Hi Amit - every time I research this I get a different set of answers to which nerves are key to the hip. Is there evidence for the involvement of reflexive branches of the lateral cutaneous nerve of the thigh, and for the femoral branch of the genitofemoral nerve..?
Hi Paul - LFCN can of course be relevant depending on skin incision, as for the femoral branch of genitofemoral - I think it could play a role - especially for anterior approaches . This is a pretty good reference resources.wfsahq.org/atotw/evidence-for-regional-anesthesia-blocks-for-patients-with-hip-fractures-atotw-477/
Sir how will blockade of ARTICULAR branches of femoral, obturator and accessory obturator nerve provide postoperative analgesia in Hip replacement surgery as pain causing components are replaced by metallic implants?? Will it not be good to cover entire nerves to get dermatomal, myotomal and osteotomal coverage rather than ARTICULAR branches?? 🤔🤔
Great question. Still being evaluated as a value technique. This quote from this paper gives you an idea why there is interest in it www.bjanaesthesia.org/article/S0007-0912(23)00165-4/fulltext “Selectively blocking articular nerve branches to the anterior hip capsule is an attractive option, theoretically providing analgesia to this the most richly innervated area of the hip joint without associated motor block.”
Another excellent video from Dr Amit Pawa!
Thank you so much 🙏🏽
Excellent video!
Thanks a lot!
Glad you liked it! 🙏🏽
Excellent video presentation Sir
Great Video
Glad you enjoyed it
thank you
@@paanmelaka thanks for watching and supporting my channel 🙏🏽🙏🏽
Hi Amit - every time I research this I get a different set of answers to which nerves are key to the hip. Is there evidence for the involvement of reflexive branches of the lateral cutaneous nerve of the thigh, and for the femoral branch of the genitofemoral nerve..?
Hi Paul - LFCN can of course be relevant depending on skin incision, as for the femoral branch of genitofemoral - I think it could play a role - especially for anterior approaches .
This is a pretty good reference resources.wfsahq.org/atotw/evidence-for-regional-anesthesia-blocks-for-patients-with-hip-fractures-atotw-477/
Great
Thank You!
Sir how will blockade of ARTICULAR branches of femoral, obturator and accessory obturator nerve provide postoperative analgesia in Hip replacement surgery as pain causing components are replaced by metallic implants?? Will it not be good to cover entire nerves to get dermatomal, myotomal and osteotomal coverage rather than ARTICULAR branches?? 🤔🤔
Great question. Still being evaluated as a value technique.
This quote from this paper gives you an idea why there is interest in it
www.bjanaesthesia.org/article/S0007-0912(23)00165-4/fulltext
“Selectively blocking articular nerve branches to the anterior hip capsule is an attractive option, theoretically providing analgesia to this the most richly innervated area of the hip joint without associated motor block.”