Peripheral Nerve Blockade for Total Knee Arthroplasty: An Evidence-Based Review
作者： Lloyd Turbitt , Stephen Choi , Colin J. L. McCartney
DOI: 10.1007/S40140-015-0104-Y
关键词:
摘要: Total knee arthroplasty (TKA) is associated with significant postoperative pain. Optimization of analgesia can improve rehabilitation and functional recovery. There much debate regarding the best peripheral nerve blocks for optimization analgesic outcomes following TKA. Continuous femoral block provides excellent analgesia. In comparison, adductor canal may provide relative preservation quadriceps motor weakness, however, its effect on analgesia, mobilization, long-term outcomes, inpatient falls remains unclear. Sciatic effective in addition to continuous block, clinical benefit be greatest patients opioid tolerance or chronic Studies comparing local infiltration are difficult interpret due high risk bias methodological flaws. Addition obturator but impact this unknown.
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