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Journal of Orthopaedic Surgery and Research

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Open Access 01-12-2017 | Research article

Local infiltration of analgesia and sciatic nerve block provide similar pain relief after total knee arthroplasty

Authors: Hidenori Tanikawa, Kengo Harato, Ryo Ogawa, Tomoyuki Sato, Shu Kobayashi, So Nomoto, Yasuo Niki, Kazunari Okuma

Published in: Journal of Orthopaedic Surgery and Research | Issue 1/2017

Abstract

Background

Although femoral nerve block provides satisfactory analgesia after total knee arthroplasty (TKA), residual posterior knee pain may decrease patient satisfaction. We conducted a randomized controlled trial to clarify the efficacy of the sciatic nerve block (SNB) and local infiltration of analgesia with steroid (LIA) regarding postoperative analgesia after TKA, when administrated in addition to femoral nerve block (FNB).

Methods

Seventy-eight patients were randomly allocated to the two groups: concomitant administration of FNB and SNB or FNB and LIA. The outcome measures included post-operative pain, passive knee motion, C-reactive protein level, time to achieve rehabilitation goals, the Knee Society Score at the time of discharge, patient satisfaction level with anesthesia, length of hospital stay, surgical time, and complications related to local anesthesia.

Results

The patients in group SNB showed less pain than group LIA only on postoperative hours 0 and 3. Satisfactory postoperative analgesia after TKA was also achieved with LIA combined with FNB, while averting the risks associated with SNB. The influence on progress of rehabilitation and length of hospital stay was similar for both anesthesia techniques.

Conclusions

The LIA offers a potentially safer alternative to SNB as an adjunct to FNB, particularly for patients who have risk factors for sciatic nerve injury.

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Title: Local infiltration of analgesia and sciatic nerve block provide similar pain relief after total knee arthroplasty
Authors: Hidenori Tanikawa
Kengo Harato
Ryo Ogawa
Tomoyuki Sato
Shu Kobayashi
So Nomoto
Yasuo Niki
Kazunari Okuma
Publication date: 01-12-2017
Publisher: BioMed Central
Published in: Journal of Orthopaedic Surgery and Research / Issue 1/2017
Electronic ISSN: 1749-799X
DOI: https://doi.org/10.1186/s13018-017-0616-x

ACC 2024 Congress

Springer Medicine

Local infiltration of analgesia and sciatic nerve block provide similar pain relief after total knee arthroplasty

Abstract

Background

Methods

Results

Conclusions

ACC 2024 Congress

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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