Local infiltration analgesia in hip and knee arthroplasty: an emerging technique.

High-volume Local Infiltration Analgesia in Hip and Knee Arthroplasty

Analgesic efficacy of local infiltration analgesia in hip and knee arthroplasty: a systematic review.

In recent years, there has been an increasing interest in local infiltration analgesia (LIA) as a technique to control postoperative pain. We conducted a systematic review of randomized clinical trials investigating LIA for total knee arthroplasty (TKA) and total hip arthroplasty (THA) to evaluate the analgesic efficacy of LIA for early postoperative pain treatment. In addition, the analgesic e...

Autologous Blood Transfusion after Local Infiltration Analgesia with Ropivacaine in Total Knee and Hip Arthroplasty

Aims. To study the safety of autotransfusion following local infiltration analgesia (LIA) with ropivacaine. Background. Knowledge of blood concentrations of ropivacaine after LIA and autotransfusion is crucial. However, very limited data are available for toxicological risk assessment. Methods. Autotransfusion was studied in patients after total knee arthroplasty (TKA: n = 25) and total hip art...

Comparison of intrathecal and local infiltration analgesia by morphine for pain management in total knee and hip arthroplasty: A meta-analysis of randomized controlled trial.

OBJECTIVE We performed a meta-analysis from randomized controlled trials to evaluate the efficiency and safety between local infiltration analgesia and intrathecal morphine for pain control in total knee and hip arthroplasty. METHODS We systemically searched electronic databases including Embase (1980-2016.7), Medline (1966-2016.7), PubMed (1966-2016.7), ScienceDirect (1985-2016.7), web of sc...

Local infiltration analgesia for pain after total knee replacement surgery: a winner or just a strong runner-up?

Local infiltration analgesia (LIA) has been introduced recently as a promising step forward in reducing postoperative pain and side effects from analgesics after knee arthroplasty and, so far, with less convincing results after hip artroplasty. As often with new methods, there is a way to go from the first, enthusiastic, nonblinded case series to evidencebased recommendations for clinical, ever...