Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Mar 29;9(2):119-125.
doi: 10.1093/jhps/hnac020. eCollection 2022 Jul.

Comparative efficacy analysis of ultrasound-guided quadratus lumborum block and lumbar plexus block in hip arthroscopy: a pilot prospective randomized controlled trial

Liangjing Yuan  1 , Chengshi Xu  1 , Ye Zhang  1 , Geng Wang  1
Affiliations

Comparative efficacy analysis of ultrasound-guided quadratus lumborum block and lumbar plexus block in hip arthroscopy: a pilot prospective randomized controlled trial

Liangjing Yuan et al. J Hip Preserv Surg. .

Update in

Abstract

Controlled trials assessing quadratus lumborum block (QLB) for post-operative analgesia in hip surgery are scarce. This study aimed to compare ultrasound-guided QLB and lumbar plexus block (LPB) for clinical efficacy in hip arthroscopy. Patients undergoing hip arthroscopy in Beijing Jishuitan Hospital in January-June 2019 were randomized to the lumbar plexus (L) and quadratus lumborum (Q) groups (n = 25/group). After either ultrasound-guided block for 30 min, both groups were prepared for surgery after muscle strength measurement in the affected limbs. Opioid doses for patient-controlled analgesia (PCA), visual analog scale (VAS) scores in the resting and active states, upon leaving the post-anesthesia care unit (PACU), and at 2-48 h post-surgery were recorded, and post-operative complications were also recorded. Muscle strength in the affected limbs was significantly higher in the Q group compared with the L group (4.0 versus 2.0, P < 0.001). VAS scores were similar in both groups post-surgery (P > 0.05). One patient had epidural spread in the L group, with no other complications. Compared with ultrasound-guided LPB, ultrasound-guided QLB provides similar and good post-operative analgesia after hip arthroscopy, with less impact on muscle strength and fewer complications. These results should be confirmed in larger trials.

PubMed Disclaimer

Figures

Fig. 1.
Fig. 1.
Ultrasound-guided approaches by the ‘shamrock’ method. A. Lumbar plexus block (LPB). B. Quadratus lumborum block (QLB).
Fig. 2.
Fig. 2.
Study flow diagram. All enrolled patients completed the study.
See this image and copyright information in PMC

References

    1. de Amorim Cabrita HA, de Castro Trindade CA, de Campos Gurgel HM et al. Hip arthroscopy. Rev Bras Ortop 2015; 50: 245–53. - PMC - PubMed
    1. Cvetanovich GL, Chalmers PN, Levy DM et al. Hip arthroscopy surgical volume trends and 30-day postoperative complications. Arthroscopy 2016; 32: 1286–92. - PubMed
    1. Kirsch JM, Khan M, Bedi A. Does hip arthroscopy have a role in the treatment of developmental hip dysplasia? J Arthroplasty 2017; 32: S28–31. - PubMed
    1. Ramos L, Kraeutler MJ, Marty E et al. Pain scores and activity tolerance in the early postoperative period after hip arthroscopy. Orthop J Sports Med 2020; 8: 2325967120960689. - PMC - PubMed
    1. Amiri HR, Zamani MM, Safari S. Lumbar plexus block for management of hip surgeries. Anesth Pain Med 2014; 4: e19407. - PMC - PubMed