Balanced Suspension versus Pillow on Preoperative Pain for Proximal Femur Fractures: A Randomized Controlled Trial
Introduction. To evaluate the efficacy of a balanced suspension system, using the Thomas splint, with Pearson attachment, compared with a pillow for preoperative pain in patients with proximal femoral fractures. Materials and Methods. Sixty patients with proximal femur fractures were randomized into...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2020-01-01
|
| Series: | Advances in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2020/3073892 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832555020441092096 |
|---|---|
| author | Varah Yuenyongviwat Chonthawat Jiarasrisatien Khanin Iamthanaporn Theerawit Hongnaparak Boonsin Tangtrakulwanich |
| author_facet | Varah Yuenyongviwat Chonthawat Jiarasrisatien Khanin Iamthanaporn Theerawit Hongnaparak Boonsin Tangtrakulwanich |
| author_sort | Varah Yuenyongviwat |
| collection | DOAJ |
| description | Introduction. To evaluate the efficacy of a balanced suspension system, using the Thomas splint, with Pearson attachment, compared with a pillow for preoperative pain in patients with proximal femoral fractures. Materials and Methods. Sixty patients with proximal femur fractures were randomized into two groups: a balanced suspension group and a pillow group. In the first group, a balanced suspension was applied after length adjustment, to match the patient’s leg and thigh. In the pillow group, a pillow was placed below the patient’s leg, to position the patient’s hip in a semiflexion and external rotation position. Preoperative pain severity, by using a verbal numerical rating scale (VNRS), the amount of morphine consumed, and complication were recorded. Results. There were no differences in patient characteristics between the groups. The mean VNRS for pain was not statistically different between the groups, from the start of the study up to 48 hours. The mean of morphine consumption was not different between the groups at the start of the study, on day 1, and on day 2 (p=0.25, 0.89, and 0.053, respectively). Conclusions. A balanced suspension did not improve patient outcome to the same level as other tractions in previous studies. Hence, other methods for reducing pain, while waiting for definite operations, should be focused on. The clinical trial is registered with TCTR20150514002. |
| format | Article |
| id | doaj-art-ffc4ba52e4cf4906959b8ec00d5c7ca3 |
| institution | Kabale University |
| issn | 2090-3464 2090-3472 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Orthopedics |
| spelling | doaj-art-ffc4ba52e4cf4906959b8ec00d5c7ca32025-02-03T05:49:54ZengWileyAdvances in Orthopedics2090-34642090-34722020-01-01202010.1155/2020/30738923073892Balanced Suspension versus Pillow on Preoperative Pain for Proximal Femur Fractures: A Randomized Controlled TrialVarah Yuenyongviwat0Chonthawat Jiarasrisatien1Khanin Iamthanaporn2Theerawit Hongnaparak3Boonsin Tangtrakulwanich4Department of Orthopedics, Faculty of Medicine, Prince of Songkla University, Songkhla 90110, ThailandDepartment of Orthopedics, Faculty of Medicine, Prince of Songkla University, Songkhla 90110, ThailandDepartment of Orthopedics, Faculty of Medicine, Prince of Songkla University, Songkhla 90110, ThailandDepartment of Orthopedics, Faculty of Medicine, Prince of Songkla University, Songkhla 90110, ThailandDepartment of Orthopedics, Faculty of Medicine, Prince of Songkla University, Songkhla 90110, ThailandIntroduction. To evaluate the efficacy of a balanced suspension system, using the Thomas splint, with Pearson attachment, compared with a pillow for preoperative pain in patients with proximal femoral fractures. Materials and Methods. Sixty patients with proximal femur fractures were randomized into two groups: a balanced suspension group and a pillow group. In the first group, a balanced suspension was applied after length adjustment, to match the patient’s leg and thigh. In the pillow group, a pillow was placed below the patient’s leg, to position the patient’s hip in a semiflexion and external rotation position. Preoperative pain severity, by using a verbal numerical rating scale (VNRS), the amount of morphine consumed, and complication were recorded. Results. There were no differences in patient characteristics between the groups. The mean VNRS for pain was not statistically different between the groups, from the start of the study up to 48 hours. The mean of morphine consumption was not different between the groups at the start of the study, on day 1, and on day 2 (p=0.25, 0.89, and 0.053, respectively). Conclusions. A balanced suspension did not improve patient outcome to the same level as other tractions in previous studies. Hence, other methods for reducing pain, while waiting for definite operations, should be focused on. The clinical trial is registered with TCTR20150514002.http://dx.doi.org/10.1155/2020/3073892 |
| spellingShingle | Varah Yuenyongviwat Chonthawat Jiarasrisatien Khanin Iamthanaporn Theerawit Hongnaparak Boonsin Tangtrakulwanich Balanced Suspension versus Pillow on Preoperative Pain for Proximal Femur Fractures: A Randomized Controlled Trial Advances in Orthopedics |
| title | Balanced Suspension versus Pillow on Preoperative Pain for Proximal Femur Fractures: A Randomized Controlled Trial |
| title_full | Balanced Suspension versus Pillow on Preoperative Pain for Proximal Femur Fractures: A Randomized Controlled Trial |
| title_fullStr | Balanced Suspension versus Pillow on Preoperative Pain for Proximal Femur Fractures: A Randomized Controlled Trial |
| title_full_unstemmed | Balanced Suspension versus Pillow on Preoperative Pain for Proximal Femur Fractures: A Randomized Controlled Trial |
| title_short | Balanced Suspension versus Pillow on Preoperative Pain for Proximal Femur Fractures: A Randomized Controlled Trial |
| title_sort | balanced suspension versus pillow on preoperative pain for proximal femur fractures a randomized controlled trial |
| url | http://dx.doi.org/10.1155/2020/3073892 |
| work_keys_str_mv | AT varahyuenyongviwat balancedsuspensionversuspillowonpreoperativepainforproximalfemurfracturesarandomizedcontrolledtrial AT chonthawatjiarasrisatien balancedsuspensionversuspillowonpreoperativepainforproximalfemurfracturesarandomizedcontrolledtrial AT khaniniamthanaporn balancedsuspensionversuspillowonpreoperativepainforproximalfemurfracturesarandomizedcontrolledtrial AT theerawithongnaparak balancedsuspensionversuspillowonpreoperativepainforproximalfemurfracturesarandomizedcontrolledtrial AT boonsintangtrakulwanich balancedsuspensionversuspillowonpreoperativepainforproximalfemurfracturesarandomizedcontrolledtrial |