Bipolar hemiarthroplasty (BHA) is a common treatment for femoral neck fractures, but post-surgery pain can delay recovery. This study retrospectively analyzed 87 BHA patients from 2016–2020, categorizing them into two groups: Group I (n = 42) received serial injection nerve blocks (SINB) before and after surgery, while Group II (n = 41) did not. Pain was measured using a visual analog scale at multiple time points post-surgery. The groups were also compared for hospital stay length and perioperative complications. Results indicated that Group I patients, who received SINB, had significantly lower pain scores at most time intervals post-surgery and exhibited fewer instances of postoperative nausea, vomiting, and delirium. Using ultrasound-guided SINB not only provided superior pain relief but also minimized the need for narcotics and their side effects, like nausea and delirium.
Part of the book: Pain Management