Effect of liposomal bupivacaine for iliac fascia block on postoperative cognitive dysfunction in patients with femoral neck fractures

doi:10.5312/wjo.v17.i5.116844

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World Journal of Orthopedics

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2218-5836

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Randomized Controlled Trial

Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Orthop. May 18, 2026; 17(5): 116844
Published online May 18, 2026. doi: 10.5312/wjo.v17.i5.116844

Table 6 Comparison of insomnia scale (Pittsburgh Sleep Quality Index) between the two patient groups, median (25^th-75^th percentiles)

Indicator	Group	Sleep quality	Bed time	Sleep duration	Sleep efficiency	Sleep disorder	Hypnotic drugs	Daytime dysfunction	Total score
PSQI	Control (n = 40)	2 (2-3)	3 (2-3)	2 (2-3)	2 (2-3)	3 (2-3)	2 (2-3)	2 (2-3)	17 (16-18)
PSQI	LB (n = 40)	2 (2-3)	2 (2-3)	2 (1-3)^a	2 (2-3)	2 (1-3)^a	2 (2-2)^a	2 (2-2)^a	14 (13-16)^a
z value		-1.153	-1.045	-2.010	-0.437	-2.021	-4.117	-4.189	-4.608
P value		0.249	0.296	0.044	0.662	0.043	0.000	0.000	0.000

^aP < 0.05.

Total score: 21 points, > 5 points indicates poor sleep quality. LB: Liposomal bupivacaine; PSQI: Pittsburgh Sleep Quality Index.

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Citation: Liu H, Jia T, Shuai SC, Zhao JB. Effect of liposomal bupivacaine for iliac fascia block on postoperative cognitive dysfunction in patients with femoral neck fractures. World J Orthop 2026; 17(5): 116844
URL: https://www.wjgnet.com/2218-5836/full/v17/i5/116844.htm
DOI: https://dx.doi.org/10.5312/wjo.v17.i5.116844

Liu H, Jia T, Shuai SC, Zhao JB. Effect of liposomal bupivacaine for iliac fascia block on postoperative cognitive dysfunction in patients with femoral neck fractures. World J Orthop 2026; 17(5): 116844 [DOI: 10.5312/wjo.v17.i5.116844]

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