Effect of suprainguinal fascia iliaca block on recovery quality after total knee arthroplasty: a multicenter, prospective, randomized controlled, double-blind study

Authors : Muhammed Halit Satıcı, Mahmut Sami Tutar, Yasin Tire, Betül Kozanhan, Ahmet Erarkadaş, Ahmet Yıldırım, Ahmet Yaşar Dağ, Nuray Altay

Pages : 103-108

Doi:10.32322/jhsm.1595732

View : 33 | Download : 96

Publication Date : 2025-01-12

Article Type : Research Paper

Abstract :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<0.001) and lower numerical rating scale scores at all time points compared with Group C (p<0.001). The total amount of tramadol consumed within the first 24 hours postoperatively was higher in Group C (145 [80–225] mg vs. 0 [0–0] mg; p<0.001). Conclusion: Suprainguinal fascia iliaca block significantly enhances postoperative recovery and pain management in total knee arthroplasty patients, presenting a viable alternative to other regional blocks for knee surgery.
Keywords : Multimodal analjezi, postoperatif iyileşme, iyileşme kalitesi-15 skoru, Suprainguinal fasya iliaka bloğu