Comparing Different Local Anesthesia Methods to Reduce Pain After Hip Surgery Periacetabular Osteotomy in Teens and Adults

What this Trial Is About

Researchers are evaluating peri-incisional local infiltrative anesthesia PLIA methods in patients aged 13 to 50 undergoing periacetabular osteotomy PAO for hip dysplasia. The study aims to determine if PLIA affects post-operative pain and pain medication use, and whether the timing of PLIA administration influences these outcomes. Participants will complete surveys including demographics, self-efficacy, and pain resilience scores, while other data will be collected from medical records. Participants are randomly assigned to one of three groups no PLIA standard care pain management, PLIA administered after incision closure using a pediatric catheter, or PLIA administered throughout the surgical procedure. The PLIA consists of a combination of ropivacaine, epinephrine, ketorolac, and saline, with dosing adjusted based on patient weight. All groups receive the same standard post-operative pain medications as needed. Patients will be approached at their preoperative appointment to consent and complete surveys via tablet or computer. Postoperative pain levels and narcotic use will be tracked through medical record review until hospital discharge, typically about three days. The primary outcomes include pain scores in the Post Anesthesia Care Unit and up to 24 hours and medication use during the hospital stay. Secondary outcomes assess depression, self-efficacy, and pain resilience before surgery. Participants remain blinded to their group until their three-month follow-up visit.

Can PLIA Reduce Early Post-operative Pain After PAO Surgery?