Abstract
Objection
Multimodal local periarticular injection can be effective for pain management after total knee arthroplasty. We have investigated to get the similar results after total hip arthropasty.
Methods
Sixty patients undergoing total hip arthroplasy were divided to two groups. One were with multimodal local periarticular injection(Group M) and the other were with single intraarticular injection Group C, conventional method. We injected a “cocktail” agents into the soft tissue (capsule, synovium, muscle, subcutaneous fat tissue, skin) around the implants. Those were contained Morphinesulfate, Ropivacaine, Adrenaline, Methylpredonisolone, Ketoprofen, and Normal saline. We compared the VAS(at rest and during walking), the duration of the mobilization and active SLR, and any complicaions.
Results
Group M was significantly reduced pain level at rest and during mobilization and the duration of active SLR compared to Group C.
The duration of the mobilization were similar in both groups. Any complications were not seen in both groups.
Conclusion
In total hip arthroplasty patients, multimodal periarticular injection is useful for pain management and early rehabilitation same as total knee arthroplasty.
