background: postoperative pain is one of the major problems in patients with femoral or hip fracture. current study investigates the effect of 0.2% and 0.3% bupivacaine in ultrasound-guided fascia iliaca compartment block (ficb) on postoperative pain.   methods: this randomized clinical trial study was conducted in rasoul akram hospital of iran university of medical sciences. forty-eight patien...

Despite recent national advances in the care for the hip fracture patient, significant morbidity and mortality persists. Some of this morbidity is attributable to the analgesia provided in the hospital setting. The National Institute of Health and Care Excellence and the Association of Anaesthetists of Great Britain and Ireland recommend the use of simple oral analgesia including opioids, with ...

This study aims to investigate the positioning accuracy and effectiveness of the loss of resistance technique (LOR) in fascia iliaca compartment block (FICB). A total of 175 patients prepared for hip surgery were enrolled; the injection needle was inserted at the centrolateral one-third point of the junction of the anterosuperior iliac spine and external pubic angle, 2 cm parallel to the tail e...

Background: The latissimus dorsi muscle has long been a valuable muscle for reconstruction. Our study aims to determine the true anatomic origin of the latissimus dorsi muscle and identify the possibility of performing an extended musculocutaneous flap for better aesthetic outcome and avoiding the need of implant based reconstruction to add volume. Methods: 55 human cadaver bodies were dissecte...

Peripheral nerve blocks have become a popular method for treatment of pain after lower-extremity surgical procedures. Two peripheral nerve blocks for knee arthroscopy include the 3-in-1 block and the fascia iliaca compartment block (FICB). There is limited research comparing the efficacy of these blocks in adults undergoing knee arthroscopy and meniscal repair who receive both the peripheral ne...

Aim: To evaluate the ultrasonographic findings of Thoracolumbar Fascia (TLF) enthesis in patients with low back pain (LBP) due to iliac crest syndrome (ICPS).

The aim of this study was to evaluate the efficacy and clinical application of iliac bone flaps pedicled with sartorius muscular fascia around superficial circumflex iliac vessels for the treatment of Association for Research on Osseous Circulation (ARCO) stage II-III osteonecrosis of the femoral head (ONFH) in young adults. In total, 35 patients with ONFH at ARCO stage II-III were treated with...

Fractured neck of femur (NOF) causes significant morbidity and pain for patients; adequate analgesia is an essential component of patient centred care. Patients experiencing greater pain during treatment for fractured NOF are slower to mobilise and have poorer health-related quality of life. NICE guidance suggests considering adding nerve blocks if paracetamol and opioids do not provide suffici...