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Intra-articular hip injection along with better
pre-operatory pain management also reduces the need for supplementary systemic
analgesia.
Intra-articular
hip injection found to exhibit a significant pre-operatory pain management among
the patients intracapsular hip fractures, as per the investigators of the
University of Turin, Italy. This study involved the comparison of the
intra-articular hip injection and the fascia-iliaca compartment block to reduce
pain and the use of supplementary systemic analgesia at the preoperative stage
of intracapsular hip fractures.
A
total of 120 patients of >65 years were randomized to either intra-articular
hip injection group (n = 50) or the fascia-iliaca compartment block (n = 70).
The pain alleviation at 20 min, 12 h, one and two days following the regional
anaesthesia, both at rest and while internal rotation of the fractured limb was
considered as the primary outcome. Pain assessment was done by using the
Numeric Rating Scale (NRS). All patients went through a similar protocol to
manage the residual pain. The Supplementary analgesic drug administration was
recorded after 48 h from the administration.
The
patients of IAHI group exhibited a considerable reduction in pain during
movement of the fractured limb at 20 min, two h, one and two days. As compared
to 28.6% of the IAHI group, 72.9% subjects of FICB group required Oxycodone
with dose 4.38 ± 7.63 mg and 14.09 ± 11.57 mg, respectively. However, both
groups exhibited no adverse events.
These
finding illustrated that the intra-articular hip injection as a suitable
approach to manage pain associated with intracapsular hip fractures among older
people.
Injury
Fascia-iliaca compartment block vs intra-articular hip injection for preoperative pain management in intracapsular hip fractures: A blind, randomized, controlled trial.
Alessandro Aprato et al.
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