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Posterior Pericapsular Deep-gluteal Block
Sponsor: Ankara Etlik City Hospital
Summary
The goal of this clinical trial is to determine whether adding a posterior pericapsular deep-gluteal (PPD) block to pericapsular nerve group (PENG) and lateral femoral cutaneous nerve (LFCN) blocks improves pain control after total hip arthroplasty. The main questions it aims to answer are: * Does adding a posterior pericapsular deep-gluteal block reduce clinically significant pain during movement in the early postoperative period? * Does adding this block reduce postoperative pain and opioid requirements? * Does adding this block improve functional recovery after surgery? Researchers will compare patients receiving PENG and LFCN blocks with patients receiving PENG and LFCN blocks plus a posterior pericapsular deep-gluteal block to determine whether blocking the posterior region of the hip provides additional pain relief. Participants will: * Receive ultrasound-guided nerve blocks before surgery according to their assigned study group. * Undergo total hip arthroplasty under spinal anesthesia. * Have their pain assessed at predefined times after surgery, including during movement. * Be evaluated for opioid requirements and functional recovery after surgery.
Official title: Effect of Posterior Pericapsular Deep-Gluteal Block on Early Postoperative Dynamic Pain After Total Hip Arthroplasty: A Randomized Controlled Trial
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
60
Start Date
2026-10-20
Completion Date
2026-12-30
Last Updated
2026-10-23
Healthy Volunteers
No
Conditions
Interventions
PENG (Pericapsular nerve group) block
An ultrasound-guided pericapsular nerve group (PENG) block will be performed in the preoperative period, approximately 30 minutes before surgery.
LFCN (Lateral femoral cutaneous nerve) block
An ultrasound-guided lateral femoral cutaneous nerve (LFCN) block will be performed in the preoperative period, approximately 30 minutes before surgery.
PPD (Posterior pericapsular deep gluteal) block
An ultrasound-guided posterior pericapsular deep-gluteal block will be performed in the preoperative period, approximately 30 minutes before surgery.