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A distal femur fracture is an orthopedic condition that can be seen in all age groups and causes severe pain both preoperatively and postoperatively. Poorly managed pain can lead to hemodynamic changes, the need for additional analgesic drugs containing opioids, increased hospital stay, delayed mobilization, and patient dissatisfaction. Regional anesthesia techniques can be used for preoperative and postoperative analgesia. Suprainguinal fascia iliaca block and pericapsular nerve group block are applications included in regional techniques that preserve motor functions of the thigh. We also share our experience of suprainguinal fascia iliaca block and pericapsular nerve group block catheter application that we applied to a patient who underwent tenolysis surgery due to a distal femur fracture and adhesion in the quadriceps muscle group.
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http://dx.doi.org/10.7759/cureus.76935 | DOI Listing |
Pain Rep
October 2025
Pain Relief and Intensive Care Unit, National Cancer Institute, Cairo University, Cairo, Egypt.
Introduction: Effective pain management is essential for patients undergoing limb-sparing procedures as well as amputation in patients with cancer.
Objectives: This study evaluated the analgesic effects of the ultrasound-guided suprainguinal fascia iliaca block (SIFIB) and the ultrasound-guided lumbar erector spinae plane block (L-ESPB) in patients who underwent oncologic thigh surgery.
Methods: Seventy-five patients with thigh cancers and ASA class II, III were randomized into 3 groups: SIFIB, ESPB, and control groups.
Indian J Anaesth
August 2025
Department of Anaesthesiology, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.
Indian J Anaesth
August 2025
Department of Anaesthesiology and Critical Care, Meenakshi Hospital, Tanjore, Tamil Nadu, India.
Medicine (Baltimore)
August 2025
Department of Anesthesiology and Reanimation, Faculty of Medicine, Bahçeşehir University, Göztepe Medical Park Hospital, Istanbul, Turkiye.
Total knee arthroplasty (TKA) is associated with significant postoperative pain, managed with multimodal analgesia, including regional anesthesia techniques like peripheral nerve blocks. The knee joint's innervation by both sacral and lumbar plexuses often necessitates combined blocks for effective analgesia. This study aimed to compare the effects of suprainguinal fascia iliaca block (SIFIB) and a combination of popliteal artery and posterior knee capsule injection (IPACK) with adductor canal block (ACB) on 24-hour postoperative pain scores, as well as their impact on inflammatory markers and biochemical indicators of myotoxicity.
View Article and Find Full Text PDFJ Orthop Surg Res
August 2025
Department of Anesthesiology and Reanimation, Medical Faculty of Tekirdağ Namık Kemal University, Kampüs Cd. No: 1, Süleymanpaşa, Tekirdağ, 59100, Türkiye.
Background: Effective postoperative pain management is essential for recovery after total hip arthroplasty. While opioids are commonly used, their adverse effects necessitate alternative strategies. Peripheral nerve blocks are increasingly utilized, including the pericapsular nerve group block and the supra-inguinal fascia iliaca compartment block.
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