IMPACT OF ULTRASOUND-GUIDED FASCIA ILIACA COMPARTMENT BLOCK ON HEMODYNAMICS AND PAIN MANAGEMENT IN ELDERLY PATIENTS UNDERGOING TOTAL HIP ARTHROPLASTY: IMPLICATIONS FOR SPORTS REHABILITATION AND MOBILITY RECOVERY

Abstract

Background: This study evaluates the effectiveness of ultrasound-guided fascia iliaca compartment block (FICB) on hemodynamic stability, pain management, and recovery in elderly patients undergoing total hip arthroplasty (THA), with implications for sports rehabilitation. Methods: A total of 229 elderly patients were randomized into a control group (n=114) receiving standard care and an experimental group (n=115) receiving B-ultrasound-guided FICB. Surgical indicators, pain (VAS), sedation (Ramsay), hemodynamic indices (MAP, HR, SBP, DBP), drug consumption, recovery times, adverse reactions, and patient satisfaction were assessed. Results: The experimental group had lower narcotic consumption, faster recovery, shorter hospital stays, and more stable hemodynamic parameters (P<0.05). VAS and Ramsay scores were better, indicating superior pain relief and sedation. No significant difference in adverse reactions was observed (P>0.05), while patient satisfaction was higher (P<0.05). Conclusions: Ultrasound-guided FICB improves pain management, stabilizes hemodynamics, and accelerates recovery in elderly THA patients, offering potential applications in sports rehabilitation and mobility restoration.