Local infiltration analgesia adds no clinical benefit in pain control to peripheral nerve blocks after total knee arthroplasty.

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• dc.contributor.author Hinarejos Gómez, Pedro Angelca
• dc.contributor.author Capurro, Bruno Micheleca
• dc.contributor.author Santiveri Papiol, Francisco Javierca
• dc.contributor.author Ortiz Sagrista, Pereca
• dc.contributor.author Leal Blanquet, Joanca
• dc.contributor.author Pelfort López, Javierca
• dc.contributor.author Torres Claramunt, Raúlca
• dc.contributor.author Sánchez Soler, JF.ca
• dc.contributor.author Monllau García, Juan Carlosca
• dc.date.accessioned 2017-01-12T09:25:47Z
• dc.date.issued 2016
• dc.description.abstract PURPOSE: To evaluate the effect of the local infiltration of analgesics for pain after total knee arthroplasty in patients treated with femoral and sciatic peripheral nerve blocks. The secondary objective was to detect differences in analgesic consumption as well as blood loss after local infiltration of analgesics. METHODS: Prospective randomized double-blinded study in patients who underwent a TKA for knee osteoarthritis under spinal anesthesia and treated with femoral and sciatic nerve blocks. This study compared 50 patients treated with local infiltration with ropivacaine, epinephrine, ketorolac and clonidine and 50 patients treated with a placebo with the same technique. The visual analogic score was registered postoperatively at 2, 6, 12, 24, 36, 48 and 72 h after surgery. Analgesic consumption was also registered. Both groups of patients were treated with the same surgical and rehabilitation protocols. RESULTS: A significant difference of one point was found in the visual analogic pain scores 12 h after surgery (0.6 ± 1.5 vs. 1.7 ± 2.3). There were no significant differences in the visual analogic pain scores evaluated at any other time between 2 and 72 h after surgery. No significant differences were found in the required doses of tramadol or morphine in the postoperative period. Postoperative hemoglobin and blood loss were also similar in both groups. CONCLUSION: Adding local infiltration of analgesics to peripheral nerve blocks after TKA surgery only provides minimal benefit for pain control. This benefit may be considered as non-clinically relevant. Moreover, the need for additional analgesics was the same in both groups. Therefore, the use of local infiltration of analgesics treatment in TKA surgery cannot be recommended if peripheral nerve blocks are used.ca
• dc.format.mimetype application/pdfca
• dc.identifier.citation Hinarejos P, Capurro B, Santiveri X, Ortiz P, Leal J, Pelfort X. et al. Local infiltration analgesia adds no clinical benefit in pain control to peripheral nerve blocks after total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc. 2016 Oct;24(10):3299-3305ca
• dc.identifier.doi http://dx.doi.org/10.1007/s00167-016-4187-x
• dc.identifier.issn 0942-2056
• dc.identifier.uri http://hdl.handle.net/10230/27871
• dc.language.iso engca
• dc.publisher Springerca
• dc.relation.ispartof Knee Surgery, Sports Traumatology, Arthroscopy. 2016 Oct;24(10):3299-305
• dc.rights © Springer The final publication is available at Springer via http://dx.doi.org/10.1007/s00167-016-4187-xca
• dc.rights.accessRights info:eu-repo/semantics/openAccessca
• dc.subject.other Dolorca
• dc.subject.other Artroplàstia -- Cirurgiaca
• dc.subject.other Artroplàstia total de genollca
• dc.title Local infiltration analgesia adds no clinical benefit in pain control to peripheral nerve blocks after total knee arthroplasty.ca
• dc.type info:eu-repo/semantics/articleca
• dc.type.version info:eu-repo/semantics/acceptedVersionca