Hao C, Li C, Cao R, Dai Y, Xu C, Ma L, Guo A, Yu H. Effects of Perioperative Fascia Iliaca Compartment Block on Postoperative Pain and Hip Function in Elderly Patients With Hip Fracture.
Geriatr Orthop Surg Rehabil 2022;
13:21514593221092883. [PMID:
35450298 PMCID:
PMC9016604 DOI:
10.1177/21514593221092883]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/26/2021] [Revised: 02/22/2022] [Accepted: 03/16/2021] [Indexed: 11/18/2022] Open
Abstract
Purpose
Pain management is a challenging issue in elderly patients with hip fracture.
Despite the accepted clinical outcomes following hip surgery, pain and
prolonged recovery time are the most difficult consequences associated with
the rehabilitation process. The purpose of this study was to evaluate pain
relief and functional improvement associated with the Fascia Iliaca
Compartment Block (FICB) during the perioperative period of elderly patients
with hip fracture.
Patients and methods
This study included 120 elderly patients with hip fracture, who were admitted
to our institution between January 2019 and December 2020. The participants
were subsequently randomly divided into the routine analgesia (RA) and
fascia iliaca compartment block (FICB) groups. Inter-group differences were
compared via VAS scores at rest and during movement, Harris hip scores
(HHS), presence of complications, adverse events after surgery, and length
of hospital stay.
Results
The FICB group VAS scores at rest at 6 hour, 1 and 3 days, and 1 week after
surgery were significantly lower than the RA group (P <
.05). Moreover, the FICB group VAS scores with movement were markedly lower
at 6 hour, 1 and 3 days, as well as 1 and 2 weeks after surgery
(P < .05). The HHS of the FICB and RA groups were
(53.41±8.63) and (40.02±9.61), respectively, on the seventh day after
surgery, and the difference was statistically significant
(P < .05). The incidence of postoperative
complications and adverse events in the FICB group were not statistically
different from the RA group. The average hospital stay of the FICB group was
2.12 days shorter than the RA group, but the difference did not reach
statistical significance (P = .13).
Conclusion
FICB provides superior analgesic effect both at rest and with movement, along
with rapid short-term recovery of hip function following surgery in elderly
patients with hip fracture, without increasing postoperative complications
or adverse events.
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