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CompletedNCT06519955PILA PAOUpdated Oct 7, 2026

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

A Phase 2/3 interventional study of Ropivacaine, Epinephrine, Ketorolac, NaCl (Saline) in Hip Dysplasia, sponsored by Michael C Willey. Completed at 1 site in United States. Open to participants aged 13 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-10-07.

Sponsored by Michael C Willey · Phase 2/3, Interventional, and Supportive care

Updated Oct 7, 2026Now CompletedEnrollment updatedGo to Updates ↓
Phase
Phase 2/3
Study type
Interventional
Enrollment
121
Allocation
Randomized
Ages
13 Years to 50 Years
Sex
All
01

Study summary

The goal of this clinical trial is to compare different peri-incisional local infiltrative anesthesia (PLIA) methods in patients ages 13 to 50 undergoing a periacetabular osteotomy (PAO). The main questions to answer here are:

  1. Does PLIA impact post-operative pain after PAO?
  2. Does PLIA impact pain medication usage as measured by morphine equivalent dosing (MED) after PAO?
  3. Does the timing of PLIA administration impact post-operative pain and MED after PAO? Participants will be asked to complete some surveys; demographics survey, General Self-Efficacy Scale (GSE) and the Pain Resilience Scale. All other information will be gathered from the patients medical chart.

Researchers will compare three groups. 1.) Patients who do not receive PLIA. 2.) Patients who receive PLIA after their incision is closed. 3.) Patients who receive PLIA throughout PAO.

Read the detailed description

Patients will be approached at their preoperative appointment. This is the only time researchers will conduct study related activities with patients. All other information will be gathered by chart review. Following consent, patients will be asked to complete surveys through REDCap® using a tablet or computer. These include a self-efficacy survey and a grit survey. Patients will then be randomized in a 1:1:1 ratio. 1.) Patients who do not receive PLIA. 2.) Patients who receive PLIA after their incision is closed. 3.) Patients who receive PLIA throughout PAO.

Patients will be blinded to which group they are in, meaning they will not know whether they received the injection or not. Patients may ask to be told what study group they were in at their standard-of-care, 3 month follow-up visit.

Following surgery, patients in all treatment arms will be provided with the same intravenous (patient-controlled analgesia) and oral pain medications scheduled as needed per standard of care.

The research team will review patient medical records to record narcotic use and visual analog scale (VAS) pain scores post-operatively until discharge from the hospital.

02

Conditions studied

  • Hip Dysplasia

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Keywords

  • Hip Dysplasia
  • Periacetabular Osteotomy
  • PLIA
  • Peri-Incisional Local Infiltrative Anesthesia
03

In context

Hip Dislocation

107 studies on the registry are indexed under Hip Dislocation; 36 are open to participants now.

This study's enrollment of 121 is above the median of 86 across 64 interventional studies indexed under Hip Dislocation.

Browse Hip Dislocation studies →

Lead sponsor

Michael C Willey is the lead sponsor of 4 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
13 Years to 50 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Adolescent or young adult diagnosed with hip dysplasia indicated for PAO at University of Iowa Hospital and Clinics.

Exclusion criteria

Exclusion Criteria:

  • Unable to provide .
  • Pregnant or breast-feeding individuals
  • Prisoner or ward of the state
  • Allergy or medical contradiction to any of the study medications
  • Patients undergoing femoral osteotomy or surgical hip dislocation with PAO will be excluded
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
121 participants (actual)

Study arms

  • No intervention
    Control

    No medication administration. Standard of care medications will be offered.

  • Active comparator
    Post Closure

    Once the fascia has been closed, the PLIA will be administered using a pediatric catheter.

    Combination Product: Ropivacaine, Epinephrine, Ketorolac, NaCl (Saline)

  • Active comparator
    Throughout Procedure

    The injection will be performed throughout the surgical procedure.

    Combination Product: Ropivacaine, Epinephrine, Ketorolac, NaCl (Saline)

Interventions

  • Combination productRopivacaine, Epinephrine, Ketorolac, NaCl (Saline)

    Weight 50-74.9 kg: * ropivacaine 100mg/epinephrine 50 mcg/ketorolac 15mg in NaCl 0.9% 60mL * 2 vials of this for 120mL total Weight 75-99.9 kg: * Ropivacaine 150mg/epinephrine 100 mcg/ketorolac 15mg in NaCl 0.9% 60mL * 2 vials of this for 120mL total Weight 100+ kg: * Ropivacaine 200mg/epinephrine 150 mcg/ketorolac 15 mg in NaCl 0.9% 60mL * 2 vials of this for 120mL total

06

What researchers measure

Primary outcomes

  1. Post-operative pain after periacetabular osteotomy.

    Severity of pain will be measured by collection of the visual analog scale (VAS) for pain. Scale of 1-10.

    Time frame: Post Anesthesia Care Unit (PACU), 24 hours post op

  2. Pain medication usage after periacetabular osteotomy.

    The amount of pain medications taken will be measured using morphine equivalent dosing (MED).

    Time frame: Post Anesthesia Care Unit (PACU) to end of hospital stay, an average of 3 days.

  3. The impact of timing of PLIA administration on post-operative pain.

    The mean VAS pain will be compared between the different study groups. Scale of 1-10.

    Time frame: Post Anesthesia Care Unit (PACU) to end of hospital stay, an average of 3 days.

  4. The impact of timing of PLIA administration on MED.

    The mean MED will be compared between the different study groups.

    Time frame: Post Anesthesia Care Unit (PACU) to end of hospital stay, an average of 3 days.

Secondary outcomes

  1. Assessment on depression (PHQ-9)

    A scale to measure depression will be collected to determine the impact on early post-operative pain. Scale of 0-27.

    Time frame: Preoperative

  2. General Self-Efficacy Scale (GSE)

    Scale on self-efficacy will be collected to determine the impact on early post-operative pain. Scale of 10-40

    Time frame: Preoperative

  3. Pain Resilience Scale.

    Scale on pain resilience (grit) will be collected to determine the impact on early post-operative pain. The scale provides two scores, Behavioral Perseverance on a scale of 0-20 and Cognitive/Affective Positivity on a scale of 0-36.

    Time frame: Preoperative

07

Study locations

1 site
  • University of Iowa Health Care
    Iowa City, Iowa 52242, United States
08

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Oct 2024 to primary completion in May 2026, 19 months.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 15, 2024
First posted
Jul 25, 2024
StartActual
Oct 3, 2024
Primary completionActual
May 26, 2026
CompletionActual
Sep 1, 2026
Last update
Oct 7, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Status
Recruiting→Completed
changed Oct 7, 2026
Enrollment
120 (estimated)→121 (actual)
Oct 7, 2026
Show all 1 update
  1. Oct 7, 2026
    Recruiting→Completed
    Enrollment 120 (estimated)→121 (actual)
    + 4 other changes: verification date, date precision, contact details and site details

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT06519955
Lead sponsor
Michael C Willey
Responsible party
Michael C Willey (Assistant Professor of Orthopedics and Rehabilitation, University of Iowa) — Sponsor-investigator
First posted
Jul 25, 2024
Start date
Oct 3, 2024
Primary completion
May 26, 2026
Completion
Sep 1, 2026
Last update
Oct 7, 2026

Oversight

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

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This study is completed, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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