POST OPERATIVE PAIN AFTER HIP SURGERY, IS PROCEDURE SPECIFIC
Keywords:
Post-operative, Hip fracture, Pain, dynamic hip screw, compressionAbstract
Objective: To assess the post-operative pain levels in different types of hip surgeries.
Material and Methods: This descriptive prospective study was conducted at department of Orthopedics Khyber
Teaching Hospital Peshawar from September 2014 to February 2014. Forty eight patients with different socio-economic
background having hip fracture were included in the study coming from different areas of the Khyber Pukhtoon Khaw.
Both male and female patients were included irrespective of their age.All the patients were treated according the
standardized Hip fractures management protocol. All patients were given I.V fluids and analgesia on admission and
prepared for surgery. Same type of I.V analgesia (Inj Ketorolac) was given during peri- and post-operative period to all
the patients. Post-operative single I.V analgesia regime was maintained for all the patients. Patients were interviewed
on post-operative Day 1 to assess their pain level. Verbal Five-point rating scale was used. Patients were stratified into
four groups according to surgical procedure: AO Screws, Dynamic Hip Screw (D.H.S), Dynamic Compression Screw
(D.C.S) and Arthroplasty.
Results: Cumulated pain levels were significantly different between surgical procedures. Arthroplasty patients had
significantly lower grade of pain than others. Among the hip fracture fixation group, Dynamic Compression Screw
(DCS) was more painful than DHS and AO Screws.
Conclusion: Post-operative pain levels after surgery for hip fracture is very much procedure specific, which should be
taken into account for post-operative pain management and rehabilitation.
Downloads
Published
How to Cite
Issue
Section
License
All articles published in the Journal of Medical Sciences (JMS) are licensed under the Creative Commons Attribution 4.0 International License (CC-BY 4.0). Under the CC BY 4.0 license, author(s) retain the ownership of the copyright publishing rights without restrictions for their content, and allow others to copy, use, print, share, modify, and distribute the content of the article even for commercial purposes as long as the original authors and the journal are properly cited. No permission is required from the author/s or the publishers for this purpose. Appropriate attribution can be provided by simply citing the original article. The corresponding author has the right to grant on behalf of all authors, a worldwide license to JMS and its licensees in all forms, formats, and media (whether known now or created in the future), The corresponding author must certify and warrant the authorship and proprietorship and should declare that he/she has not granted or assigned any of the article’s rights to any other person or body.
The corresponding author must compensate the journal for any costs, expenses, or damages that the JMS may incur as a result of any breach of these warranties including any intentional or unintentional errors, omissions, copyright issues, or plagiarism. The editorial office must be notified upon submission if an article contains materials like text, pictures, tables, or graphs from other copyrighted sources. The JMS reserves the right to remove any images, figures, tables, or other content, from any article, whether before or after publication, if concerns are raised about copyright, license, or permissions and the authors are unable to provide documentation confirming that appropriate permissions were obtained for publication of the content in question.
