Comparison of Periarticular Multimodal Drug Injection and Femoral Nerve Block for Postoperative Pain Management in Total Knee Arthroplasty: A Systematic Review and Meta-Analysis

被引：63

作者：

Wang, Cong ^{[1
]}

Cai, Xun-Zi ^{[1
]}

Yan, Shi-Gui ^{[1
]}

机构：

[1] Zhejiang Univ, Dept Orthopaed Surg, Affiliated Hosp 2, Sch Med, Hangzhou 310009, Zhejiang, Peoples R China

来源：

JOURNAL OF ARTHROPLASTY | 2015年 / 30卷 / 07期

关键词：

total knee arthroplasty; periarticular multimodal drug injection; femoral nerve block; postoperative analgesia; meta-analysis; randomized controlled trial; LOCAL INFILTRATION ANALGESIA; EPIDURAL ANALGESIA; ORTHOPEDIC-SURGERY; SINGLE-INJECTION; HIP; COMPLICATIONS; QUALITY; TRIAL;

D O I：

10.1016/j.arth.2015.02.005

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：

The analgesic efficacy and safety of periarticular multimodal drug injection (PMDI) compared with femoral nerve block (FNB) for postoperative pain management in total knee arthroplasty (TKA) still remains controversial. We therefore conducted a meta-analysis to quantitatively compare PMDI to FNB in TKA. 10 randomized controlled trials (RCTs) with 744 TKAs in 728 patients were included in this study. The meta-analysis showed that single shot FNB may have better pain relief in the early postoperative period compared with single shot PMDI, and continuous PMDI provided postoperative analgesia comparable to that of continuous FNB. No significant difference was seen in regard to the complications between the two groups. However, due to the variation of the included studies, no firm conclusions can be drawn. (C) 2015 Elsevier Inc. All rights reserved.

引用

页码：1281 / 1286

页数：6

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