Back to Search
Start Over
Effectiveness of Periarticular Injection After Bipolar Hemiarthroplasty for Displaced Femoral Neck Fracture in Elderly Patients: A Double Blinded Randomized, Controlled Study
- Source :
- The Journal of Arthroplasty. 36:2006-2011
- Publication Year :
- 2021
- Publisher :
- Elsevier BV, 2021.
-
Abstract
- 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.
- Subjects :
- 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
Subjects
Details
- ISSN :
- 08835403
- Volume :
- 36
- Database :
- OpenAIRE
- Journal :
- The Journal of Arthroplasty
- Accession number :
- edsair.doi.dedup.....4411f8df9945f0e94882678841a7aef2