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Hip Injection

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181. Quadratus Lumborum Block Versus Fascia Iliaca Nerve Block for Patients Undergoing Total Hip Replacement

injection Transmuscular Quadratus Lumborum (TQL) block, when compared to a single injection Fascia Iliaca Block (FIB), will provide better analgesia and less motor block in the initial 24 hour period. Condition or disease Intervention/treatment Phase Hip Replacement Procedure: TQL Procedure: FIB Not Applicable Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Estimated Enrollment : 50 participants Allocation: Randomized Intervention Model: Parallel (...) Quadratus Lumborum Block Versus Fascia Iliaca Nerve Block for Patients Undergoing Total Hip Replacement Quadratus Lumborum Block Versus Fascia Iliaca Nerve Block for Patients Undergoing Total Hip Replacement - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100

2018 Clinical Trials

182. Continuous Fascia Iliaca Block for Acute Hip Fractures

Accepts Healthy Volunteers: No Criteria Inclusion Criteria: Adults age greater than or equal to 65 years old with acute hip fracture Exclusion Criteria: ASA greater than or equal to 4 Open fractures Other concomitant injuries that may interfere with positioning or pain scores Local anesthetic allergy Delirium at the time of consent Pre-existing cognitive impairment Infection at the site of injection for cFIB Previous surgery in femoral triangle Warfarin or Anti-Xa inhibitor use Long-term opioid use (...) Continuous Fascia Iliaca Block for Acute Hip Fractures Continuous Fascia Iliaca Block for Acute Hip Fractures - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Continuous Fascia Iliaca Block for Acute Hip

2018 Clinical Trials

183. A Mindfulness Program (MBSR) in the Management of Symptomatic Hip and Knee Osteoarthritis

(Kellgren and Lawrence X-ray stage ≥ 2) Mean pain VAS on at least one reference joint (knee or hip)> 40 mm during the last week Stable treatment with analgesics for at least a week Exclusion Criteria: Corticosteroids (oral or injectable) in the month prior to inclusion Intra-articular injection of hyaluronic acid in the last 3 months prior to inclusion Inflammatory rheumatic disease (rheumatoid arthritis, spondyloarthritis, CCPD) Current depressive episode Psychotic disorders Usual practice (...) A Mindfulness Program (MBSR) in the Management of Symptomatic Hip and Knee Osteoarthritis A Mindfulness Program (MBSR) in the Management of Symptomatic Hip and Knee Osteoarthritis - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more

2018 Clinical Trials

184. Range of Motion, Muscular Strength and Functionality of Patients Submitted to Total Hip Arthroplasty.

system in the physiotherapy sector of reference hospitals; who read and consent to the Informed Consent Form and understood the orientations necessary for the evaluation proposed in this study. Exclusion Criteria: Performing a surgical procedure on other joints in the lower limbs; previous surgical procedures in the hip joint; osteoarticular diseases in lower limb joints; presence of signs or symptoms of contralateral hip osteoarthrosis; performed intra-articular injection of corticosteroids (...) Range of Motion, Muscular Strength and Functionality of Patients Submitted to Total Hip Arthroplasty. Range of Motion, Muscular Strength and Functionality of Patients Submitted to Total Hip Arthroplasty. - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please

2018 Clinical Trials

185. Hip Arthroplasty by Direct Anterior Approach Using Minimally Invasive Surgery & Anesthesia

Hip Arthroplasty by Direct Anterior Approach Using Minimally Invasive Surgery & Anesthesia Hip Arthroplasty by Direct Anterior Approach Using Minimally Invasive Surgery & Anesthesia - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more (...) studies before adding more. Hip Arthroplasty by Direct Anterior Approach Using Minimally Invasive Surgery & Anesthesia The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03663426 Recruitment Status : Not yet recruiting First

2018 Clinical Trials

186. Quadratus Lumborum Block for Analgesia Following Hip Arthroscopy

Quadratus Lumborum Block for Analgesia Following Hip Arthroscopy Quadratus Lumborum Block for Analgesia Following Hip Arthroscopy - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Quadratus Lumborum Block (...) for Analgesia Following Hip Arthroscopy The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03557125 Recruitment Status : Recruiting First Posted : June 14, 2018 Last Update Posted : July 4, 2018 See Sponsor: Medical University

2018 Clinical Trials

187. Fascia Iliaca Blocks for Total Hip Arthroplasty

in Unilateral Direct Anterior Approach Total Hip Arthroplasty Actual Study Start Date : May 15, 2018 Estimated Primary Completion Date : December 31, 2018 Estimated Study Completion Date : March 31, 2019 Resource links provided by the National Library of Medicine available for: Arms and Interventions Go to Arm Intervention/treatment Active Comparator: Low dosis bupivacaine Preoperative fascia iliaca block with Marcaine 0.25% (0.11 mL x subject height) Drug: Marcaine 0.25 % Injectable Solution Fascia iliaca (...) Fascia Iliaca Blocks for Total Hip Arthroplasty Fascia Iliaca Blocks for Total Hip Arthroplasty - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Fascia Iliaca Blocks for Total Hip Arthroplasty The safety

2018 Clinical Trials

188. Traumatic Obturator Hip Dislocation with Marginal Femoral Head Fracture in a 15-Year-Old Adolescent: A High-Energy Trauma—A Case Report and a Review of the Literature (PubMed)

showed an avascular femoral head necrosis, for which we performed multiple retrograde femoral head drilling, completed by the injection of autologue stem cells from the iliaq crest. One year later, the patient has no hip pain, no joint limitation, and can practice BMX at a high level again. The purpose of this report is to make the physicians aware of this rare problem that may be damaging for hip function, especially in young people. (...) Traumatic Obturator Hip Dislocation with Marginal Femoral Head Fracture in a 15-Year-Old Adolescent: A High-Energy Trauma—A Case Report and a Review of the Literature We report the case of a 15-year-old boy brought to the emergency department after a bike accident, complaining of an isolated left hip pain. The X-rays showed an obturator hip dislocation treated by closed reduction under general anaesthesia, followed by 6 weeks of discharge. The follow-up MRI performed 6 weeks after the trauma

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2018 Case reports in orthopedics

189. Safety Profile and Short-term Outcomes of BST-CarGel as an Adjunct to Microfracture for the Treatment of Chondral Lesions of the Hip (PubMed)

Safety Profile and Short-term Outcomes of BST-CarGel as an Adjunct to Microfracture for the Treatment of Chondral Lesions of the Hip Acetabular cartilage lesions are a common abnormality found in patients undergoing hip arthroscopic surgery and may cause pain and functional limitations. Several strategies have been developed to treat chondral defects, with no overwhelming success. Recently, BST-CarGel has gained interest as a scaffolding material that can be injected into the microfracture site (...) to stabilize the clot and facilitate cartilage repair.To perform a retrospective analysis of prospectively collected data to evaluate the safety profile and short-term clinical and radiographic outcomes of patients treated arthroscopically with BST-CarGel for acetabular chondral defects in conjunction with microfracture.Case series; Level of evidence, 4.A retrospective chart review was performed on all patients who underwent hip arthroscopic surgery by the senior surgeon to identify those who had BST

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2018 Orthopaedic journal of sports medicine

190. Prolonged vasopressor support during hip-fracture surgery is a risk factor for enhanced mortality. (PubMed)

were 6.7%, 10.3%, 11.6% and 30.3% respectively. Finally, the same patient groups had 365-day mortality rates of 12.8%, 20.0%, 23.3% and 44.9% respectively. We found a significant increase in mortality (30-90-365 days) in patients receiving VP infusion ≥3 hours, after adjusting for confounding factors. There was no increased mortality in patients treated by injection and by infusion <3 hours after adjustment for confounding factors vs untreated patients.Vasopressor treatment is common during hip (...) Prolonged vasopressor support during hip-fracture surgery is a risk factor for enhanced mortality. Hip fracture is a common injury in the elderly population and is associated with high morbidity and mortality. Intraoperative hypotension is commonly noted, and is often treated with vasopressors (VP), however, to what extent is unknown. We set out to examine retrospectively how many hip fracture-patients received VP perioperatively and further to investigate if VP treatment is connected

2018 Acta Anaesthesiologica Scandinavica

191. Infiltration Techniques for Local Infiltration Analgesia With Liposomal Bupivacaine in Extracapsular and Intracapsular Hip Fracture Surgery: Expert Panel Opinion. (PubMed)

Infiltration Techniques for Local Infiltration Analgesia With Liposomal Bupivacaine in Extracapsular and Intracapsular Hip Fracture Surgery: Expert Panel Opinion. Liposomal bupivacaine (LB) has demonstrated efficacy in improving pain scores and reducing opioid consumption across a variety of surgical settings, including orthopaedic surgery. However, meticulous infiltration techniques combined with a multimodal approach are important to optimizing outcomes.A panel of 4 orthopaedic surgeons and 3 (...) anesthesiologists convened on April 1, 2017, to discuss current practices and develop a consensus statement regarding local infiltration analgesia with LB for extracapsular and intracapsular hip fracture surgery, including LB infiltration techniques.Optimizing surgical outcomes with LB in hip fracture surgery requires an understanding of the neuroanatomy of the surgical site and the pharmacology of the drug. Meticulous infiltration technique is critical to achieve optimal results with LB given its viscosity

2018 Journal of Orthopaedic Trauma

192. Postoperative Intravenous Ferric Carboxymaltose Reduces Transfusion Amounts after Orthopedic Hip Surgery (PubMed)

of postsurgical complications were similar between the two groups.This study suggests that postoperative intravenous ferric carboxymaltose injection is associated with reduced transfusion amounts and that intravenous ferric carboxymaltose does not influence clinical outcomes after hip surgery. (...) Postoperative Intravenous Ferric Carboxymaltose Reduces Transfusion Amounts after Orthopedic Hip Surgery This retrospective study was performed to determine whether postoperative intravenous ferric carboxymaltose reduces transfusion amounts without influencing clinical outcomes in patients that have undergone hip surgery.Between May 2014 and April 2016, the authors adopted a new perioperative blood management protocol involving the administration of intravenous ferric carboxymaltose after hip

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2018 Clinics in orthopedic surgery

193. Rivaroxaban versus nadroparin for preventing deep venous thrombosis after total hip arthroplasty following femoral neck fractures: A retrospective comparative study (PubMed)

Rivaroxaban versus nadroparin for preventing deep venous thrombosis after total hip arthroplasty following femoral neck fractures: A retrospective comparative study Objective This study was performed to evaluate the efficacy of rivaroxaban versus nadroparin for preventing deep venous thrombosis (DVT) in elderly patients with osteoporosis undergoing initial total hip arthroplasty (THA) for femoral neck fractures. Methods Prospectively maintained databases were reviewed to retrospectively compare (...) elderly patients with osteoporosis who underwent initial THA for femoral neck fractures from 2007 to 2015. The patients received peroral rivaroxaban at 10 mg/day for 2 weeks or subcutaneous injections of nadroparin at 0.3 mL/day for 2 weeks until the primary analysis cut-off date. The time to first on-study DVT was the primary endpoint. Results In total, 399 patients were included (rivaroxaban group: n=200; mean age, 70.20 ± 9.16 years and nadroparin group: n = 199; mean age, 69.90 ± 8.87 years

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2018 The Journal of international medical research

194. Lumbar Plexus and Suprainguinal Fascia Iliaca Blocks For Total Hip Replacement

Lumbar Plexus and Suprainguinal Fascia Iliaca Blocks For Total Hip Replacement Lumbar Plexus and Suprainguinal Fascia Iliaca Blocks For Total Hip Replacement - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more (...) . Lumbar Plexus and Suprainguinal Fascia Iliaca Blocks For Total Hip Replacement The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03744065 Recruitment Status : Recruiting First Posted : November 16, 2018 Last Update Posted

2018 Clinical Trials

195. Femoral nerve block for hip fractures: the evidence

. Anesthesiology. 2007; 106(4):773-8. PMID: Brief summary: A RCT including 48 adult emergency department patients with clinical signs of hip fracture, randomized before x-ray to get either a landmark based FICB with 40 mL of 1% mepivacaine or placebo (a saline injection). It took 4 minutes to place the block. There was no difference between the groups in terms of pain after treatment (2/10 in both groups at 60 minutes), but the groups were unbalanced at the start, with the FICB group starting with 5/10 pain (...) more adverse events in the NSAID group. There were 4 patients with delirium and 4 with nausea and vomiting, as compared to 0 in the nerve block group. The only complications with the nerve block group were local bruises at the injection site. Key caveats: This is a well done, double blind, double dummy study; using NSAIDs rather than opioids in hip fractures is novel to me; no patients in the study received opioids; allocation concealment was inadequate; the treating nurse was unblinded. Beaudoin

2018 First10EM

196. A Practical Analgesia Approach to Fragility Hip Fracture: A Single Center Retrospective Cohort Study on Femoral Nerve Block. (PubMed)

A Practical Analgesia Approach to Fragility Hip Fracture: A Single Center Retrospective Cohort Study on Femoral Nerve Block. To determine whether an effective opioid-sparing pain control modality is desirable for an aging population.A fragility hip fracture program was recently implemented in our hospital. A retrospective review was performed on 192 patients of various types of fragility hip fractures over 1 year who received a single injection femoral nerve block (FNB) following diagnosis.We (...) observed statistically significant effects of FNB on Visual Analogue Scale (VAS) pain score and the rate of opioid consumption diminution in all commonly encountered types of fragility hip fractures. The pain score reduction by FNB in subcapital femoral neck fracture, transcervical femoral neck facture, and intertrochanteric fracture are all statistically significant, P<0.0001. There was a statistically more significant pain score reduction in intracapsular fractures than extracapsular fractures, P

2018 Journal of Orthopaedic Trauma

197. AbobotulinumtoxinA: A New Therapy for Hip Osteoarthritis. A Prospective Randomized Double-Blind Multicenter Study. (PubMed)

AbobotulinumtoxinA: A New Therapy for Hip Osteoarthritis. A Prospective Randomized Double-Blind Multicenter Study. Background: Hip Osteoarthritis (OA) causes pain and disability. Here we evaluate abobotulinumtoxinA (Dysport®) (AboBoNT-A) injections versus placebo as a novel treatment option to improve hip range of motion, pain and quality of life. Methods: This prospective randomized double-blind multicenter study (EudraCT # 2012-004890-25) recruited 46 outpatients with hip OA who were (...) randomized 2:1 to the Treatment Group (TG; 31 subjects), or the Placebo Group (PG; 15 subjects). The TG received 400 U of AboBoNT-A injected into the adductor muscles, and the PG received placebo solution. The primary endpoints were the difference in Harris Hip Score (HHS) and Visual Analogic Scale for pain (VAS) at Week 4 between groups (TG vs. PG). Secondary endpoints were the change from baseline in HHS, VAS pain, Medical Research Council scale for muscle strength (MRC) and Short Form scale (SF-36

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2018 Toxins Controlled trial quality: predicted high

198. [Comparison of different modes of using tranexamic acid administration on reducing hidden blood loss in total hip arthroplasty]. (PubMed)

was used to soak the acetabulum for 5 minutes after the acetabular preparation, another gauze was inserted in the femoral canal for 5 minutes after femoral canal broach preparation. The remaining 40 ml tranexamic acid fluid was injected into the hip joint after fascia closure. Place the drainage tube and clip it for 3 hours. Hemoglobin (Hb) and Hematocrit (Hct) were recorded at 72 hours after operation. The total blood loss, dominant blood loss, and hidden blood loss were calculated.In group (...) [Comparison of different modes of using tranexamic acid administration on reducing hidden blood loss in total hip arthroplasty]. To compare the clinical efficacy of using tranexamic acid in different ways to reduce the hidden blood loss in patients who receiving total hip arthroplasty (THA).Totally 68 patients with osteonecrosis of the femeral head treated by total hip arthroplasty in our hospital from February 2010 to July 2015 were randomly divided into the intravenous drip group (group

2018 Zhongguo gu shang = China journal of orthopaedics and traumatology Controlled trial quality: uncertain

199. Combination of magnesium sulphate and ropivacaine epidural analgesia for hip arthroplasty in dogs. (PubMed)

undergoing hip arthroplasty were allocated randomly to either group C (control, 1 mg kg-1epidural ropivacaine) or group M (magnesium, epidural injection of 1 mg kg-1 ropivacaine and 2 mg kg-1magnesium sulphate).All dogs were premedicated with intramuscular acepromazine. General anaesthesia was induced with propofol and maintained with isoflurane in oxygen. Intraoperatively, nociception was assessed based on changes in heart rate, respiratory rate and mean arterial pressure above baseline values (...) Combination of magnesium sulphate and ropivacaine epidural analgesia for hip arthroplasty in dogs. The aim of this study was to determine whether lumbosacral epidural administration of magnesium sulphate added to ropivacaine prolongs and improves perioperative analgesia, without adverse effects on motor block duration or hind limb neurological function, in dogs undergoing hip arthroplasty.Investigator-blind, controlled, randomized, prospective clinical trial.A group of 20 client-owned dogs

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2018 Veterinary anaesthesia and analgesia Controlled trial quality: uncertain

200. A Longitudinal Supra-Inguinal Fascia Iliaca Compartment Block Reduces Morphine Consumption After Total Hip Arthroplasty. (PubMed)

A Longitudinal Supra-Inguinal Fascia Iliaca Compartment Block Reduces Morphine Consumption After Total Hip Arthroplasty. The role of a fascia iliaca compartment block (FICB) for postoperative analgesia after total hip arthroplasty (THA) remains questionable. High-dose local anesthetics and a proximal injection site may be essential for successful analgesia. High-dose local anesthetics may pose a risk for local anesthetic systemic toxicity. We hypothesized that a high-dose longitudinal supra

2018 Regional Anesthesia and Pain Medicine Controlled trial quality: predicted high

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