Combined Femoral and Sciatic Nerve Block vs Combined Femoral and Periarticular Infiltration in Total Knee Arthroplasty. A Randomized Controlled Trial

Journal of Arthroplasty

Volumn 27, Issue 10, 2012, Pages 1806-1811

  Mahadevan, Devendra ^a   Walter, Richard P ^a   Minto, Gary ^a   Gale, Thomas C ^a   McAllen, Christoph J ^a   Oldman, Matthew ^a  

^a DERRIFORD HOSPITAL   (United Kingdom)

Author keywords

Femoral nerve block; Morphine consumption; Periarticular infiltration; Sciatic nerve block; Total knee arthroplasty

Indexed keywords

DICLOFENAC; FENTANYL; ISOFLURANE; LEVOBUPIVACAINE; LOCAL ANESTHETIC AGENT; MIDAZOLAM; MORPHINE SULFATE; PARACETAMOL; PROPOFOL;

ADULT; AGED; ANESTHESIOLOGICAL PROCEDURE; ANESTHETIC TIME; ARTICLE; CONTROLLED STUDY; DRUG ADMINISTRATION ROUTE; DRUG DOSE TITRATION; DRUG UTILIZATION; FEMALE; FEMORAL NERVE; FEMORAL NERVE BLOCK; HUMAN; KNEE FUNCTION; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; NERVE BLOCK; NERVOUS SYSTEM PARAMETERS; NULL HYPOTHESIS; OPERATION DURATION; OUTCOME ASSESSMENT; PAIN ASSESSMENT; PATIENT CONTROLLED ANALGESIA; PERIARTICULAR ANESTHETIC INFILTRATION; POSTOPERATIVE PAIN; RANDOMIZED CONTROLLED TRIAL; SCIATIC NERVE; SCIATIC NERVE BLOCK; SINGLE BLIND PROCEDURE; TOTAL KNEE REPLACEMENT; VISUAL ANALOG SCALE;

AGED; ANALGESIA; ARTHROPLASTY, REPLACEMENT, KNEE; BUPIVACAINE; FEMALE; FEMORAL NERVE; HUMANS; KNEE JOINT; LENGTH OF STAY; MALE; MORPHINE; NERVE BLOCK; OPERATIVE TIME; PAIN MEASUREMENT; PAIN, POSTOPERATIVE; SCIATIC NERVE;

EID: 84869087190     PISSN: 08835403     EISSN: 15328406     Source Type: Journal    
DOI: 10.1016/j.arth.2012.05.018     Document Type: Article

References (47)

1. Shoji H., Solomonow M., Yoshino S., et al. Factors affecting postoperative flexion in total knee arthroplasty. Orthopedics 1990, 13:643.
2. Essving P., Axelsson K., Kjellberg J., et al. Reduced morphine consumption and pain intensity with local infiltration analgesia (LIA) following total knee arthroplasty. Acta Orthop 2010, 81:354.
3. Vendittoli P.A., Makinen P., Drolet P., et al. A multimodal analgesia protocol for total knee arthroplasty. A randomized, controlled study. J Bone Joint Surg Am 2006, 88:282.
4. Toftdahl K., Nikolajsen L., Haraldsted V., et al. Comparison of peri- and intraarticular analgesia with femoral nerve block after total knee arthroplasty: a randomized clinical trial. Acta Orthop 2007, 78:172.
5. Capdevila X., Barthelet Y., Biboulet P., et al. Effects of perioperative analgesic technique on the surgical outcome and duration of rehabilitation after major knee surgery. Anesthesiology 1999, 91:8.
6. Singelyn F.J., Deyaert M., Joris D., et al. Effects of intravenous patient-controlled analgesia with morphine, continuous epidural analgesia, and continuous three-in-one block on postoperative pain and knee rehabilitation after unilateral total knee arthroplasty. Anesth Analg 1998, 87:88.
7. Wang H., Boctor B., Verner J. The effect of single-injection femoral nerve block on rehabilitation and length of hospital stay after total knee replacement. Reg Anesth Pain Med 2002, 27:139.
8. Tarkkila P., Tuominen M., Huhtala J., et al. Comparison of intrathecal morphine and continuous femoral 3-in-1 block for pain after major knee surgery under spinal anesthesia. Eur J Anaesthesiol 1998, 15:6.
9. Tierney E., Lewis G., Hurtig J.B., et al. Femoral nerve block with bupivacaine 0.25 per cent for postoperative analgesia after open knee surgery. Can J Anaesth 1987, 34:455.
10. Mansour N.Y., Bennetts F.E. An observational study of combined continuous lumbar plexus and single-shot sciatic nerve blocks for post-knee surgery analgesia. Reg Anesth 1996, 21:287.
11. McNamee D.A., Parks L., Milligan K.R. Post-operative analgesia following total knee replacement: an evaluation of the addition of an obturator nerve block to combined femoral and sciatic nerve block. Acta Anaesthesiol Scand 2002, 46:95.
12. Allen H.W., Liu S.S., Ware P.D., et al. Peripheral nerve blocks improve analgesia after total knee replacement surgery. Anesth Analg 1998, 87:93.
13. Abdallah F.W., Brull R. Is sciatic nerve block advantageous when combined with femoral nerve block for postoperative analgesia following total knee arthroplasty?: a systematic review. Reg Anesth Pain Med 2011, 36:493.
14. Davies A.F., Segar E.P., Murdoch J., et al. Epidural infusion or combined femoral and sciatic nerve blocks as perioperative analgesia for knee arthroplasty. Br J Anaesth 2004, 93:368.
15. Ben-David B., Schmalenberger K., Chelly J.E. Analgesia after total knee arthroplasty: is continuous sciatic blockade needed in addition to continuous femoral blockade?. Anesth Analg 2004, 98:747. table.
16. Busch C.A., Shore B.J., Bhandari R., et al. Efficacy of periarticular multimodal drug injection in total knee arthroplasty. A randomized trial. J Bone Joint Surg Am 2006, 88:959.
17. Allen G.C., St Amand M.A., Lui A.C., et al. Postarthroscopy analgesia with intraarticular bupivacaine/morphine. A randomized clinical trial. Anesthesiology 1993, 79:475.
18. Osborne D., Keene G. Pain relief after arthroscopic surgery of the knee: a prospective, randomized, and blinded assessment of bupivacaine and bupivacaine with adrenaline. Arthroscopy 1993, 9:177.
19. Mullaji A., Kanna R., Shetty G.M., et al. Efficacy of periarticular injection of bupivacaine, fentanyl, and methylprednisolone in total knee arthroplasty:a prospective, randomized trial. J Arthroplasty 2010, 25:851.
20. Spreng U.J., Dahl V., Hjall A., et al. High-volume local infiltration analgesia combined with intravenous or local ketorolac+morphine compared with epidural analgesia after total knee arthroplasty. Br J Anaesth 2010, 105:675.
21. Thorsell M., Holst P., Hyldahl H.C., et al. Pain control after total knee arthroplasty: a prospective study comparing local infiltration anesthesia and epidural anesthesia. Orthopedics 2010, 33:75.
22. Andersen K.V., Bak M., Christensen B.V., et al. A randomized, controlled trial comparing local infiltration analgesia with epidural infusion for total knee arthroplasty. Acta Orthop 2010, 81:606.
23. Labat G. Its technique and clinical application: regional anesthesia 1978, 144. WB Saunders Company, Philadelphia (Pa).
24. Hirst G.C., Lang S.A., Dust W.N., et al. Femoral nerve block. Single injection versus continuous infusion for total knee arthroplasty. Reg Anesth 1996, 21:292.
25. Ng H.P., Cheong K.F., Lim A., et al. Intraoperative single-shot "3-in-1" femoral nerve block with ropivacaine 0.25%, ropivacaine 0.5% or bupivacaine 0.25% provides comparable 48-hr analgesia after unilateral total knee replacement. Can J Anaesth 2001, 48:1102.
26. Ward M., Minto G., Alexander-Williams J.M. A comparison of patient-controlled analgesia administered by the intravenous or intranasal route during the early postoperative period. Anesthesia 2002, 57:48.
27. Serpell M.G., Millar F.A., Thomson M.F. Comparison of lumbar plexus block versus conventional opioid analgesia after total knee replacement. Anesthesia 1991, 46:275.
28. Edwards N.D., Wright E.M. Continuous low-dose 3-in-1 nerve blockade for postoperative pain relief after total knee replacement. Anesth Analg 1992, 75:265.
29. Dahl J.B., Daugaard J.J., Rasmussen B., et al. Immediate and prolonged effects of pre- versus postoperative epidural analgesia with bupivacaine and morphine on pain at rest and during mobilisation after total knee arthroplasty. Acta Anaesthesiol Scand 1994, 38:557.
30. Casati A., Danelli G., Baciarello M., et al. Di CS, Fanelli G: A prospective, randomized comparison between ultrasound and nerve stimulation guidance for multiple injection axillary brachial plexus block. Anesthesiology 2007, 106:992.
31. Perlas A., Brull R., Chan V.W., et al. Ultrasound guidance improves the success of sciatic nerve block at the popliteal fossa. Reg Anesth Pain Med 2008, 33:259.
32. Fredrickson M.J., Kilfoyle D.H. Neurological complication analysis of 1000 ultrasound guided peripheral nerve blocks for elective orthopaedic surgery: a prospective study. Anesthesia 2009, 64:836.
33. Auroy Y., Benhamou D., Bargues L., et al. Major complications of regional anesthesia in France: the SOS Regional Anesthesia Hotline Service. Anesthesiology 2002, 97:1274.
34. Fanelli G., Casati A., Garancini P., et al. Nerve stimulator and multiple injection technique for upper and lower limb blockade: failure rate, patient acceptance, and neurologic complications. Study Group on Regional Anesthesia. Anesth Analg 1999, 88:847.
35. Kandasami M., Kinninmonth A.W., Sarungi M., et al. Femoral nerve block for total knee replacement-a word of caution. Knee 2009, 16:98.
36. Lynch J. Prolonged motor weakness after femoral nerve block with bupivacaine 0.5%. Anesthesia 1990, 45:421.
37. Brown S.L., Morrison A.E. Local anesthetic infusion pump systems adverse events reported to the Food and Drug Administration. Anesthesiology 2004, 100:1305.
38. Imperial College of Science TaM Hip and Knee Replacement Waiting Times Update. Dr Foster health & medical guides 2010.
39. Ilfeld B.M., Madison S.J. The sciatic nerve and knee arthroplasty: to block, or not to block-that is the question. Reg Anesth Pain Med 2011, 36:421.
40. Wegener J.T., van O.B., van Dijk C.N., et al. Value of single-injection or continuous sciatic nerve block in addition to a continuous femoral nerve block in patients undergoing total knee arthroplasty: a prospective, randomized, controlled trial. Reg Anesth Pain Med 2011, 36:481.
41. Kehlet H., Andersen L.O. Local infiltration analgesia in joint replacement: the evidence and recommendations for clinical practice. Acta Anaesthesiol Scand 2011, 55:778.
42. Foster R.H., Markham A. Levobupivacaine: a review of its pharmacology and use as a local anesthetic. Drugs 2000, 59:551.
43. Lombardi A.V., Berend K.R., Mallory T.H., et al. Soft tissue and intra-articular injection of bupivacaine, epinephrine, and morphine has a beneficial effect after total knee arthroplasty. Clin Orthop Relat Res 2004, 125.
44. Ritter M.A., Koehler M., Keating E.M., et al. Intra-articular morphine and/or bupivacaine after total knee replacement. J Bone Joint Surg Br 1999, 81:301.
45. Mauerhan D.R., Campbell M., Miller J.S., et al. Intra-articular morphine and/or bupivacaine in the management of pain after total knee arthroplasty. J Arthroplasty 1997, 12:546.
46. Carli F., Clemente A., Asenjo J.F., et al. Analgesia and functional outcome after total knee arthroplasty: periarticular infiltration vs continuous femoral nerve block. Br J Anaesth 2010, 105:185.
47. Gupta A., Bodin L., Holmstrom B., et al. A systematic review of the peripheral analgesic effects of intraarticular morphine. Anesth Analg 2001, 93:761.