Background & Aims
Introduction: The management of fractures of the upper end of the femur in elderly patients is a challenge for anesthesiologists and orthopedists. They are responsible for high morbidity and mortality. Osteosynthesis surgery must be offered quickly within 48 hours. The objective of our study was to evaluate the incidence of chronic postoperative pain in elderly subjects operated on for FESF.
Methods
Material and methods: This is a prospective, descriptive study including patients over 60 years old operated for FESF during two years.
Study parameters are, the age, the sex, the pain intensity, the pain after three months, the neuropathic pain, the treatment of chronic pain and the prevention
Results
Results: 264 patients were collected, 57.58% were women. The average age of our population was 78.16±9.9 years. 76.90% of our patients presented comorbidities, 72.35% had a Nottingham score ? 4 and 81% had an ASA score ? 2. 47.7% of our patients were operated on within more than 48 hours. The incidence of chronic postoperative pain was 37.5%. This pain was more common in patients who received osteosynthesis (31%) than patients who received a Moore prosthesis (6.5%).
Conclusions
Conclusion: Chronic postoperative pain in survivors operated for FESF remains a problem 6 to 12 months later. It was described during physical exercise (walking), the choice of equipment used had an impact on the quality of postoperative rehabilitation, which requires good pain management pre- and postoperatively.
References
1. Aubrun F Baillard C Beuscard JB Billard V Boddaett J Boulanger E et al. Recommandations sur l’anesthesie du sujet age l’exemple de la FESF Anesthesie et Reanimation 2019;5(2):122-38.
2. Andersen Kennetj Geving Helle Molter Duriaud Helle Elisabetj Jensen Niels Kroman et Henrik Kehlet 2015 predictive factors for the development of persistant pain after Breast Cancer Surgery Pain 156(12):2413-22 doi. 10.1097/j.pain00000000000000298.
3. Bouhassira Didier Nadine Attal and Coll. 2008 development and validation of the neuropathic pain symptom inventory Pain 108(3):248-57. doi: 10.1016/j.pain 2007.08.013.
4. Attal Nadine and Coll. 2011 the specific disease burden of neuropathic pain : results of a French Nationwide Survey. Pain 152(12):2836-43. doi: 10.1016/j.pain 2011.09.014.
5. Colvin Lesley A Fiona Bull et Tim G Hales 2019 perioperative opioid analgesia when is enough too much ? A review of opioid induced toletance and hyperalgesia the Lancet 393(10180): 1558-68. doi: 10.1016/s0376-8716(00)00200-3.
6. Boloeil H Sulpice L perioperative pain and its consequences J Visc Surg. dec 2016;153(6s):S15-8.
Presenting Author
Lamia djebara
Poster Authors
Lamia Djebara
Docteur
Pain Laboratory CHU Faculty of Medicine University of Batna 2
Lead Author
Mohamed Elhadi Benlaribi
CHU Study, Evaluation and Pain Treatment Laboratory - University of Batna 2 - Algeria
Lead Author
Nawal Boudouh
CHU Study, Evaluation and Pain Treatment Laboratory - University of Batna 2 - Algeria
Lead Author
Nadia Grainat
PAIN LABORATORY OF BATNA 2 UNIVERSITY AND PAIN CENTER OF BATNA
Lead Author
Topics
- Pain in Special Populations: Elderly