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https://doi.org/10.14300/mnnc.2016.11119

Postoperative analgesia of the patients with proximal femoral trauma

[Orthopedics and traumatology]
Ildar Akhtyamov; Oleg Anisimov; Evgeniy Shigaev;

The work dealt with the research of the various options of postoperative analgesia in elderly patients with PF injuries. A prospective two-center, randomized study was carried out among 38 patients. The main group consisted of 18 patients who underwent the combination of epidural analgesia with a highly selective inhibitor of COX-2 and the subsequent extension of its use up to 7 days. The comparison group consisted of 20 victims who underwent conventional postoperative analgesia of tramadol on the first day after the operation with administration of NSAIDs from 2 to 7 days. Types and duration of the interventions in the reviewed groups were comparable (osteosynthesis with the systems of dynamic fixation and arthroplasty). Pain intensity assessment was performed using a VAS. Both variants of postoperative analgesia allowed to carry out a successful activation of the patients within 24 hours after surgery, but the method of multimodal analgesia was significantly more effective in terms of pain relief within the first 24 hours. Subsequent application of Etoricoxib during the first week after surgery facilitates early rehabilitation of patients in both groups.

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Keywords: postoperative anesthesia, trauma of proximal femur, Etoricoxib