Combination therapy with continuous three-in-one femoral nerve block and periarticular multimodal drug infiltration after total hip arthroplasty

Tomonori Tetsunaga, Tomoko Tetsunaga, Kazuo Fujiwara, Hirosuke Endo, Toshihumi Ozaki

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background. Various postoperative pain relief modalities, including continuous femoral nerve block (CFNB), local infiltration analgesia (LIA), and combination therapy, have been reported for total knee arthroplasty. However, no studies have compared CFNB with LIA for total hip arthroplasty (THA).The aim of this study was to compare the efficacy of CFNB versus LIA after THA. Methods. We retrospectively reviewed the postoperative outcomes of 93 THA patients (20 men, 73 women; mean age 69.2 years). Patients were divided into three groups according to postoperative analgesic technique: CFNB, LIA, or combined CFNB+LIA.We measured the following postoperative outcome parameters: visual analog scale (VAS) for pain at rest, supplemental analgesia, side effects,mobilization, length of hospital stay, andHarrisHip Score (HHS). Results.TheCFNB+LIAgroup had significantly lowerVAS pain scores than the CFNB and LIA groups on postoperative day 1.There were no significant differences among the three groups in use of supplemental analgesia, side effects, mobilization, length of hospital stay, or HHS at 3 months after THA. Conclusions. Although there were no clinically significant differences in outcomes among the three groups, combination therapy with CFNB and LIA provided better pain relief after THA than CFNB or LIA alone, with few side effects.

Original languageEnglish
Article number1425201
JournalPain Research and Management
Volume2016
DOIs
Publication statusPublished - 2016

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Femoral Nerve
Nerve Block
Arthroplasty
Analgesia
Hip
Pharmaceutical Preparations
Length of Stay
Therapeutics
Pain
Knee Replacement Arthroplasties
Pain Measurement
Postoperative Pain
Group Psychotherapy
Analgesics

ASJC Scopus subject areas

  • Neurology
  • Anesthesiology and Pain Medicine

Cite this

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title = "Combination therapy with continuous three-in-one femoral nerve block and periarticular multimodal drug infiltration after total hip arthroplasty",
abstract = "Background. Various postoperative pain relief modalities, including continuous femoral nerve block (CFNB), local infiltration analgesia (LIA), and combination therapy, have been reported for total knee arthroplasty. However, no studies have compared CFNB with LIA for total hip arthroplasty (THA).The aim of this study was to compare the efficacy of CFNB versus LIA after THA. Methods. We retrospectively reviewed the postoperative outcomes of 93 THA patients (20 men, 73 women; mean age 69.2 years). Patients were divided into three groups according to postoperative analgesic technique: CFNB, LIA, or combined CFNB+LIA.We measured the following postoperative outcome parameters: visual analog scale (VAS) for pain at rest, supplemental analgesia, side effects,mobilization, length of hospital stay, andHarrisHip Score (HHS). Results.TheCFNB+LIAgroup had significantly lowerVAS pain scores than the CFNB and LIA groups on postoperative day 1.There were no significant differences among the three groups in use of supplemental analgesia, side effects, mobilization, length of hospital stay, or HHS at 3 months after THA. Conclusions. Although there were no clinically significant differences in outcomes among the three groups, combination therapy with CFNB and LIA provided better pain relief after THA than CFNB or LIA alone, with few side effects.",
author = "Tomonori Tetsunaga and Tomoko Tetsunaga and Kazuo Fujiwara and Hirosuke Endo and Toshihumi Ozaki",
year = "2016",
doi = "10.1155/2016/1425201",
language = "English",
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journal = "Pain Research and Management",
issn = "1203-6765",
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T1 - Combination therapy with continuous three-in-one femoral nerve block and periarticular multimodal drug infiltration after total hip arthroplasty

AU - Tetsunaga, Tomonori

AU - Tetsunaga, Tomoko

AU - Fujiwara, Kazuo

AU - Endo, Hirosuke

AU - Ozaki, Toshihumi

PY - 2016

Y1 - 2016

N2 - Background. Various postoperative pain relief modalities, including continuous femoral nerve block (CFNB), local infiltration analgesia (LIA), and combination therapy, have been reported for total knee arthroplasty. However, no studies have compared CFNB with LIA for total hip arthroplasty (THA).The aim of this study was to compare the efficacy of CFNB versus LIA after THA. Methods. We retrospectively reviewed the postoperative outcomes of 93 THA patients (20 men, 73 women; mean age 69.2 years). Patients were divided into three groups according to postoperative analgesic technique: CFNB, LIA, or combined CFNB+LIA.We measured the following postoperative outcome parameters: visual analog scale (VAS) for pain at rest, supplemental analgesia, side effects,mobilization, length of hospital stay, andHarrisHip Score (HHS). Results.TheCFNB+LIAgroup had significantly lowerVAS pain scores than the CFNB and LIA groups on postoperative day 1.There were no significant differences among the three groups in use of supplemental analgesia, side effects, mobilization, length of hospital stay, or HHS at 3 months after THA. Conclusions. Although there were no clinically significant differences in outcomes among the three groups, combination therapy with CFNB and LIA provided better pain relief after THA than CFNB or LIA alone, with few side effects.

AB - Background. Various postoperative pain relief modalities, including continuous femoral nerve block (CFNB), local infiltration analgesia (LIA), and combination therapy, have been reported for total knee arthroplasty. However, no studies have compared CFNB with LIA for total hip arthroplasty (THA).The aim of this study was to compare the efficacy of CFNB versus LIA after THA. Methods. We retrospectively reviewed the postoperative outcomes of 93 THA patients (20 men, 73 women; mean age 69.2 years). Patients were divided into three groups according to postoperative analgesic technique: CFNB, LIA, or combined CFNB+LIA.We measured the following postoperative outcome parameters: visual analog scale (VAS) for pain at rest, supplemental analgesia, side effects,mobilization, length of hospital stay, andHarrisHip Score (HHS). Results.TheCFNB+LIAgroup had significantly lowerVAS pain scores than the CFNB and LIA groups on postoperative day 1.There were no significant differences among the three groups in use of supplemental analgesia, side effects, mobilization, length of hospital stay, or HHS at 3 months after THA. Conclusions. Although there were no clinically significant differences in outcomes among the three groups, combination therapy with CFNB and LIA provided better pain relief after THA than CFNB or LIA alone, with few side effects.

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