Continuous femoral blocks improve recovery and outcome of patients undergoing total knee arthroplasty

被引：224

作者：

Chelly, JE ^{[1
]}

Greger, J ^{[1
]}

Gebhard, R ^{[1
]}

Coupe, K ^{[1
]}

Clyburn, TA ^{[1
]}

Buckle, R ^{[1
]}

Criswell, A ^{[1
]}

机构：

[1] Univ Texas, Hlth Sci Ctr, Dept Orthopaed Surg, Houston, TX 77030 USA

来源：

JOURNAL OF ARTHROPLASTY | 2001年 / 16卷 / 04期

关键词：

continuous femoral infusion; ropivacaine; total knee arthroplasty; acute pain management; blood loss;

D O I：

10.1054/arth.2001.23622

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

This study was designed to determine the effects of continuous femoral infusion (CFI) on total knee arthroplasty recovery. A total of 92 patients were distributed in 3 groups: Patients in group 1 received general anesthesia followed by patient-controlled analgesia (PCA) with morphine (n = 33), patients in group 2 received 3-in-1 and sciatic blocks followed by CFI (n = 29), and patients in group 3 received epidural analgesia (n = 30). Blocks reduced postoperative morphine requirement by 74% (vs group 1: P < .05 and 35% (vs group 3; P < .05). Blocks provided better recovery than PCA with morphine or an epidural. The use of CFI was associated with a reduction of postoperative bleeding by 72% (vs group 1; P < .05) and allowed better performance on continuous passive motion. CFI was associated with a 90% decrease in serious complications and a 20% decrease in the length of hospitalization. CFI represents a better alternative than PCA or epidural analgesia for postoperative pain management and immediate rehabilitation after total knee arthroplasty.

引用

页码：436 / 445

页数：10