Randomized Clinical Trial of Continuous Femoral Nerve Block Combined with Sciatic Nerve Block Versus Epidural Analgesia for Unilateral Total Knee Arthroplasty

被引：34

作者：

Al-Zahrani, Tariq ^{[1
]}

Doais, Khaled S. ^{[2
]}

Aljassir, Fawzi ^{[3
]}

Alshaygy, Ibrahim ^{[3
]}

Albishi, Waleed ^{[3
]}

Terkawi, Abdullah S. ^{[2
,4
]}

机构：

[1] King Saud Univ, Dept Anesthesiol, Riyadh, Saudi Arabia

[2] King Fahad Med City, Dept Anesthesiol, Riyadh, Saudi Arabia

[3] King Saud Univ, Dept Orthoped, Riyadh, Saudi Arabia

[4] Univ Virginia, Dept Anesthesiol, Charlottesville, VA 22904 USA

来源：

JOURNAL OF ARTHROPLASTY | 2015年 / 30卷 / 01期

关键词：

continuous femoral nerve block; epidural analgesia; total knee arthroplasty; POSTOPERATIVE ANALGESIA; REPLACEMENT; ANESTHESIA; INFUSION; SURGERY;

D O I：

10.1016/j.arth.2014.07.032

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：

Pain control following total knee arthroplasty (TKA) is crucial to hasten rehabilitation and decrease morbidity. We evaluated whether there is a difference between epidural infusion and continuous femoral nerve block with respect to postoperative pain control and rehabilitation course. Fifty patients completed the study. There was no statistically significant difference in the pain scores (P = 033), morphine consumption (P = 0.09) mean blood pressure or heart rate (P = 0.957, and P = 0.716) between groups. The postoperative daily mobilization (P = 0.80), knee joint range of motion (P = 0.83), and straight leg test (P = 0.99) were also similar between both groups. Patients were highly satisfied with their pain management in both groups without statistically significant difference (P = 0.98). (C) 2014 Elsevier Inc. All rights reserved.

引用

页码：149 / 154

页数：6

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