Actively Recruiting
PENG Block vs. Intraoperative Local Anesthetic Infiltration for Total Hip Arthroplasty
Led by London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's · Updated on 2025-09-18
60
Participants Needed
1
Research Sites
86 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Currently, the analgesic standard of care for patients undergoing total hip arthroplasty (THA) at our centre is intraoperative infiltration with a solution of local anesthetic, morphine (opioid), and ketorolac (nonsteroidal anti-inflammatory drug - NSAID). If a patient has a contraindication for the use of an opioid or NSAIDs, this infiltration is performed with a plain local anesthetic. No blocks (numbing of certain nerves to prevent pain from occurring in that area) are performed for postoperative pain in these patients. The pericapsular nerve group (PENG) block is a recently described technique with limited data in the literature that has assessed the benefits of using this nerve block for THA procedures. The purpose of this study is to investigate if the ultrasound-guided PENG block can provide non-inferior postoperative analgesia compared to local intraoperative anesthetic infiltration (ILAI) with an associated cost benefit for patients undergoing THA.
CONDITIONS
Official Title
PENG Block vs. Intraoperative Local Anesthetic Infiltration for Total Hip Arthroplasty
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Adult patient (>18 years old)
- Undergoing total hip arthroplasty with a direct lateral surgical approach (transgluteal approach)
- Able to provide verbal or written consent to participate in this trial
You will not qualify if you...
- Contraindication for spinal anesthesia
- Contraindication for regional analgesia
- Undergoing total hip arthroplasty with a direct anterior surgical approach
- Undergoing total hip arthroplasty for hip revision
- Undergoing total hip arthroplasty under One Day Stay (ODS) admission
- Received opioids intrathecally
- Residual motor block six hours after completion of spinal anesthesia
- History of regular opioid use for more than three months
- Unable to perform knee extension on the operated side
- Pregnancy
AI-Screening
AI-Powered Screening
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Trial Site Locations
Total: 1 location
1
London Health Sciences Centre
London, Ontario, Canada
Actively Recruiting
Research Team
S
Shalini Dhir, FRCPC
CONTACT
R
Rodrigo Araujo Monteiro da Silva, MD
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
DOUBLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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