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Progress of injection sites of local infiltration analgesia in total knee arthroplasty / 中国修复重建外科杂志
Chinese Journal of Reparative and Reconstructive Surgery ; (12): 502-506, 2023.
Artículo en Chino | WPRIM | ID: wpr-981623
ABSTRACT
OBJECTIVE@#To review the research progress of injection sites of local infiltration analgesia (LIA) in total knee arthroplasty (TKA).@*METHODS@#The relevant domestic and foreign literature in recent years was extensively reviewed. The neuroanatomy of the knee, and the research progress of the selection and the difference of effectiveness between different injection sites of LIA in clinical studies were summarized.@*RESULTS@#Large concentrations of nociceptors are present throughout the various tissues of the knee joint. Patellar tendon, subpatellar fat pad, lateral collateral ligament insertions, iliotibial band insertions, suprapatellar capsule, and posterior capsule were more sensitive to pain. Most current studies support injections into the lateral capsule, collateral ligament, retinaculum, quadriceps tendon, fat pad, and subcutaneous tissue. Whether to inject into the back of the knee and subperiosteum is controversial.@*CONCLUSION@#The relative difference of knee tissue sensitivity to pain has guiding significance for the selection of LIA injection site after TKA. Although researchers have conducted clinical trials on injection site and technique of LIA in TKA, there are certain limitations. The optimal scheme has not been determined yet, and further studies are needed.
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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Dolor Postoperatorio / Artroplastia de Reemplazo de Rodilla / Manejo del Dolor / Analgesia / Anestesia Local / Articulación de la Rodilla Límite: Humanos Idioma: Chino Revista: Chinese Journal of Reparative and Reconstructive Surgery Año: 2023 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Dolor Postoperatorio / Artroplastia de Reemplazo de Rodilla / Manejo del Dolor / Analgesia / Anestesia Local / Articulación de la Rodilla Límite: Humanos Idioma: Chino Revista: Chinese Journal of Reparative and Reconstructive Surgery Año: 2023 Tipo del documento: Artículo