Does Adductor Canal Block Have a Synergistic Effect with Local Infiltration Analgesia for Enhancing Ambulation and Improving Analgesia after Total Knee Arthroplasty?
The Journal of Korean Knee Society
; : 133-141, 2018.
Artigo
em Inglês
| WPRIM (Pacífico Ocidental)
| ID: wpr-759319
Biblioteca responsável:
WPRO
ABSTRACT
PURPOSE:
We compared a single-injection adductor canal block (ACB) with or without local infiltration analgesia (LIA) for accelerating functional recovery and reducing postoperative pain after total knee arthroplasty (TKA). MATERIALS ANDMETHODS:
Sixty-two patients undergoing TKA with simple spinal analgesia and ACB were randomized to receive either LIA (group A+L) or placebo LIA (group A). Postoperative visual analog scale (VAS) score for pain, Timed Up and Go (TUG) test and quadriceps strength, total dosage of rescue analgesia, time to first rescue analgesia, and adverse events were serially evaluated from postoperative day 1 to 3 months.RESULTS:
There were no differences between both groups in pre- and postoperative VAS, TUG test, quadriceps strength 2 days, 3 days, 2 weeks, 6 weeks, and 3 months postoperatively. There were no differences in Knee Society clinical and function scores at 6 months and 1 year. However, group A+L had a significantly longer time for postoperative rescue analgesia (491 minutes vs. 143 minutes, p=0.04) with less patients requiring rescue analgesia during 6 hours after surgery (16.7% vs. 43.3%, p=0.024). Both groups had similarly high rates of patient satisfaction with low adverse event rates.CONCLUSIONS:
Combined ACB and LIA in TKA enhanced early ambulation with reduced and delayed rescue analgesia.
Texto completo:
Disponível
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Dor Pós-Operatória
/
Artroplastia
/
Caminhada
/
Satisfação do Paciente
/
Artroplastia do Joelho
/
Deambulação Precoce
/
Escala Visual Analógica
/
Analgesia
/
Joelho
Tipo de estudo:
Ensaio clínico controlado
Limite:
Humanos
Idioma:
Inglês
Revista:
The Journal of Korean Knee Society
Ano de publicação:
2018
Tipo de documento:
Artigo