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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 5 Comparison of liver and kidney function indicators between the liposomal bupivacaine (LB) and ropivacaine groups.

ItemLB group (n=61)Ropivacaine group (n=68)P value
ALT (U/L)
 Before treatment22.05±15.1719.78±11.290.321
 After treatment23.04±13.5422.86±12.690.929
AST (U/L)
 Before treatment22.69±10.5922.07±9.170.619
 After treatment26.61±9.4127.86±9.770.252
SCR (μmol/L)
 Before treatment64.23±17.1965.69±22.860.904
 After treatment62.63±14.0564.75±21.570.899
Complications [case (%)]
 Nausea and vomiting3 (4.92)12 (17.65)0.024
 Significant blood glucose fluctuation1 (1.64)4 (5.88)0.369
 Lower extremity intramuscular venous thrombosis10 (16.39)7 (10.24)0.307
 Constipation6 (9.84)11 (16.18)0.288
Data are presented as mean±SD or number of patients (%). ALT – alanine aminotransferase; AST – aspartate aminotransferase; SCR – serum creatinine.

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