الفهرس 
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Abstract
SUMMARY
T
otal knee arthroplasty (TKA) is common surgical procedure for treatment of the degenerative disorders and traumatic diseases. However, the majority of patients often experience moderate to severe postoperative pain after TKA. Postoperative pain control has a significant impact on earlier ambulation, initiation of physiotherapy, and better functional recovery. In addition, effective pain control would lower the length of hospital stay and the risk of thrombotic events which improves patients’ satisfaction.
The fascia iliaca compartment block and femoral nerve block performed ultrasounded guided is inexpensive, safe and easy to perform. It delivers effective pain relief whilst avoiding the undesirable side-effects of morphin and NSAIDs .
The aim of this study was to assess the efficacy and safety of FICB compared with FNB in patients undergoing total knee arthroplasty,74 patients were included in the study, and were divided into two groups . In FICB group : Patients (n=37) of this group received ultrasound guided Fascia iliaca compartment block (FICB) after spinal anesthesia using 30 ml of 0.25% bupivacaine. While in FNB group: Patients (n=37) of this group received ultrasound guided femoral nerve block (FNB) after spinal anesthesia using 15 ml of 0.25% bupivacaine.
The two groups were adequately monitored and assessed post-operatively and they were compared regarding analgesic outcome by using the visual analogue scaling system, recording time for first call for rescue analgesia and total dose of analgesia. Time of ambulation and Modified Bromage score were also assessed.
The present study showed that the Fascia iliaca compartment block (FICB) was more efficient than FNB regarding first request of analgesia, total pethidine consumption, time of ambulation and dynamic visual Analogue scale. But no significant difference was detected in static Visual Analogue scale and Modified Bromage score.