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08 April 2026 : Clinical Research  

Efficacy and Safety of Liposomal Bupivacaine in Direct Anterior Approach Total Hip Arthroplasty: A Retrospective Cohort Study

Ye Chen ORCID logo ABCDEF 1, Chunxiao Zhang ORCID logo AD 2, Lanyong Chen ORCID logo B 1, Yong He ORCID logo B 1, Linling Zhang ORCID logo B 1, Songfeng Hu ORCID logo AG 1,2*

DOI: 10.12659/MSM.951717

Med Sci Monit 2026; 32:e951717

Table 3 Observed postoperative visual analog scale (VAS) and sleep quality scores (mean±standard deviation) in the liposomal bupivacaine (LB) and ropivacaine groups.

ItemLB group (n=61)Ropivacaine group (n=68)
Resting VAS
 POD 13.05±0.833.50±0.95
 POD 22.79±0.713.32±0.74
 POD 32.49±0.703.07±0.65
 POD 72.13±0.562.21±0.70
Active VAS
 POD 13.92±0.714.32±0.72
 POD 23.57±0.624.06±0.57
 POD 33.26±0.663.93±0.65
 POD 72.75±0.622.75±0.72
Sleep Quality Score
 POD 010.98±1.2611.16±1.53
 POD 18.30±1.359.92±1.34
 POD 26.36±1.548.24±1.15
Values are presented as estimated marginal means with 95% confidence intervals, derived from linear mixed-effects models adjusted for the following prespecified covariates: age, sex, body mass index, American Society of Anesthesiologists classification, disease type, operation time, incision length, and surgical side. Adjusted mean differences and their 95% CIs were calculated from the model using the unrounded estimated marginal means and are presented after rounding. values for time-point comparisons were Bonferroni adjusted. Observed means±SD are provided.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750