Effectiveness of Periarticular Injection After Bipolar Hemiarthroplasty for Displaced Femoral Neck Fracture in Elderly Patients: A Double Blinded Randomized, Controlled Study
| Autor: | Saradej Khuangsirikul, Attaporn Lawanprasert, Thanainit Chotanaphuti, Danai Heebtamai, Ong-art Phruetthiphat |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Visual analogue scale Arthroplasty Replacement Hip Bipolar hemiarthroplasty law.invention 03 medical and health sciences 0302 clinical medicine Double-Blind Method Randomized controlled trial law Humans Medicine Orthopedics and Sports Medicine Prospective Studies Aged Femoral neck 030222 orthopedics business.industry Standard treatment Acetabulum Femoral Neck Fractures Surgery Treatment Outcome medicine.anatomical_structure Morphine Hemiarthroplasty business Periarticular injection medicine.drug |
| Zdroj: | The Journal of Arthroplasty. 36:2006-2011 |
| ISSN: | 0883-5403 |
| DOI: | 10.1016/j.arth.2021.01.017 |
| Popis: | Background Bipolar hemiarthroplasty is a standard treatment for displaced femoral neck fracture in elderly with a normal acetabulum. Several studies have shown controversial results regarding postoperative visual analogue scale, opioid consumption, and the effectiveness of periarticular injection in hip arthroplasty. The purpose of this study is going to identify the effectiveness of periarticular injection after bipolar hemiarthroplasty compared with the patients treated with conventional pain control. Methods A prospective, randomized, controlled study was performed for displaced femoral neck fracture in elderly who underwent bipolar hemiarthroplasty from 2017 to 2019. Patients were classified into two groups: Periarticular injection (PAI) group and nonperiarticular injection (non-PAI) group. All patients were recorded pain score (VAS) during admission. Morphine usage was collected in both groups including its side effects. Results There was no difference in demography, intraoperative parameters, ambulatory status, and length of stay in both groups. Postoperative VAS at 8,16, 24, 60 hours, and before discharge in the non-PAI group was significantly higher than the PAI group (P = .001, P = .006, P = .002, P = .003, and P = .001, respectively). Morphine consumption at 8 hours after surgery was significantly higher in the non-PAI group than the PAI group (P = .001). Conclusions Intraoperative, periarticular injection may be used as an adjunctive pain management in bipolar hemiarthroplasty for displaced femoral neck fracture in elderly. Level of Evidence level I, Prospective Randomized Controlled Trial. |
| Databáze: | OpenAIRE |
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