AI Article Synopsis
- Some older patients with hip fractures might have to wait a long time for surgery, especially if they have other health problems or live in places without good medical help.
- A special pain management technique called the PENG block can help these patients feel less pain while they get ready for surgery.
- In a study of ten patients, most of them were able to move from their beds to wheelchairs after getting this pain relief treatment before their surgery.
Article Abstract
Background: Elderly patients with femoral neck fractures, particularly those with severe comorbidities or living in regions with limited medical resources, may experience delays in surgical treatment. Although the benefits of preoperative rehabilitation (prehabilitation) in hip arthroplasty have been reported, pain management remains a challenge. The pericapsular nerve group (PENG) block, known for its exceptional analgesic effect and motor function preservation, may be a promising intervention during prehabilitation in these patients.
Case: We enrolled ten patients with Garden classification 3-4 femoral neck fractures scheduled for hip arthroplasty. After receiving a PENG block with 20 ml of 0.375% ropivacaine, all patients underwent initial prehabilitation sessions comprising 9 mobility levels, ranging from bed-sitting to walking. One patient was excluded due to experiencing high blood pressure during prehabilitation. Six of the nine remaining patients (66.7%) were successfully transferred from bed to wheelchair.
Conclusions: The PENG block enhanced prehabilitation for patients with femoral neck fractures undergoing hip arthroplasty.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11467497 | PMC |
| http://dx.doi.org/10.4097/kja.24232 | DOI Listing |
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