The Effect of an Axillary Roll During Total Hip Replacement Performed in the Lateral Decubitus Position on Post-operative Shoulder and Neck Pain (The Axillary Trial).
Dr Ed O'Loughlin
80 participants
Dec 15, 2010
Interventional
Conditions
Summary
The AXILLARY project aims to explore the relationship between the use of an axillary roll during surgery performed in the lateral decubitus position and the presence or absence of post-operative shoulder and neck pain. The sample population of this trial will be those patients who meet the eligibility criteria and who are to have an elective total hip replacement at selected site. This project is a randomised controlled single-blinded trial where participants will be assigned to the group who receive an axillary roll, or the group that does not. Patients will then be asked to rate their shoulder and neck pain post-operatively on two separate occasions. The results of this project will provide scientific evidence to support or not support the use of an axillary roll during surgery in the lateral decubitus position.
Eligibility
Inclusion Criteria3
- Patients who will undergo elective total hip replacement surgery at selected sites.
- Patients over the age of 18
- Patients in whom informed written consent has been obtained.
Exclusion Criteria2
- Patients who have cognitive impairment and who are unable to consent for participation in the trial.
- Patients who have known brachial plexus pathology on the dependent shoulder prior to the study.
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Interventions
Participants will be placed into the lateral position post induction of anaesthesia. A Standard foam axillary roll is placed under the patient's dependent thorax at the location of the inferior tip of the scapula. A head pillow is to be used in all cases. The axillary roll is to be present for the duration of the surgery and removed at the cessation of anaesthesia. The approximate duration of surgery is 60 minutes.
Locations(2)
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ACTRN12616000807459