The Efficacy of Fascia Iliaca Block for Pain Control after Total Hip Arthroplasty

Abstract Background Total hip arthroplasty (THA) are common surgical procedures for treatment of the degenerative disorders and traumatic diseases. However, a majority of patients often experience moderate to severe postoperative pain after THA. Postoperative pain control has a significant impact on earlier ambulation, initiation of physiotherapy, and better functional recovery. In addition, effective pain control would lower the length of hospital stay and the risk of thrombotic events which improves patients’ satisfaction. Aim of the Study To assess the efficacy and safety of FICB compared with standard multimodal analgesia in patients undergoing THA. Patients and Methods Ninety adult patients scheduled for total hip arthroplasty (THA), under spinal anesthesia were included in this study. The patients' age was ranging from 18 to 65 years and with the American Society of Anesthesiologists (ASA) Class II and III. Patients were included in the study, and were divided into two groups (n = 42; each); group FICB and control group. Results At PACU arrival there is no difference between two groups as two groups were recovering from anesthesia then facia illiaca block group showed the best response as regard as pain control post operatively for 12 hours postoperative then there is no statistical difference between two groups. There was statistically significant difference between groups as regard as visual analog score. As regard to total dose of morphine used in each group, facia illiaca block scientifically used less amount of morphine than control group (P < 0.001). Conclusion Fascia iliaca compartment block is effective for pain relief during the early post-operative period after total hip arthroplasty. Meanwhile, it can reduce the cumulative morphine consumption and the risk of opioid-related adverse effects.