Comparison of local infiltration of analgesia and sciatic nerve block in addition to femoral nerve block for total knee arthroplasty
| Autor: | Tomoyuki Sato, Mari Nagafuchi, Junya Oshida, Kazunari Okuma, Hidenori Tanikawa, Kentaro Takeda |
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| Rok vydání: | 2014 |
| Předmět: |
Male
medicine.medical_specialty Knee Joint medicine.medical_treatment Total knee arthroplasty law.invention Patient satisfaction Sciatic nerve block Randomized controlled trial law medicine Humans Orthopedics and Sports Medicine Prospective Studies Anesthetics Local Arthroplasty Replacement Knee Aged Pain Measurement Pain Postoperative Rehabilitation business.industry Nerve Block Sciatic Nerve Femoral nerve block Surgery Patient Satisfaction Anesthesia Concomitant Local infiltration Female Joint Diseases business Femoral Nerve |
| Zdroj: | The Journal of arthroplasty. 29(12) |
| ISSN: | 1532-8406 |
| Popis: | We conducted a prospective randomized controlled trial to test the null hypothesis that there is no difference between sciatic nerve block (SNB) and local infiltration of analgesia (LIA) regarding postoperative analgesia after total knee arthroplasty (TKA), when administrated in addition to femoral nerve block (FNB). Forty-six patients scheduled for TKA were randomized into two groups: concomitant administration of FNB and SNB or FNB and LIA. Average pain scores during the first 21days after surgery were similar in the two groups and remained at low level. There was no significant difference in the need for adjuvant analgesics, patient satisfaction level, the time to achieve rehabilitation goals, and length of hospital stay. The LIA offers a potentially safer alternative to SNB as an adjunct to FNB. |
| Databáze: | OpenAIRE |
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