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CompletedNCT03064165Updated Sep 10, 2018

Postoperative Analgesia After Elective Hip Surgery - Effect of Obturator Nerve Blockade

A Phase 4 interventional study of Bupivacaine-epinephrine and Sham block in Obturator Nerve Block and Total Hip Replacement, sponsored by University of Aarhus. Completed at 1 site in Denmark. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2018-09-10.

Sponsored by University of Aarhus · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
62
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The study investigates the effect of an obturator nerve block on the postoperative pain and opioid consumption after total hip replacement.

02

Conditions studied

  • Obturator Nerve Block
  • Total Hip Replacement
03

In context

Lead sponsor

University of Aarhus is the lead sponsor of 1,274 studies on the registry; 183 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients for primary hip replacement in spinal anesthesia
  • Age >= 18 years
  • American Society of Anesthesiologists physical status classification score I-III
  • Informed consent

Exclusion criteria

Exclusion Criteria:

  • Lacking the ability to corporate
  • Lacking the ability to speak danish
  • Planned discharge on the same day of surgery
  • Neuropathy of the lower extremities
  • Contraindications for NonSteroidal Anti-Inflammatory Drugs (NSAID)
  • Contraindications for dexamethasone
  • Chronic opioid demanding pain
  • Pregnancy
  • Allergy towards one or both investigatory medicinal products
  • Active treatment with amiodarone
  • Active treatment with verapamil
  • Active treatment with corticosteroids
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
62 participants (actual)

Study arms

  • Experimental
    Obturator nerve block

    Postoperative obturator nerve block with 15 mL bupivacain 5 mg/mL and epinephrine 5 µg/mL.

    Drug: Bupivacaine-epinephrine · Procedure: Obturator nerve block

  • Placebo comparator
    Sham block

    Postoperative sham-block with normal saline.

    Procedure: Sham block · Drug: Sodium Chloride 9mg/mL

Interventions

  • DrugBupivacaine-epinephrine

    Nerve block with 15 mL bupivacain 5 mg/mL with epinephrine 5 µg/mL.

  • ProcedureSham block

    Injection as for obturator nerve block, but with placebo

  • ProcedureObturator nerve block

    Postoperative obturator nerve block

  • DrugSodium Chloride 9mg/mL

    Placebo

06

What researchers measure

Primary outcomes

  1. Opioid dose 0-12 hour after total hip replacement

    Cumulated dose of opioid 0-12 hour after total hip replacement

    Time frame: 0-12 hour after completion of total hip replacement

Secondary outcomes

  1. Cumulated dose of opioid 12-18 hours after total hip replacement.

    Time frame: 12-18 hours after completion of total hip replacement

  2. Pain at rest at time of examination (numeric rating scale)

    Time frame: 1, 2, 5, 7 and 24 hours after completion of total hip replacement

  3. Pain at passive 90-degree hip flexion (numeric rating scale)

    Time frame: 1, 2, 5, 7 and 24 hours after completion of total hip replacement

  4. Worst pain during ambulation on the day of surgery

    Time frame: 5 hours after completion of total hip replacement

  5. Time from completion of surgery to first dose of opioid

    Time frame: 24 hours after completion of total hip replacement

  6. Intensity of nausea on time of examination (numeric rating scale)

    Time frame: 1, 2, 5, 7 and 24 hours after completion of total hip replacement

  7. Incidences of emesis 0-18 hours after total hip replacement.

    Time frame: 0-18 hours after completion of total hip replacement

  8. Cumulated dose of ondansetron 0-18 hours after total hip replacement

    Time frame: 0-18 hours after completion of total hip replacement

  9. Cumulated dose of droperidol 0-18 hours after total hip replacement

    Time frame: 0-18 hours after completion of total hip replacement

  10. Length of stay on post anesthesia care unit after completion of total hip replacement

    Time frame: 24 hours after completion of total hip replacement

  11. Length of stay on hospital after completion of total hip replacement

    Time frame: Up to 2 days

  12. Ability to ambulate 5 hours after surgery

    Ability to sit, stand, walk with tall rollator and walk with crutches

    Time frame: 5 hours after completion of total hip replacement

  13. Motor control with operated leg

    Physiotherapist evaluating motor control with operated leg during ambulation.

    Time frame: 5 hours after completion of total hip replacement

  14. Self-reported sleep quality the first night after total hip replacement

    Self-reported sleep quality on a 3-point-scale: 2 = Undisturbed sleep; 1 = Sleep disturbed by other reasons than pain; 0 = Sleep disturbed by pain.

    Time frame: 24 hours after completion of total hip replacement

  15. Duration of spinal anesthesia

    Time from end of operation until regain of normal sensibility on anterior femur.

    Time frame: 0-4 hours after completion of total hip replacement

07

Study locations

1 site
  • Elective Surgery Centre
    Silkeborg, DK-8600, Denmark
08

References and documents

Publications

  • Nielsen ND, Runge C, Clemmesen L, Borglum J, Mikkelsen LR, Larsen JR, Nielsen TD, Soballe K, Bendtsen TF. An Obturator Nerve Block does not Alleviate Postoperative Pain after Total Hip Arthroplasty: a Randomized Clinical Trial. Reg Anesth Pain Med. 2019 Jan 23:rapm-2018-100104. doi: 10.1136/rapm-2018-100104. Online ahead of print. PubMed 30679337 ↗

Individual participant data

Plan to share: Undecided — Data will be shared through the Danish Data Archive.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 10, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03064165
Lead sponsor
University of Aarhus
Collaborators
Elective Surgery Centre, Silkeborg Regional Hospital
Responsible party
Niels Dalsgaard Nielsen (MD, PhD-fellow, University of Aarhus) — Principal investigator
First posted
Feb 24, 2017
Start date
Aug 15, 2017
Primary completion
Jun 8, 2018
Completion
Jun 8, 2018
Last update
Sep 10, 2018

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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