Abdulla, A., Helmy, A., Salama, A., Helmy, S. (2025). Post-operative Analgesic Effect of Transmuscular Quadratus Lumborum Block versus Suprainguinal Fascia Iliaca Block in Hip Arthroplasty Surgeries in Patients Undergoing Spinal Anesthesia. Suez Canal University Medical Journal, 28(2), 0-0. doi: 10.21608/scumj.2025.430872
Ahmed Mohsen Mohamed Abdulla; Amr Mohammed Helmy; Asmaa Salah Salama; Sara Mohamed Helmy. "Post-operative Analgesic Effect of Transmuscular Quadratus Lumborum Block versus Suprainguinal Fascia Iliaca Block in Hip Arthroplasty Surgeries in Patients Undergoing Spinal Anesthesia". Suez Canal University Medical Journal, 28, 2, 2025, 0-0. doi: 10.21608/scumj.2025.430872
Abdulla, A., Helmy, A., Salama, A., Helmy, S. (2025). 'Post-operative Analgesic Effect of Transmuscular Quadratus Lumborum Block versus Suprainguinal Fascia Iliaca Block in Hip Arthroplasty Surgeries in Patients Undergoing Spinal Anesthesia', Suez Canal University Medical Journal, 28(2), pp. 0-0. doi: 10.21608/scumj.2025.430872
Abdulla, A., Helmy, A., Salama, A., Helmy, S. Post-operative Analgesic Effect of Transmuscular Quadratus Lumborum Block versus Suprainguinal Fascia Iliaca Block in Hip Arthroplasty Surgeries in Patients Undergoing Spinal Anesthesia. Suez Canal University Medical Journal, 2025; 28(2): 0-0. doi: 10.21608/scumj.2025.430872
Post-operative Analgesic Effect of Transmuscular Quadratus Lumborum Block versus Suprainguinal Fascia Iliaca Block in Hip Arthroplasty Surgeries in Patients Undergoing Spinal Anesthesia
Anesthesia and Intensive Care Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
Abstract
Introduction: After total hip replacement (THA), patients often experienced moderate to severe pain. Fascia iliaca blocking (FIB) offers perioperative analgesia for hip and femur surgeries. Quadratus lumborum block (QLB) showed effective post-operative analgesia for procedures involving the abdominal cavity, myocutaneous flaps, and hip fractures. Aim: To evaluate the analgesic efficacy of transmuscular QLB and suprainguinal FIB in patients undergoing hip replacement surgery.Patients and methods:In this investigation, 38 patients with American Society of Anesthesiologists (ASA) grades I&III were divided into two groups: group 1 (QLB) and group 2 (Suprainguinal FIB).Vital signs, discomfort following surgery, when the first pain medication request was made, and the total number of analgesics used at rest and during hip rotations of 90 degrees at intervals of 0, 3, 6, 12, and 24 hours. Six hours post-operative, the quadriceps muscle power was assessed. Results:The time of first request of analgesia from the end of surgery was significantly greater in group 1 than 2 (17 ± 4.36 hours and 9.37 ± 1.38 hours respectively). The use of rescue analgesia was significantly higher in group 2 than 1 (19 and 7 respectively). 12 hours post-operative at rest, Visual Analogue Scale (VAS) score was significantly lower in the group I than 2 (2.52±1.2 and 4.68 ± 1 respectively). Group I was significantly lower than 2 regardingVAS score at movement at 12 hours post-operative (2.84±1.5 and 4.58 ± 1.02 respectively). Conclusion: Quadratus lumborum block is more successful than suprainguinal fascia iliaca block as analgesia in hip arthroplasty.
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