PRCT of FICB vs LAI for Hip Arthroscopy

Fascia Iliaca Compartment Block and Local Anaesthetic Infiltration for Pain Control Following Hip Arthroscopic Surgery

A prospective randomised controlled trial involving patients undergoing hip arthroscopy. Participants were randomised to receiving either Fascia Iliaca Compartment Block (FICB) or Local Anaesthetic Infiltration (LAI) of the portal tracts with local anaesthetic. Supplemental analgesia was also used in both groups on an on-demand basis. Pain level is assessed at 1,3,6, and 24 hours post surgery. The primary outcome measure was the post-operative level of pain as assessed by Numeric Pain Score 6 hours after surgery. Secondary outcome measures were the frequency and the dose of morphine and other medications consumed at 1 and 24 hours after surgery as well as any other adverse events relating to pain or medications used for pain relief in both the groups.

Inclusion Criteria: Patients over the age of 18 years Primary elective hip arthroscopy on a native hip for combined soft tissue injuries and FAI pathology Able to read, write and communicate in English Exclusion Criteria: Patients who did not want to be involved in the Trial Unable to give informed consent Previous hip surgery Patients younger than 18 years of age Chronic opioids users Patients known to have an allergy or intolerance to local anaesthetic agents or none steroidal anti-inflammatory medications