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Efficacy of an Epidural Versus a Fascia Iliaca Compartment Catheter After Hip Surgery

Boston Children's Hospital logo

Boston Children's Hospital

Status

Withdrawn

Conditions

Postoperative Pain

Treatments

Procedure: Epidural catheter is used postoperatively
Procedure: Fascia iliaca compartment catheter is used postoperatively

Study type

Interventional

Funder types

Other

Identifiers

Details and patient eligibility

About

The investigators are investigating two ways of treating pain after hip surgery. One way is though a thin tube (called a catheter), and it is placed into the back so that pain-numbing drugs can reach the nerves near the backbone. This is called an "epidural" catheter. Another way is to place the catheter close to the hip, where the surgery is done, so that the pain-numbing drugs can reach some of the nerves more locally. This is called a "fascia iliaca compartment" catheter.

The investigators do not know which way is best to treat pain, or has fewer side effects, or allows a patient to leave hospital faster. Usually, patients would receive only one type of catheter for pain relief. To do this comparison, the investigators would place both catheter types, so that patients help us tell which one works better.

Sex

All

Ages

15 to 35 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Weight >40 kg
  • Radiographic evidence of hip dysplasia amenable to unilateral surgical treatment by periacetabular osteotomy
  • Western Ontario and McMaster Universities Arthritis Index (WOMAC) pain subscale >4/20
  • Age between 15 and 35 years
  • Good or excellent preoperative joint congruency

Exclusion criteria

  • Hematologic or neurologic contraindications to epidural catheter placement
  • Significant renal, hepatic, or cardiac disease
  • Peptic ulcer disease
  • Bleeding disorders
  • Severe asthma
  • Hypersensitivity to non-steroidal antiinflammatory drugs
  • Developmental delay
  • History of substance abuse
  • Chronic opioid use
  • Chronic pain in non-hip locations

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Double Blind

0 participants in 2 patient groups

Epidural
Active Comparator group
Description:
Epidural catheter is used postoperatively
Treatment:
Procedure: Epidural catheter is used postoperatively
Fascia Iliaca Compartment
Experimental group
Description:
Fascia iliaca compartment catheter is used postoperatively
Treatment:
Procedure: Fascia iliaca compartment catheter is used postoperatively

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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