This research aim to improve postoperative outcome in total hip arthroplasty(THA) by using local mixture infiltration as bupivacaine + NSAID + epinephrine + tranxemic acid. In the present time these mixture components has shown to improve THA outcome by aspect of postoperative pain control, postoperative opioid consumption, postoperative bleeding, LOS and postoperative rehabilitation without increasing complication but the accuracy of infiltration technique which gives the best outcome has not been yet discovered.Recently study by Hashimoto et al has risen that these technique can be administrated by both periarticular and intra-articular approach.By considering the complexity of human anatomy around the hip tissue we assume that the intra-articular(transarticular) may given equivalence (may be better) outcome with lowering procedural related complication comparing to periarticular infiltration approach.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
120
as described previously
Rajavithi Hospital
Bangkok, Thailand
Visual analogue scale at rest on postoperative day1st and 2nd
Time frame: 1 week
total morphine consumption in first 24 hours postoperative period via PCA pump
Time frame: 1 week
total morphine consumption in whole postoperative period
Time frame: 1 week
length of stay
Time frame: 1 week
postoperative complication
Time frame: 1 week
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