Comparison of Local Infiltration of Analgesia and Sciatic Nerve Block in Addition to Femoral Nerve Block for Total Knee Arthroplasty

被引：27
|
作者：
Tanikawa, Hidenori [1 ]
Sato, Tomoyuki [2 ]
Nagafuchi, Mari [2 ]
Takeda, Kentaro [1 ]
Oshida, Junya [2 ]
Okuma, Kazunari [1 ]
机构：
[1] Saitama City Hosp, Dept Orthopaed Surg, Saitama 3368522, Japan
[2] Saitama City Hosp, Dept Anesthesiol, Saitama 3368522, Japan
来源：
JOURNAL OF ARTHROPLASTY | 2014年 / 29卷 / 12期
关键词：
sciatic nerve block; local infiltration of analgesia; femoral nerve block; total knee arthroplasty; rehabilitation; RANDOMIZED CONTROLLED-TRIAL; POSTOPERATIVE ANALGESIA; SINGLE-INJECTION; PERIARTICULAR INFILTRATION; ULTRASOUND GUIDANCE; EPIDURAL ANALGESIA; PAIN-CONTROL; FUNCTIONAL RECOVERY; BRACHIAL-PLEXUS; CLINICAL-TRIAL;
D O I：
10.1016/j.arth.2014.04.011
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：
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 21 days 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. (c) 2014 Elsevier Inc. All rights reserved.
引用
收藏
页码：2462 / 2467
页数：6
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