Am J Orthop (Belle Mead NJ). 2009 Aug;38(8):E129-33.

Analgesia for total hip and knee arthroplasty: a review of lumbar plexus, femoral, and sciatic nerve blocks.

Source

Department of Orthopaedic Surgery, University of Virginia Health System, Charlottesville, Virginia 22908-0159, USA. macalushogan@gmail.com

Abstract

Use of peripheral nerve blocks (PNBs) during lower extremity surgery has evolved. In this article, we review the pertinent anatomy and the literature concerning the advantages and disadvantages of both PNBs and traditional methods of postoperative analgesia (neuraxial and patient-controlled) for total hip arthroplasty and total knee arthroplasty. We conclude that use of PNBs for total hip and total knee arthroplasty compares favorably with traditional methods of postoperative analgesia. As use of PNBs becomes more widespread, understanding their risks and benefits will be of great value to orthopedic surgeons.

PMID:: 19809608; [PubMed - indexed for MEDLINE]

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Review

MeSH Terms

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Analgesics, Opioid

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New England Research Institutes Inc.

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Cited by 1 PubMed Central article

Effect of continuous psoas compartment block and intravenous patient controlled analgesia on postoperative pain control after total knee arthroplasty. [Korean J Anesthesiol. 2012]
Effect of continuous psoas compartment block and intravenous patient controlled analgesia on postoperative pain control after total knee arthroplasty.
Lee JJ, Choi SS, Lee MK, Lim BG, Hur W. Korean J Anesthesiol. 2012 Jan; 62(1):47-51. Epub 2012 Jan 25.

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