Dear Sumir, You have any information in this papers

Leegwater NC, Nolte PA, de Korte N, Heetveld MJ, et al. .The efficacy of continuous-flow cryo and cyclic compression therapy after hip fracture surgery on postoperative pain: design of a prospective, open-label, parallel, multicenter, randomized controlled, clinical trial.BMC Musculoskelet Disord. 2016 Apr 8;17:153. doi: 10.1186/s12891-016-1000-4.

Sasaki S, Chan WS, Ng TK, Sham P. Ultrasound-Guided Pericapsular Hip Joint Alcohol Neurolysis for the Treatment of Hip Pain: A Case Report of a Novel Approach.A A Pract. 2018 Aug 1;11(3):60-62. doi: 10.1213/XAA.0000000000000732..

Jones MR, Novitch MB, Hall OM, Bourgeois AP, et al. Fascia iliaca block, history, technique, and efficacy in clinical practice.Best Pract Res Clin Anaesthesiol. 2019 Dec;33(4):407-413. doi: 10.1016/j.bpa.2019.07.011.

Hi Sumit,

This paper may be of use to you:

Rikalainen-Salmi R, Förster JG, Mäkelä K, Virolainen P, Leino KA, Pitkänen MT, Neuvonen PJ, Kuusniemi KS. Local infiltration analgesia with levobupivacaine compared with intrathecal morphine in total hip arthroplasty patients. Acta Anaesthesiol Scand. 2012 Jul;56(6):695-705. doi: 10.1111/j.1399-6576.2012.02667.x. Epub 2012 Mar 7. PMID: 22404241.

Thank you sir for your input..

Gerard A. Sheridan

Quadratus lamborium block is said to be superior over regional block and peripheral nerve block. Femoral nerve block (FNB) has been used over decades to provide perioperative anaelgesia for Totat hip arthroplasty but the hip gets innervation not only from femoral nerve hence FNB less efficacy. Lumbar plexus block(LPB) provide good anaesthesia to Total hip arthroplasty but it has been associated with iatrogenic injury such as nerve injury and haematoma because the needle has to go via Lumbar space near the nerve roots. However recent evidences though limited multi center blinded randomization ,states that Anterior quatratus lamborium block is sufficient as it provides quick postoperative ambulations and improve

Quadratus Lamborum block improves quality of postoperative recovery to THA , as the procedure is done under USS guidance over three muscles:- psoas mojor, erector spinae and quadratus, and blocks Femoral nerve, Lateral cutenous nerve, obturator nerve and/ or sciatic nerve.Qudratus lumborum block reduce the risk of postoperative nausea and vomiting and minimize the use of post-op opiods

Dear Sumit,

80 percent of the times, pain after THR is not severe and I am easily able to manage it with epidural analgesia through a catheter. Never gave any local blocks.