Periarticular Regional Analgesia in Total Knee Arthroplasty A Review of the Neuroanatomy and Injection Technique

被引:33
作者
Guild, George N. [1 ]
Galindo, Rubin P. [1 ]
Marino, Joseph [2 ]
Cushner, Fred D. [3 ]
Scuderi, Giles R. [3 ]
机构
[1] Northshore LIJ Hlth Syst, Lenox Hill Hosp, Insall Scott Kelly Inst Orthopaed & Sports Med, Dept Orthopaed, New York, NY 10065 USA
[2] Northshore LIJ Hlth Syst, Dept Anesthesia, New York, NY 10065 USA
[3] Northshore LIJ Hlth Syst, Lenox Hill Hosp, Insall Scott Kelly Inst Orthopaed & Sports Med, Dept Orthoped Surg, New York, NY 10065 USA
关键词
Periarticular; Injection; Total knee arthroplasty; Anesthesia; FEMORAL NERVE BLOCK; PATIENT-CONTROLLED ANALGESIA; POSTOPERATIVE ANALGESIA; EPIDURAL ANALGESIA; JOINT; REHABILITATION; REPLACEMENT; BUPIVACAINE; PAIN; INNERVATION;
D O I
10.1016/j.ocl.2014.09.016
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
Postoperative pain control after total knee arthroplasty may be insufficient, resulting in insomnia, antalgic ambulation, and difficulty with rehabilitation. Current strategies, including the use of femoral nerve catheters, may control pain but have been associated with falls, motor blockade, and quadriceps inhibition. Periarticular infiltration using the appropriate technique and knowledge of intraarticular knee anatomy may increase pain control and maximize rehabilitation.
引用
收藏
页码:1 / +
页数:9
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