Syed Dil Bagh Ali Shah, Taj Wali Khan, Um-e-habiba Gillani, Zaffar Durrani, Az Khan M Ayaz, Sikandar Khan.
Post Operative Pain After Hip Surgery, Is Procefure Specific.
J Med Sci Jan ;24(1):8-11.

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.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com