Periarticular regional analgesia in total knee arthroplasty: a review of the neuroanatomy and injection technique

Orthop Clin North Am. 2015 Jan;46(1):1-8. doi: 10.1016/j.ocl.2014.09.016.

Abstract

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.

Keywords: Anesthesia; Injection; Periarticular; Total knee arthroplasty.

Publication types

  • Review

MeSH terms

  • Analgesics / administration & dosage*
  • Anesthesia, Local*
  • Anesthetics / administration & dosage*
  • Arthroplasty, Replacement, Knee / adverse effects*
  • Humans
  • Injections, Intra-Articular
  • Knee Joint / anatomy & histology*
  • Pain, Postoperative / etiology
  • Pain, Postoperative / prevention & control*

Substances

  • Analgesics
  • Anesthetics