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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2023; 58(02): 252-256
DOI: 10.1055/s-0042-1744294
Artigo Original
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The Effectiveness of Periarticular Anesthetic Infiltration in Postoperative Analgesia of Total Hip Arthroplasty[*]

Article in several languages: português | English
Rafael Wei Min Leal Chang 
1   Serviço de Ortopedia e Traumatologia do Hospital Universitário Getúlio Vargas (HUGV), Universidade Federal do Amazonas (UFAM), Manaus, AM, Brasil
,
Juscimar Carneiro Nunes 
2   Faculdade de Medicina da UFAM e Universidade do Estado do Amazonas, Manaus, AM, Brasil
3   Hospital Universitário Getúlio Vargas (HUGV), Universidade Federal do Amazonas (UFAM), Manaus, AM, Brasil
,
Bruno Bellaguarda Batista 
1   Serviço de Ortopedia e Traumatologia do Hospital Universitário Getúlio Vargas (HUGV), Universidade Federal do Amazonas (UFAM), Manaus, AM, Brasil
,
Thiago Couto Valle Bomfim de Borborema 
1   Serviço de Ortopedia e Traumatologia do Hospital Universitário Getúlio Vargas (HUGV), Universidade Federal do Amazonas (UFAM), Manaus, AM, Brasil
› Author Affiliations Financial Support There was no financial support from public, commercial, or non-profit sources.
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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 48 hours 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 48 hours. It provided no benefits regarding pain, mobility, length of stay, or complications.

Keywords

arthroplasty, replacement, hip - injections, intra-articular - analgesia - rehabilitation

* Study developed at Getulio Vargas University Hospital (HUGV), Federal University of Amazonas (UFAM), Manaus, AM, Brazil.




Publication History

Received: 08 September 2021

Accepted: 20 January 2022

Article published online:
22 July 2022

© 2022. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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