LOCAL PERIARTICULAR ANALGESIA IN TOTAL KNEE ARTHROPLASTY

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Local Periarticular Analgesia in Total Knee Arthroplasty

OBJECTIVE To evaluate the use of infiltration of periarticular analgesic agents intraoperatively in total knee arthroplasty (TKA), with regard to benefits, reduction of pain, opioid consumption, improvement of range of motion and early ambulation. METHODS To analyze the benefits of periarticular drug infiltration, the patients submitted to TKA were evaluated, being separated into two groups. ...

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Local infiltration analgesia for total knee arthroplasty.

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Single periarticular local infiltration analgesia reduces opiate consumption until 48 hours after total knee arthroplasty

BACKGROUND Randomized trials evaluating efficacy of local infiltration analgesia (LIA) have been published but many of these lack standardized analgesics. There is a paucity of reports on the effects of LIA on functional capability and quality of life. METHODS 56 patients undergoing unilateral total knee arthroplasty (TKA) were randomized into 2 groups in this placebo-controlled study with 12...

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Combined adductor canal block with periarticular infiltration versus periarticular infiltration for analgesia after total knee arthroplasty

BACKGROUND Both adductor canal block (ACB) and periarticular infiltration (PI) have been shown to reduce pain after total knee arthroplasty (TKA) without the motor blockade. However, the efficacy and safety of combined ACB with PI (ACB + PI) as compared to PI alone for analgesia after TKA remains controversial. We therefore performed a meta-analysis to compare the effects of ACB + PI with PI al...

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Periarticular regional analgesia in total knee arthroplasty: a review of the neuroanatomy and injection technique.

Postoperative pain control after total knee arthroplasty may be insufficient, resulting in insomnia, antalgic ambulation, and difficulty with rehabilitation. Current strategies, including the use of femoral nerve catheters, may control pain but have been associated with falls, motor blockade, and quadriceps inhibition. Periarticular infiltration using the appropriate technique and knowledge of ...

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ژورنال

عنوان ژورنال: Acta Ortopédica Brasileira

سال: 2017

ISSN: 1413-7852

DOI: 10.1590/1413-785220172502151116