The Effectiveness of Periarticular Anesthetic Infiltration in Postoperative Analgesia of Total Hip Arthroplasty
Abstract Objective The present study aims to evaluate the effectiveness of the periarticular hip infiltration technique in the postoperative period of total hip arthroplasty. Methods This is a randomized double-blind controlled clinical trial in patients with femoral neck fractures or hip osteoart...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Ortopedia e Traumatologia
2023-08-01
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| Series: | Revista Brasileira de Ortopedia |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162023000200252&tlng=en |
| _version_ | 1797328304012787712 |
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| author | Rafael Wei Min Leal Chang Juscimar Carneiro Nunes Bruno Bellaguarda Batista Thiago Couto Valle Bomfim de Borborema |
| author_facet | Rafael Wei Min Leal Chang Juscimar Carneiro Nunes Bruno Bellaguarda Batista Thiago Couto Valle Bomfim de Borborema |
| author_sort | Rafael Wei Min Leal Chang |
| collection | DOAJ |
| description | Abstract Objective The present study aims to evaluate the effectiveness of the periarticular hip infiltration technique in the postoperative period of total hip arthroplasty. Methods This is a randomized double-blind controlled clinical trial in patients with femoral neck fractures or hip osteoarthritis submitted to a total hip arthroplasty at our institution. The periarticular infiltration technique consisted of the administration of an anesthetic (levobupivacaine) and a steroid (dexamethasone) agent in the nociceptor-rich tissues of the hip after orthopedic implants placement. The control group received an injection of 0.9% saline into the same tissues. Pain, range of motion, and use of opioid analgesic agents after 24 and 48hours of the procedure were evaluated, as well as the presence of adverse effects, time to resume walking, and total hospitalization time. Results The study evaluated 34 patients. The experimental group required fewer opioid agents between 24 and 48 hours. The reduction in pain scores was greater in the placebo group. Conclusion Periarticular anesthetic infiltration as a method of postoperative analgesia for total hip arthroplasty reduced the rates of opioid intake between 24 and 48hours. It provided no benefits regarding pain, mobility, length of stay, or complications. |
| first_indexed | 2024-03-08T06:49:54Z |
| format | Article |
| id | doaj.art-3b4806ab73d144c4867ad5072b70d558 |
| institution | Directory Open Access Journal |
| issn | 1982-4378 |
| language | English |
| last_indexed | 2024-03-08T06:49:54Z |
| publishDate | 2023-08-01 |
| publisher | Sociedade Brasileira de Ortopedia e Traumatologia |
| record_format | Article |
| series | Revista Brasileira de Ortopedia |
| spelling | doaj.art-3b4806ab73d144c4867ad5072b70d5582024-02-03T07:09:25ZengSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia1982-43782023-08-0158225225610.1055/s-0042-1744294The Effectiveness of Periarticular Anesthetic Infiltration in Postoperative Analgesia of Total Hip ArthroplastyRafael Wei Min Leal Changhttps://orcid.org/0000-0002-1502-6081Juscimar Carneiro Nuneshttps://orcid.org/0000-0001-7686-3599Bruno Bellaguarda Batistahttps://orcid.org/0000-0002-3368-8644Thiago Couto Valle Bomfim de Borboremahttps://orcid.org/0000-0001-8035-9889Abstract Objective The present study aims to evaluate the effectiveness of the periarticular hip infiltration technique in the postoperative period of total hip arthroplasty. Methods This is a randomized double-blind controlled clinical trial in patients with femoral neck fractures or hip osteoarthritis submitted to a total hip arthroplasty at our institution. The periarticular infiltration technique consisted of the administration of an anesthetic (levobupivacaine) and a steroid (dexamethasone) agent in the nociceptor-rich tissues of the hip after orthopedic implants placement. The control group received an injection of 0.9% saline into the same tissues. Pain, range of motion, and use of opioid analgesic agents after 24 and 48hours of the procedure were evaluated, as well as the presence of adverse effects, time to resume walking, and total hospitalization time. Results The study evaluated 34 patients. The experimental group required fewer opioid agents between 24 and 48 hours. The reduction in pain scores was greater in the placebo group. Conclusion Periarticular anesthetic infiltration as a method of postoperative analgesia for total hip arthroplasty reduced the rates of opioid intake between 24 and 48hours. It provided no benefits regarding pain, mobility, length of stay, or complications.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162023000200252&tlng=enarthroplasty, replacement, hipinjections, intra-articularanalgesiarehabilitation |
| spellingShingle | Rafael Wei Min Leal Chang Juscimar Carneiro Nunes Bruno Bellaguarda Batista Thiago Couto Valle Bomfim de Borborema The Effectiveness of Periarticular Anesthetic Infiltration in Postoperative Analgesia of Total Hip Arthroplasty Revista Brasileira de Ortopedia arthroplasty, replacement, hip injections, intra-articular analgesia rehabilitation |
| title | The Effectiveness of Periarticular Anesthetic Infiltration in Postoperative Analgesia of Total Hip Arthroplasty |
| title_full | The Effectiveness of Periarticular Anesthetic Infiltration in Postoperative Analgesia of Total Hip Arthroplasty |
| title_fullStr | The Effectiveness of Periarticular Anesthetic Infiltration in Postoperative Analgesia of Total Hip Arthroplasty |
| title_full_unstemmed | The Effectiveness of Periarticular Anesthetic Infiltration in Postoperative Analgesia of Total Hip Arthroplasty |
| title_short | The Effectiveness of Periarticular Anesthetic Infiltration in Postoperative Analgesia of Total Hip Arthroplasty |
| title_sort | effectiveness of periarticular anesthetic infiltration in postoperative analgesia of total hip arthroplasty |
| topic | arthroplasty, replacement, hip injections, intra-articular analgesia rehabilitation |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162023000200252&tlng=en |
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