The local infiltration of analgesia following total knee replacement A REVIEW OF CURRENT LITERATURE

被引:61
作者
Gibbs, D. M. R. [1 ]
Green, T. P. [1 ]
Esler, C. N. [1 ]
机构
[1] Leicester Gen Hosp, Leicester LE5 4PW, Leics, England
来源
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | 2012年 / 94B卷 / 09期
关键词
ANESTHETIC WOUND INFILTRATION; MORPHINE AND/OR BUPIVACAINE; FEMORAL NERVE BLOCK; DOUBLE-BLIND; CONTROLLED-TRIAL; INTRAARTICULAR ANALGESIA; JOINT REPLACEMENT; EPIDURAL INFUSION; CHRONIC PAIN; ARTHROPLASTY;
D O I
10.1302/0301-620X.94B9.28611
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
100224 [整形外科学];
摘要
Controversy remains regarding the optimal post-operative analgesic regimen following total knee replacement. A delicate balance is required between the provision of adequate pain relief and early mobilisation. By reviewing 29 randomised trials we sought to establish whether local infiltration of analgesia directly into the knee during surgery provides better pain relief and a more rapid rehabilitation. Although we were able to conclude that local infiltration can provide improved post-operative pain relief, and to suggest the most promising technique of administration, there is no evidence that it reduces hospital stay.
引用
收藏
页码:1154 / 1159
页数:6
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