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Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition) ›› 2020, Vol. 06 ›› Issue (06): 370-375. doi: 10.3877/cma.j.issn.2096-0263.2020.06.010

Special Issue:

• Review • Previous Articles    

Multi-modal Pain Management in the Perioperative Period of Hip Replacement

Mengxuan Yao1, Jia Huo1, Congcong Wei1, Huijie Li1,()   

  1. 1. Department of Orthopaedics, the Third Hospital of Hebei Medical University, Shijiazhuang 050051, China
  • Received:2020-08-08 Online:2020-12-05 Published:2020-12-05
  • Contact: Huijie Li
  • About author:
    Corresponding author: Li Huijie, Email:

Abstract:

Total hip arthroplasty (THA) is a common orthopedic procedure, and ineffective pain control during the perioperative period may lead to slower recovery, increased risk of complications, increased medical costs, and decreased patient satisfaction. More and more attention has been paid to pain control during the perioperative period of THA by the majority of orthopedic surgeons. A multimodal approach to pain management has gradually become mainstream, which includes: oral agents (e.g., COX-2 inhibitors, neuromodulators), peripheral nerve blocks, local anesthetic analgesia, and other modalities. The use of a multimodal approach promises to reduce complications, improve pain and improve patient satisfaction after hip arthroplasty. Enhance the analgesic effect through the synergistic effect between different drugs and/or methods, reduce the dosage and adverse reactions of single drug, shorten the onset time of drugs and prolong the duration of analgesia.

Key words: Arthroplasty, replacement, hip, Apain management, Multimodal analgesia

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