Abstract
Introduction
The type of anesthesia affects postoperative patient outcomes (morbidity and mortality, length of hospital stay), as spinal anesthesia is associated with a shorter length of stay in the hospital and fewer complications compared to general anesthesia. Early movement after joint surgery is essential for optimal rehabilitation and to reduce Complications. Our study aimed to determine the effect of the type of anesthesia on early movement after hip and knee replacement operations.
Methods
Cross-sectional study, conducted in Damascus Hospital (Al-Mujtahid) from 4/4/2024 to 6/10/2024. Patients were studied in the Department of Orthopedic Surgery, and the number of patients studied was 100 patients (undergoing general and spinal anesthesia).
Results
Out of 100 patients, the percentage of males was (63%) compared to females (37%). Their ages ranged from 30–89 years, with an average age of 73.41 years. Type of anesthesia was spinal anesthesia (51%) versus general anesthesia (49%). Type of surgery, “hip arthroplasty” (62%) versus “knee arthroplasty” (38%). The time for return to movement was as follows: “after 6 weeks” (44%), “after a day” (38%), “after a week” (18%).
Conclusion
We found that operations performed under spinal anesthesia have more positive effects compared to general anesthesia, in terms of the intensity of pain immediately after surgery, patients not suffering from annoying symptoms, and an early return to movement.