Comparison of Continuous Femoral Nerve Block versus Local Infiltration Analgesia as a Postoperative Analgesia in Unilateral Total Knee Arthroplasty
Introduction: Local infiltration of knee joint in arthroplasty, provide postoperative analgesia and preserves motor power of quadriceps, which helps in early mobilisation, as compared to femoral nerve block which paralyses vastus medialis. Aim: To compare the quality of postoperative analgesia p...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2017-07-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/10197/24398_CE(RA1)_F(T)_PF1(RB_SS)_PFA(RB_SS).pdf |
| Summary: | Introduction: Local infiltration of knee joint in arthroplasty, provide
postoperative analgesia and preserves motor power of quadriceps,
which helps in early mobilisation, as compared to femoral nerve
block which paralyses vastus medialis.
Aim: To compare the quality of postoperative analgesia provided
by femoral nerve block and local infiltration in unilateral Total Knee
Arthroplasty (TKA).
Materials and Methods: A prospective study was conducted on
60 patients (25-65 years) of ASA I and II, which were randomly(using
random number table) divided into two groups – Group 1-femoral
nerve block (FNB) and Group 2-Local Infiltration Analgesia (LIA).
Patients with chronic pain and on opioids were excluded. Numeric
rating scale (primary objective), sedation score, nausea vomiting
score and motor power were analysed. The results were analysed
by parametric and nonparametric tests using SPSS software
version 22. p<0.05 was considered significant.
Results: Pain relief was better in FNB Group (p-value <0.001)
with less fentanyl demand (p-value <0.001), low sedation score
(0.013, 0.179, 0.018, 0.129, 0.287, 0.432) but associated with
low muscle power grading (<0.001).
Conclusion: FNB has better pain relief than LIA Group but range
of motion was reduced in FNB Group grossly, effect on mobilisation
remained comparable in both group. |
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| ISSN: | 2249-782X 0973-709X |