The efficacy of periarticular local infiltration in pain management after bipolar hip hemiarthroplasty

Introduction: Hip fracture is still one of the most common injuries among the elderly, the incidence rate rises exponentially with age and the aging of the population will therefore ensure that hip fracture continues to be a major clinical challenge and public health problem in future. In hip surgery a variety of factors have been shown to influence outcomes, including participation in rehabilitation. The clinical importance of prompt participation and early mobilization in physical therapy is now widely recognized. Postoperative pain can delay physical therapy and impair mobility; much more attention is now being given to finding more effective ways of controlling pain after hip fracture surgery. Materials and methods: This is a prospective randomized study conducted at tertiary care hospital in department of Orthopedics consists of 60 patients which were randomized into 2 groups were both groups were operated with Bipolar hip hemiarthroplasty with Group A(n=30) patients received periarticular local infiltration and Group B(n=30) received no infiltration.Result: We have found that Group A had responded well with pain relief in 6hrs, 12hrs, 24hrs and 48hrs as compare to Group B but pain were same on 7th day post op in both Groups. Group A shown improvement with early rehabilitation therapy as compare to Group B.Conclusion: We recommended that uses of periarticular local infiltration injection with drugs after Bipolar hip hemiarthroplasty i/v/o pain relief and early rehabilitation therapy.