Pain management after total knee arthroplasty: A prospective randomized study

• Published in: Journal of clinical orthopaedics and trauma 2020-01, Vol.11 (1), p.113-117
• Main Authors: Paglia, A, Goderecci, R, Ciprietti, N, Lagorio, M, Necozione, S, Calvisi, V
• Format: Article
• Language: English
• Subjects: Femoral nerve block; Local infiltration anesthesia; Orthopedics; Postoperative pain control management; Primary Knee Arthroplasty; Total knee arthroplasty
• ISSN: 0976-5662; 2213-3445
• DOI: 10.1016/j.jcot.2018.12.005

Abstract Introduction Total knee arthroplasty (TKA) is a common procedure for improving mobility and quality of life in patients with osteoarthritis. Postoperative pain control management after TKA is still a concern as it relates to patients satisfaction and functional recovery. Many anesthetic regimens and techniques have been explored to decrease postoperative pain and enhance the fast recovery after TKA. The aim of this study was to evaluate the best anesthetic treatment in pain control after TKA. Methods 51 patients were included in a randomized prospective study and distributed in three groups. The first group (CG) in which no analgesic protocol was implemented (control group). The second group (LIA group) received an intraoperative local infiltration anesthesia (LIA) (60 ml mixture of two ropivacaine 75mg/10 mL + adrenaline 100μg/10 mL + physiological solution). The third group (FNB group) had only a femoral nerve block (FNB). Continuous outcomes including visual analogue scale (VAS) at 5,24,48 h and at 1 week, morphine consumption and range of motion (ROM) at 1,2,7 days. Results There was significant difference between all groups (p