الفهرس 
Postoperative PainOnly 14 pages are availabe for public view
 |  | from | 144 |  |  |
| | | from | 144 | | |
Abstract
Total hip arthroplasty (THA) is an effective treatment method for hip disorders. Along with improved techniques and prosthetic designs, the number of THAs performed has increased worldwide.(1) Total hip arthroplasty is a cost-effective surgical procedure undertaken to relieve pain and restore function to the arthritic hip joint. More than 1 million hip arthroplasty surgeries are done every year worldwide, and this number is projected to double within the next two decades.(2) Postoperative pain after total joint arthroplasty has remained a serious problem, which prolongs length of hospital stay and functional recovery. Therefore, appropriate pain management protocol is necessary to relieve postoperative pain and achieve early functional recovery.(3) Although several treatment options involving various combinations of systemic analgesics and/or regional analgesia with or without opioids are available for postoperative pain, a gold standard has not been established.(4, 5) The most commonly performed peripheral nerve blocks include lumbar plexus block, a femoral nerve block, or a fascia iliaca compartment block to manage postoperative analgesia.(6) Neuraxial opioids provide superior analgesia compared with systemic opioids, but may also be associated with potentiation of many side effects e.g.: respiratory depression, nausea, vomiting, ileus, urinary retention, pruritis, hypotension, bradycardia, and cognitive changes.