Effect of continuous femoral nerve block in analgesia and the early rehabilitation after total knee replacement.
- Author:
Hua-Peng YU
1
;
Zhao-Hui LIU
;
Wan-Shou GUO
;
Hong-Yang JIANG
;
Jing ZHAO
Author Information
- Publication Type:Journal Article
- MeSH: Aged; Analgesia; Arthroplasty, Replacement, Knee; rehabilitation; Female; Femoral Nerve; Humans; Knee Joint; physiopathology; Male; Middle Aged; Nerve Block; methods; Pain Measurement; Pain, Postoperative; therapy
- From: China Journal of Orthopaedics and Traumatology 2010;23(11):825-827
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo evaluate the benefit and safety of continuous femoral nerve block in patients undergoing total knee arthroplasty.
METHODSFrom December 2008 to August 2009, 80 patients with total knee arthroplasty were randomly divided into two groups, 40 patients in each group. In group A the pain-control was dominanted by continuous femoral nerve block, there were 5 males adn 35 females with an average age of (65.0 +/- 4.2) years old; In group B the pump of vein odynolysis was used, there were 5 males and 35 females with an average age of (64.7 +/- 8.5) years old. The treatment of relieve pain continued for 3 days. The pain of visual analog scale (VAS), sleep condition, early-stage rehabilitation and adverse effects were recorded.
RESULTSThe VAS scores of group A was lower than that of group B at 2, 6, 24, 36, 48, 56, 72 h after operation (P < 0.05 or P < 0.01); The sleep condition and early-stage rehabilitation of group A were better than that of group B. The complications of group B occurrenced more than group A; The analgetica of group B were used more than that of group A.
CONCLUSIONThe continuous femoral nerve block is an effective pain relieve method and is benefical to rehabilitation from total knee arthroplasty early.
