American Society of Anesthesiologists (ASA) physical status I-III
Ability to understand and complete the QoR-15 questionnaire
Disqualifiers
Refusal to participate
Contraindication to spinal anesthesia or regional block
Allergy to study medications
Chronic opioid use (daily use for more than 3 months)
Trial design
Design model
Parallel
Treatments tested in this trial
FRONT Block (Femoral Rami and Obturator Nerve Trunk Block)
Procedure/SurgeryUltrasound-guided unilateral FRONT block targeting the femoral rami and obturator nerve trunk will be performed
Standard Multimodal Analgesia
Procedure/SurgeryStandardized postoperative multimodal analgesia including intravenous paracetamol, nonsteroidal anti-inflammatory drugs, and rescue opioid analgesia as required.
Treatment groups
80 Participants
are divided into 2 treatment groupsGroup A: FRONT Block GroupExperimental treatment 2 interventions
Group B: Control GroupActive comparator 1 intervention
Trial outcomes
Primary outcomes
1
Postoperative Quality of Recovery (QoR-15 Score)
Postoperative quality of recovery will be assessed using the validated Quality of Recovery-15 (QoR-15) questionnaire. The total score ranges from 0 to 150, with higher scores indicating better recovery.
Time frame
24 hours after surgerySecondary outcomes
1
Quality of Recovery (QoR-15) Score at 48 Hours
Quality of recovery will be assessed using the validated Quality of Recovery-15 (QoR-15) questionnaire (0-150, higher scores indicate better recovery).
Time frame
48 hours after surgery2
Postoperative Pain Intensity
Pain intensity will be assessed using an 11-point Numeric Rating Scale (NRS), where 0 indicates no pain and 10 indicates the worst imaginable pain.
Time frame
2, 6, 12, 24, and 48 hours after surgery3
Total Opioid Consumption
Total postoperative opioid consumption during the first 24 hours will be recorded and converted to intravenous morphine milligram equivalents (MME).
Time frame
0-24 hours after surgery4
Time to First Rescue Analgesia
Time from the end of surgery to the first rescue opioid administration will be recorded
Time frame
Within the first 24 hours after surgerySponsors and contacts
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Source ClinicalTrials.gov