Are Continuous Femoral Nerve Catheters Beneficial for Pain Management after Operative Fixation of Tibial Plateau Fractures? A Randomized Controlled Trial

Journal of Orthopaedic Trauma
Margaret E CookePaul Tornetta

Abstract

To determine whether a continuous femoral nerve block after open reduction internal fixation of tibial plateau fractures would diminish VAS scores and/or systemic narcotic intake. Randomized controlled trial SETTING:: Level-1 academic trauma center PATIENTS:: Forty-two consecutive patients with operatively treated tibial plateau fractures INTERVENTION:: Continuous femoral nerve catheter for post-operative pain management was performed in the experimental group. Both the visual analog score (VAS) for pain and narcotic intake were assessed at 4, 8, 12, 24, 36, 48 and 72 hours post-operatively. Forty-two patients were enrolled in this study. There were 21 women and 21 men 21-70 years of age (Avg 49) with operatively treated tibial plateau fractures. Twenty-one patients were randomized to receive a femoral nerve block with 5 crossovers for technical reasons. Accordingly, we analyzed 16 patients with femoral nerve blocks and 26 with standard care. There were no significant differences between the study groups regarding age, gender or fracture type. There was no significant difference in VAS scores between the control and experimental group at any time point. The total systemic morphine equivalent for the femoral nerve block group an...Continue Reading

References

Sep 3, 2004·The Journal of Arthroplasty·Myron J SzczukowskiThomas S Sisca
Mar 8, 2006·The Journal of the American Academy of Orthopaedic Surgeons·Terese T HorlockerJames R Hebl
Oct 10, 2006·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Victor M DuarteColin K L Yeung
Jun 7, 2008·The Journal of Arthroplasty·Cheuk Fan ShumSow Nam Yeo
Jul 6, 2013·The Orthopedic Clinics of North America·Laura Lynn Onderko, Saqib Rehman
Dec 3, 2013·The Journal of the American Academy of Orthopaedic Surgeons·Erik N KubiakMichael Q Potter
Feb 15, 2015·The Journal of Arthroplasty·Peter K Sculco, Mark W Pagnano

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