How effective is periarticular drug infiltration in providing pain relief and early functional outcome following total hip arthroplasty?

Srampickal, George Mathew; Jacob, K. S.; Kandoth, Jacob J.; Yadev, Bijesh Kumar; Palraj, Tyagraj; Oommen, Anil Thomas; George, Sajan Philip; Poonnoose, Pradeep Mathew

doi:10.1016/j.jcot.2018.06.005

Cited by 4 publications

(2 citation statements)

References 29 publications

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“…et al Compared the two different ways of analgesia after THA, which were divided into the periarticular injection of a cocktail of analgesic drugs (PIC) and epidural infiltration (EA) group and epidural infiltration (EA) group. Finally, they found that the overall satisfaction of the PIC group was significantly better than that of the EA group ( 27 ).…”

Section: Resultsmentioning

confidence: 99%

Patient satisfaction after total hip arthroplasty: Influencing factors

Shao

2023

Front. Surg.

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It is reported that the dissatisfaction rate after primary total hip arthroplasty (THA) is between 7% and 20%. Patient satisfaction has already become a public health problem that puzzles the world, and it is a problem to be solved that cannot be ignored in the development of global public health. The purpose of this paper is to conduct a narrative review of the literature to answer the following questions: what are the main factors leading to high patient satisfaction or dissatisfaction after THA? The literature on patient satisfaction after THA was reviewed. As far as we know, there is no such detailed and timely overview of THA satisfaction as this article, and the purpose articles we use search engines to search are all RCT (Randomized Controlled Trial) type works, excluding cross-sectional studies and other experiments with low evidence level. Hence, the quality of this article is high. The search engines used are MEDLINE (PubMed) and EMBASE. The keywords used are “THA” and “satisfaction.” The main preoperative, perioperative, and postoperative factors that affect patient satisfaction are summarized in detail below.

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Section: Resultsmentioning

confidence: 99%

Patient satisfaction after total hip arthroplasty: Influencing factors

Shao

2023

Front. Surg.

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“…Intraoperative PAI of multiple drugs has become an important procedure in perioperative pain control for total joint arthroplasty (TJA), a its efficacy has been proven by a series of studies. [ 18 , 27 , 28 ] PAI can also reduce opioid consumption, which results in a better postoperative experience, including improved satisfaction and rehabilitation. [ 29 , 30 ] However, research to date has largely focused on the use of PAI during hip arthroplasty performed as treatment for osteoarthritis or femoral head necrosis, and the effects of PAI in elderly patients undergoing THA for osteoporotic femoral neck fractures remained unknown.…”

Section: Discussionmentioning

confidence: 99%

Intraoperative periarticular injection can alleviate the inflammatory response and enhance joint function recovery after hip arthroplasty in elderly patients with osteoporotic femoral neck fractures

et al. 2021

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Purpose: This study aimed to investigate the potential beneficial effects of periarticular injection (PAI) of multimodal drugs on the inflammatory response and joint function after hip arthroplasty in elderly patients with osteoporotic femoral neck fractures. Methods: Fifty six elderly patients with unilateral osteoporotic femoral neck fractures were randomly allocated to 2 groups: the PAI group, which received the multimodal drug PAI intraoperatively before incision closure, and the control group, which received an injection of saline at the same time as placebo. The C-reactive protein (CRP), interleukin-1β (IL-1β), and IL-6 levels as well as the erythrocyte sedimentation rate (ESR) in peripheral venous blood samples were measured, along with the Visual Analogue Scale (VAS) score with activity and Harris hip score preoperation at 1, 2, 4, 7, and 14 days as well as 1 and 3 months post-operation. Results: The 2 groups were comparable in sex and age, and no significant differences were observed in the preoperative CRP, IL-1β, and IL-6 levels, ESR, VAS score, or Harris hip score between the 2 groups (all P > .05). However, during the postoperative period, the PAI group exhibited significantly lower levels of CRP, IL-1β, and IL-6 as well as a lower ERS and VAS score compared with the control group (P < .05), while the Harris hip score was significantly higher postoperatively in the PAI group (P < .05). Conclusion: Multimodal drug PAI can alleviate the inflammatory response and enhance hip function recovery after hip arthroplasty in elderly patients with osteoporotic femoral neck fractures.

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