Femoral nerve catheter vs local infiltration for analgesia in fast track total knee arthroplasty: short-term and long-term outcomes

British Journal of Anaesthesia
M G E FentenP J C Heesterbeek

Abstract

The aim was to compare the effects on short-term and long-term pain and functional outcome of periarticular local anaesthetic infiltration (LIA) with LIA of the posterior knee capsule in combination with a femoral nerve block (FNB) catheter in patients undergoing total knee arthroplasty. Eighty patients were randomised to one of two groups: Subjects in group LIA received periarticular LIA with ropivacaine 0.2% for postoperative analgesia; subjects in group FNB received LIA of the posterior capsule and a FNB catheter. The primary outcome parameter was functional capacity of the knee 12 months after surgery. Secondary parameters included mobility as determined by accelerometer data, pain, satisfaction with the analgesic regimen, hospital length of stay, and use of pain medication 3 and 12 months after surgery. There were no differences between groups in long-term functional capacity, patient satisfaction and hospital length of stay. In the first 2 days, subjects in group FNB had slightly lower pain scores and used less opioids, and subjects in group LIA had a higher level of accelerometer activity. Three and 12 months after surgery, subjects in group FNB had lower maximum pain scores and were less likely to use any pain medicatio...Continue Reading

Citations

Jul 17, 2019·Foot & Ankle International·Debbie Y DangChristopher B Hirose
Dec 31, 2020·Journal of Clinical Medicine·Tu-Lan Vu-HanSebastian Hardt
Oct 20, 2020·European Journal of Anaesthesiology·Taalke Sitter, Patrice Forget
Apr 7, 2021·Journal of Clinical Anesthesia·Lu QinShishun Zhao
Apr 11, 2021·Regional Anesthesia and Pain Medicine·Sarah LaingAllan M Cyna

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