Continuous Femoral Catheter for Postoperative Analgesia After Total Knee Arthroplasty

Lawrence Camarda, Giuseppe Pulito, Gianmarco Guarino, Giovanni Cappiello, Andrea Tarantino, Umberto Ripani, Daniela Di Martino, Clara Ragusa, Leonardo Stramazzo, Valentina Russi

Risultato della ricerca: Article

Abstract

Introduction: Postoperative pain management in the total knee replacement (TKR) representa fundamental step for a positive outcome, allowing rapid mobilization, already on the firstday. Further, continuous peripheral nerve block techniques have been reported to allow effectiveand safe control of acute postoperative pain, ensuring the implementation and completionof an accurate and intensive joint rehabilitation program. Aim: The aim of this studywas to assess early mobility and compliance of patients that underwent TKR surgery using thefemoral block. Methods: For the study, all patients that underwent TKR from 2015 to 2018with ASA score between II-III was evaluated. Patients underwent vital parameters monitoringand were treated initially with midazolam (0.05mg / kg) e.v. combined sciatic block + femoralperineural catheter positioning using a peripheral nerve stimulation-assisted technique.Results: Intraoperatively, satisfactory analgesia was guaranteed in all patients, associatedwith a complete muscle relaxation of the affected limb. High patient compliance, associatedwith good control of acute postoperative pain was obtained in the first 24 hours after surgery(VAS 0- 1). The ROM outcomes were good in all rehabilitation stages, managing to reach 90degrees bending on the seventh day with an average KSS score of 88-90. Patient satisfactionand impact on quality of life were assessed with the SF-36 showing average scores of 78.Conclusion: Continuous femoral nerve blocking ensures good postoperative analgesia in TKRallowing an early joint mobilization, a rapid functional recovery of the knee and increasingpatient compliance during the post-operative rehabilitation program.
Lingua originaleEnglish
pagine (da-a)54-
Numero di pagine4
RivistaMedicinski Arhiv
Volume74
Stato di pubblicazionePublished - 2020

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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    Camarda, L., Pulito, G., Guarino, G., Cappiello, G., Tarantino, A., Ripani, U., Di Martino, D., Ragusa, C., Stramazzo, L., & Russi, V. (2020). Continuous Femoral Catheter for Postoperative Analgesia After Total Knee Arthroplasty. Medicinski Arhiv, 74, 54-.