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Orthop J Sports MedOrthop J Sports MedOJSspojsOrthopaedic Journal of Sports Medicine2325-9671SAGE Publications Sage CA: Los Angeles, CA 10.1177/2325967118S0014910.1177_2325967118S00149ArticleReduction of Hip Arthroscopy Post-Operative Pain Using
Ultrasound-guided Fascia-Iliaca Block: A Prospective Randomized Control
Trial Glomset John Larson MD1Kim Eugene J. MD2Tokish John M. MD3Renfro Suzanne D. MD2Seckel Tyler B. BS4Adams Kyle J. BS4Folk Jason MD51 Steadman Hawkins Clinic of the
Carolinas; Greenville Health System, Greenville, SC, USA2 Greenville Health System, Greenville,
SC, USA3 Mayo Clinic Arizona, Phoenix, AZ,
USA4 Hawkins Foundation, Greenville, SC,
USA5 Steadman Hawkins Clinic of the Carolina;
Greenville Health System, Greenville, SC, USA27 7 2018 7 2018 6 7 suppl4 2018 AOSSM Annual Meeting Abstracts2325967118S00149© The Author(s) 20182018SAGE PublicationsThis open-access article is published and distributed under the
Creative Commons Attribution - NonCommercial - No Derivatives License
(http://creativecommons.org/licenses/by-nc-nd/4.0/), which
permits the noncommercial use, distribution, and reproduction of the article
in any medium, provided the original author and source are credited. You may
not alter, transform, or build upon this article without the permission of
the Author(s). For article reuse guidelines, please visit SAGE’s website at
http://www.sagepub.com/journals-permissions.Objectives:
Ultrasound guided fascia-Iliaca blocks have been used for pain control
following hip arthroscopy. There is little evidence regarding their
effectiveness in comparison to other pain control modalities in hip
arthroscopy patients.


Purpose:

To compare efficacy of ultrasound guided fascia iliac block with
intra-articular ropivacaine in controlling pain after hip arthroscopy.

Methods:
Between 2015 and 2017, 95 patients undergoing hip arthroscopy were randomly
assigned to 2 groups. The first group received an ultrasound-guided
fascia-iliaca block with 50-60mLs of 0.35% ropivacaine. The second group
received intra-articular injection of 20 mL of 0.5% ropivacaine at the
completion of the surgical case. Primary outcomes were post-operative pain
scores in the recovery room, at PACU discharge, at 2 weeks, 6 weeks, and 3
months. Secondary outcomes included intraoperative and PACU narcotic usage
(converted to morphine equivalent use) as well as readmission rates, PACU
recovery time and postoperative nausea and vomiting (PONV).

Results:
Postoperative pain across all points did not significantly differ between the
2 groups. Intraoperative and PACU narcotics did not differ significantly
between the 2 groups. Readmission rates, PACU recovery time and PONV did not
significantly differ between the 2 groups. There were no associated
complications in either group.

Conclusion:
Ultrasound guided fascia iliaca block for hip arthroscopy had no clinical
advantage when compared to one time intra-articular ropivacaine injection.
Furthermore, an intraarticular injection decreases costs and is a safe and
more efficient modality for postoperative pain control following hip
arthroscopy.

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