Introduction
postoperative pain, fatigue, femoral nerve block, inflammation, PONV, TJA
INFLAMMATION, KNEE ARTHRITIS, LOCAL INFILTRATION
For patients with advanced stage bilateral hip or knee arthritis, simultaneous bilateral total joint arthroplasty (TJA) can obtain higher partial benefits than staged bilateral TJA, especially in terms of time and cost [Multimodal analgesia has been widely used in recent years, encompassing patient controlled analgesia (PCA), epidural analgesia, femoral nerve block (FNB), and local infiltration analgesia (LIA) [Glucocorticoids have powerful anti-inflammatory effects and are widely used in various perioperative environments to reduce inflammation markers and hospital stay, prevent PONV, and relieve postoperative pain and fatigue [