TY  - JOUR
T1  - Effect of suprainguinal fascia iliaca block on recovery quality after total knee arthroplasty: a multicenter, prospective, randomized controlled, double-blind study
TT  - Suprainguinal fascia iliaka bloğun total diz artroplastisi sonrası iyileşme kalitesi üzerine etkisi: prospektif, randomize kontrollü, çift kör, çok merkezli bir çalışma
AU  - Satıcı, Muhammed Halit
AU  - Tutar, Mahmut Sami
AU  - Tire, Yasin
AU  - Kozanhan, Betül
AU  - Erarkadaş, Ahmet
AU  - Yıldırım, Ahmet
AU  - Dağ, Ahmet Yaşar
AU  - Altay, Nuray
PY  - 2025
DA  - January
Y2  - 2024
DO  - 10.32322/jhsm.1595732
JF  - Journal of Health Sciences and Medicine
JO  - J Health Sci Med /JHSM /jhsm
PB  - MediHealth Academy Yayıncılık
WT  - DergiPark
SN  - 2636-8579
SP  - 103
EP  - 108
VL  - 8
IS  - 1
LA  - en
AB  - Aims: Total knee arthroplasty is a common procedure for patients with advanced gonarthrosis, often leading to significant postoperative pain. Effective pain management, including multimodal analgesia with peripheral nerve blocks, is essential. The suprainguinal fascia iliaca block is a technique that targets key nerves responsible for knee sensation and is similar in effect to the lumbar plexus block. This research aims to evaluate whether suprainguinal fascia iliaca block improves the Quality of Recovery-15 scores in Total knee arthroplasty patients.                                                                      Methods: A randomized, prospective, controlled, multicenter study was conducted with 60 patients undergoing total knee arthroplasty. Participants were allocated to either Group S (received SIFIB with local anesthetic) or Group C (received SIFIB with saline solution). The primary outcome measured was the Quality of Recovery-15 score 24 hours post-surgery. Secondary outcomes included postoperative numeric rating scale scores, the requirement for rescue analgesia, time to first rescue analgesia, postoperative complications (nausea and vomiting), the necessity for antiemetics, and patient satisfaction.Results: Group S had significantly higher QoR-15 scores (124 [121–129] vs. 98 [92–101]; p
KW  - Multimodal analgesia
KW  - postoperative recovery
KW  - quality of recovery-15 score
KW  - Suprainguinal fascia iliaca block
N2  - Amaç: Total diz artroplastisi, ileri gonartrozlu hastalar için yaygın bir cerrahi prosedürdür ve genellikle önemli ölçüde postoperatif ağrıya yol açar. Etkili ağrı yönetimi, çevresel sinir blokları ile multimodal analjeziyi içerir ve bu süreçte hayati öneme sahiptir. Suprainguinal fascia iliaka bloğu, dizin duyusundan sorumlu temel sinirleri hedef alan ve lumbar pleksus bloğuna benzer etkiler gösteren bir tekniktir. Bu araştırma, suprainguinal fascia iliaka bloğunun total diz artroplastisi hastalarında Quality of Recovery-15 skorlarını iyileştirip iyileştirmediğini değerlendirmeyi amaçlamaktadır.Yöntem: Total diz artroplastisi geçiren 60 hasta ile randomize, prospektif, kontrollü ve çok merkezli bir çalışma yürütülmüştür. Katılımcılar, Grup S (lokal anestezik ile SIFIB uygulanan grup) veya Grup C (salin solüsyonu ile SIFIB uygulanan grup) olmak üzere iki gruba ayrılmıştır. Birincil sonuç ölçütü, ameliyat sonrası 24. saatte Quality of Recovery-15 skoruydu. İkincil sonuçlar arasında postoperatif sayısal derecelendirme ölçeği skorları, kurtarma analjezisine olan ihtiyaç, ilk kurtarma analjezisinin zamanı, postoperatif komplikasyonlar (bulantı ve kusma), antiemetik gereksinimi ve hasta memnuniyeti yer almıştır.Bulgular: Grup S’nin QoR-15 skorları, Grup C’ye kıyasla anlamlı derecede daha yüksekti (124 [121–129] vs. 98 [92–101]; p
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UR  - https://doi.org/10.32322/jhsm.1595732
L1  - https://dergipark.org.tr/en/download/article-file/4414134
ER  -