Postoperative pain in patients undergoing hip arthroscopy with inside-out technique compared with the outside-in technique

Revista Cubana de Ortopedia y Traumatología

Márquez Arabia, Jorge Jaime¹  Gómez Hoyos, Juan Carlos¹  Márquez Arabia, William Henry¹  Gallo Villegas, Jaime Alberto¹ 

[1] Universidad de Antioquia, Medellín, Colombia

关键词: hip arthroscopy;    technical outside-in;    inside-out technique;    femoral block;    lock iliofascial;    multimodal analgesia;    postoperative pain;   

DOI  :  

学科分类：生理学

来源: SciELO

【 摘 要 】

Objective: compare postoperative pain in patients undergoing hip arthroscopy with the inside-out technique compared to outside-in technique. Methods: a prospective study was conducted on postoperative pain in a group of patients (n = 31) who underwent hip arthroscopy by outside-in technique, which were compared with patients (n = 31) who received the inside-out technique. Both groups of patients received the same multimodal analgesia. The main parameters were measured: visual analogue scale at different times up to 24 hours after surgery and opioid need. Categorical variables were compared using Chi-square, and quantitative variables using Student t or Mann-Whitney. OR and CI 95 % were calculated. SPSS version 21.0 was used for data analysis program and an alpha error of 5% was considered. Results: postoperative visual analogue scale was lower in patients with outside-in technique after 1 hour (mean difference 1.9, 95 % CI 0.5 to 3.2, p = 0.01) after 2 hours (mean difference 1.29, 95 % CI 0.3 to 2.2, p = 0.01) and at discharge (mean difference 0.77, 95 % CI 0.16 to 1.18; p = 0.01). However, 24 hours after the procedure, the difference was not significant (mean difference 0.4, 95 % CI 0.02 to 0.84; p = 0.08). Opioid requirements postoperatively were significantly lower in patients with the outside-in technique ─6,5 % vs. 41.9 %─ (crude OR 0.09 95 % CI 0.02 to 0.47; p = 0.004), even after adjusting age, sex and BMI (adjusted OR 0.09, 95 % CI: 0.016 to 0.51, p = 0.006). Conclusions: patients who underwent hip arthroscopy with outside-in technique have less postoperative pain and opioid requirements that those who undergo the inside-out technique.

【 授权许可】

CC BY-NC