Quadratus Lumborum Block for Congenital Hip Dislocation Surgery
Status:
Completed
Trial end date:
2019-04-15
Target enrollment:
Participant gender:
Summary
Developmental dysplasia of the hip (DDH) is one of the major disorder of the pediatric
population with an incidence of 3 to 5 per 1000 children. Open surgical reduction of
congenital hip dislocation (CHD) is typically performed after an ineffective closed reduction
or older than 18 months. Multiple femoral or pelvic osteotomies and tenotomies are performed
during this surgical treatment and cause severe postoperative pain.Since initial description
for abdominal surgery, the quadratus lumborum block has experienced several surgeries for
postoperative pain management in adults and pediatrics. One of these indication is the hip
surgery and described for adult hip arthroplasty. In addition we reported two pediatric cases
that single dose transmuscular quadratus lumborum block is an affective analgesia for CHD
surgery. The aim of this study was to evaluate the analgesic effect of ultrasound guided
transmuscular quadratus lumborum block in pediatric patients undergoing CHD surgery.