September 23, 2025MedicineOpen Access

Impact of continuous nerve block at different iliac fascia compartment regions on postoperative analgesia following total hip arthroplasty: A randomized controlled trial

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Discussion

Randomized trial shows improved analgesia with nerve block in medial and middle iliac fascia, suggesting better pain management following surgery.

Medial and middle iliac fascia nerve blocks significantly reduce pain scores post-THA compared to lateral blocks.
Patients with medial or middle nerve block required fewer analgesic pump compressions compared to those with lateral blocks.
Continuous fascia iliaca compartment block is effective in managing postoperative pain after total hip arthroplasty.
The study involved 90 participants with a controlled design assessing pain and muscle strength at several time points.

Zhang et al. (2025) studied this question.

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Randomized trial shows improved analgesia with nerve block in medial and middle iliac fascia, suggesting better pain management following surgery.