[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100655678":3},{"organization":4,"outcomesModule":7,"designInfo":31,"detailedDescription":40,"studyPopulation":30,"armGroups":41,"interventions":53,"overallOfficials":30,"centralContacts":61,"locations":67,"responsibleParty":83,"collaborators":30,"id":87,"slug":88,"hasResults":89,"nctId":90,"briefTitle":91,"officialTitle":92,"acronym":30,"eligibilityCriteria":93,"healthyVolunteers":89,"sex":94,"minAge":95,"maxAge":96,"enrollmentInfo":97,"targetDuration":30,"studyType":100,"phases":101,"briefSummary":103,"conditions":104,"keywords":30,"overallStatus":69,"whyStopped":30,"lastUpdateSubmitDate":108,"lastUpdatePostDateStruct":109,"startDateStruct":112,"completionDateStruct":113,"leadSponsor":115,"locationsCount":116},{"fullName":5,"class":6},"Tanta University","OTHER",{"primaryOutcomes":8,"secondaryOutcomes":13,"otherOutcomes":30},[9],{"measure":10,"description":11,"timeFrame":12},"Total morphine consumption","Rescue analgesia of morphine will be given as 3 mg bolus if the numeric rating scale (NRS) \\> 3 to be repeated after 30 min if pain persists until the NRS \\\u003C 4.","24 hours postoperatively",[14,17,20,23,27],{"measure":15,"description":16,"timeFrame":12},"Degree of pain","Each patient will be instructed about postoperative pain assessment with the numeric rating scale (NRS) score. NRS (0 represents \"no pain\" while 10 represents \"the worst pain imaginable\"). NRS will be assessed at post-anesthesia care unit (PACU), 2, 4, 6, 12, and 24 h postoperatively.",{"measure":18,"description":19,"timeFrame":12},"Time to the 1st rescue analgesia","Time to the first request for rescue analgesia will be recorded from the end of block to first dose of morphine administrated.",{"measure":21,"description":22,"timeFrame":12},"Time for ambulation","Time to ambulation: the time interval (in hours) from the end of surgery to the first successful mobilization of the patient, defined as the ability to stand and walk at least 3-5 steps with or without assistance.",{"measure":24,"description":25,"timeFrame":26},"Length of hospital stay","Length of hospital stay will be recorded from admission till the discharge from hospital.","Till the discharge from hospital (Up to 2 weeks)",{"measure":28,"description":29,"timeFrame":12},"Incidence of adverse events","Incidence of adverse events such as bradycardia, hypotension, nausea, vomiting, respiratory depression, or any other complication will be recorded.",null,{"allocation":32,"interventionModel":33,"interventionModelDescription":30,"primaryPurpose":34,"observationalModel":30,"timePerspective":30,"maskingInfo":35},"RANDOMIZED","PARALLEL","TREATMENT",{"masking":36,"maskingDescription":30,"whoMasked":37},"DOUBLE",[38,39],"PARTICIPANT","OUTCOMES_ASSESSOR","Total hip arthroplasty (THA) is a common orthopedic procedure for end-stage hip diseases such as osteoarthritis and avascular necrosis. It is highly effective in relieving pain and restoring function.\n\nThe quadratus lumborum block (QLB) is one such fascial plane technique. It provides analgesia through spread of local anesthetics within the thoracolumbar fascia. This allows potential involvement of lumbar plexus branches.\n\nThe Quadroiliac Plane Block (QIPB) is a newer regional technique for hip and pelvic surgery. It targets fascial planes near the iliac region to block sensory innervation of the hip. Early studies suggest it may provide effective postoperative analgesia.",[42,48],{"label":43,"type":44,"description":45,"interventionNames":46},"Group QIP","EXPERIMENTAL","Patients will receive an ultrasound-guided Quadroiliac Plane Block (QIPB) using 20 mL of bupivacaine 0.25%.",[47],"Drug: Quadroiliac Plane Block",{"label":49,"type":44,"description":50,"interventionNames":51},"Group QLB","Patients will receive ultrasound-guided quadratus lumborum block (QLB) (transmuscular approach) using 20 mL of 0.25% bupivacaine.",[52],"Drug: Transmuscular quadratus lumborum block",[54,58],{"type":55,"name":56,"description":45,"armGroupLabels":57,"otherNames":30},"DRUG","Quadroiliac Plane Block",[43],{"type":55,"name":59,"description":50,"armGroupLabels":60,"otherNames":30},"Transmuscular quadratus lumborum block",[49],[62],{"name":63,"role":64,"phone":65,"phoneExt":30,"email":66},"Mohammed S Elsharkawy, MD","CONTACT","00201148207870","mselsharkawy@med.tanta.edu.eg",[68],{"facility":5,"status":69,"city":70,"state":71,"zip":72,"country":73,"countryCode":74,"cosmosGeoPoint":75,"geoPoint":80,"contacts":81},"RECRUITING","Tanta","El-Gharbia","31527","Egypt","EG",{"type":76,"coordinates":77},"Point",[78,79],31.00192,30.78847,{"lat":79,"lon":78},[82],{"name":63,"role":64,"phone":65,"phoneExt":30,"email":66},{"type":84,"investigatorFullName":85,"investigatorTitle":86,"investigatorAffiliation":5,"oldNameTitle":30,"oldOrganization":30},"PRINCIPAL_INVESTIGATOR","Mohammed Said ElSharkawy","Lecturer of Anesthesiology, Surgical Intensive Care and Pain Medicine, Faculty of Medicine, Tanta University, Tanta, Egypt.","100655678","quadroiliac-plane-block-versus-transmuscular-quadratus-lumborum-block-for-postoperative-analgesia-after-total-hip-arthroplasty-100655678",false,"NCT07815145","Quadroiliac Plane Block Versus Transmuscular Quadratus Lumborum Block for Postoperative Analgesia After Total Hip Arthroplasty","Quadroiliac Plane Block Versus Transmuscular Quadratus Lumborum Block for Postoperative Analgesia After Total Hip Arthroplasty: A Randomized Clinical Trial","Inclusion Criteria:\n\n* Age 18-75 years.\n* Both sexes.\n* American Society of Anesthesiologists (ASA) classification I-III.\n* Scheduled for elective primary unilateral total hip arthroplasty under spinal anesthesia.\n\nExclusion Criteria:\n\n* Allergy to local anesthetics.\n* Infection at the injection site.\n* Coagulopathy or bleeding disorders.\n* Neuromuscular disorders.\n* Chronic opioid use or dependence.\n* Body mass index (BMI) \\> 40 kg\u002Fm².\n* Severe cardiac, hepatic, renal, or respiratory dysfunction.\n* Contraindication to regional anesthesia.","ALL","18 Years","75 Years",{"count":98,"type":99},40,"ESTIMATED","INTERVENTIONAL",[102],"NA","This study aims to evaluate and compare the postoperative analgesic efficacy, opioid consumption, motor function preservation, and quality of recovery of ultrasound-guided Quadroiliac Plane Block (QIPB) versus transmuscular quadratus lumborum block (QLB) in patients undergoing THA under spinal anesthesia.",[56,105,106,107],"Transmuscular Quadratus Lumborum Block","Postoperative Analgesia","Total Hip Arthroplasty","2026-09-12",{"date":110,"type":111},"2026-09-15","ACTUAL",{"date":108,"type":111},{"date":114,"type":99},"2027-02-01",{"name":5,"class":6},1]