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Journal of Health Sciences and Medicine

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Original Article
Effect of suprainguinal fascia iliaca block on recovery quality after total knee arthroplasty: a prospective, randomized controlled, double-blind, multicenter study
Abstract
Aims: Total knee arthroplasty (TKA) 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 TKA patients.
Methods: A randomized, prospective, controlled, multicenter study was conducted with 60 patients undergoing TKA. 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 (QoR-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 TKA patients, presenting a viable alternative to other regional blocks for knee surgery.

Keywords : Multimodal analgesia, postoperative recovery, quality of recovery-15 score, Suprainguinal fascia iliaca block

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Article available in :
Volume 8, Issue 1, 2025
Page : 103-108
https://doi.org/10.32322/jhsm.1595732
Article Information
Received : 03 Ara 2024
Accepted : 21 Ara 2024
Published : 12 Oca 2025
Corresponding Author :

Muhammed Halit Satıcı: Department of Anesthesiology and Reanimation, Konya City Hospital, Konya, Turkiye

[email protected]
Citation : Satıcı MH, Tutar MS, Tire Y, et al. Effect of suprainguinal fascia iliaca block on recovery quality after total knee arthroplasty: a prospective, randomized controlled, double-blind, multicenter study. J Health Sci Med. 2025;8(1):103-108.

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