Abstract
This study was designed to determine the effects of continuous femoral infusion (CFI) on total knee arthroplasty recovery. A total of 92 patients were distributed in 3 groups: Patients in group 1 received general anesthesia followed by patient-controlled analgesia (PCA) with morphine (n = 33), patients in group 2 received 3-in-1 and sciatic blocks followed by CFI (n = 29), and patients in group 3 received epidural analgesia (n = 30). Blocks reduced postoperative morphine requirement by 74% (vs group 1; P<.05) and 35% (vs group 3; P<.05). Blocks provided better recovery than PCA with morphine or an epidural. The use of CFI was associated with a reduction of postoperative bleeding by 72% (vs group 1; P<.05) and allowed better performance on continuous passive motion. CFI was associated with a 90% decrease in serious complications and a 20% decrease in the length of hospitalization. CFI represents a better alternative than PCA or epidural analgesia for postoperative pain management and immediate rehabilitation after total knee arthroplasty.
| Original language | English |
|---|---|
| Pages (from-to) | 436-445 |
| Number of pages | 10 |
| Journal | Journal of Arthroplasty |
| Volume | 16 |
| Issue number | 4 |
| DOIs | |
| State | Published - Jul 3 2001 |
| Externally published | Yes |
Fingerprint
Keywords
- Acute pain management
- Blood loss
- Continuous femoral infusion
- Ropivacaine
- Total knee arthroplasty
ASJC Scopus subject areas
- Orthopedics and Sports Medicine
- Surgery
Cite this
Continuous femoral blocks improve recovery and outcome of patients undergoing total knee arthroplasty. / Chelly, Jacques E.; Greger, Jennifer; Gebhard, Ralf E; Coupe, Kevin; Clyburn, Terry A.; Buckle, Rosemary; Criswell, Allen.
In: Journal of Arthroplasty, Vol. 16, No. 4, 03.07.2001, p. 436-445.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Continuous femoral blocks improve recovery and outcome of patients undergoing total knee arthroplasty
AU - Chelly, Jacques E.
AU - Greger, Jennifer
AU - Gebhard, Ralf E
AU - Coupe, Kevin
AU - Clyburn, Terry A.
AU - Buckle, Rosemary
AU - Criswell, Allen
PY - 2001/7/3
Y1 - 2001/7/3
N2 - This study was designed to determine the effects of continuous femoral infusion (CFI) on total knee arthroplasty recovery. A total of 92 patients were distributed in 3 groups: Patients in group 1 received general anesthesia followed by patient-controlled analgesia (PCA) with morphine (n = 33), patients in group 2 received 3-in-1 and sciatic blocks followed by CFI (n = 29), and patients in group 3 received epidural analgesia (n = 30). Blocks reduced postoperative morphine requirement by 74% (vs group 1; P<.05) and 35% (vs group 3; P<.05). Blocks provided better recovery than PCA with morphine or an epidural. The use of CFI was associated with a reduction of postoperative bleeding by 72% (vs group 1; P<.05) and allowed better performance on continuous passive motion. CFI was associated with a 90% decrease in serious complications and a 20% decrease in the length of hospitalization. CFI represents a better alternative than PCA or epidural analgesia for postoperative pain management and immediate rehabilitation after total knee arthroplasty.
AB - This study was designed to determine the effects of continuous femoral infusion (CFI) on total knee arthroplasty recovery. A total of 92 patients were distributed in 3 groups: Patients in group 1 received general anesthesia followed by patient-controlled analgesia (PCA) with morphine (n = 33), patients in group 2 received 3-in-1 and sciatic blocks followed by CFI (n = 29), and patients in group 3 received epidural analgesia (n = 30). Blocks reduced postoperative morphine requirement by 74% (vs group 1; P<.05) and 35% (vs group 3; P<.05). Blocks provided better recovery than PCA with morphine or an epidural. The use of CFI was associated with a reduction of postoperative bleeding by 72% (vs group 1; P<.05) and allowed better performance on continuous passive motion. CFI was associated with a 90% decrease in serious complications and a 20% decrease in the length of hospitalization. CFI represents a better alternative than PCA or epidural analgesia for postoperative pain management and immediate rehabilitation after total knee arthroplasty.
KW - Acute pain management
KW - Blood loss
KW - Continuous femoral infusion
KW - Ropivacaine
KW - Total knee arthroplasty
UR - http://www.scopus.com/inward/record.url?scp=0034992176&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0034992176&partnerID=8YFLogxK
U2 - 10.1054/arth.2001.23622
DO - 10.1054/arth.2001.23622
M3 - Article
C2 - 11402405
AN - SCOPUS:0034992176
VL - 16
SP - 436
EP - 445
JO - Journal of Arthroplasty
JF - Journal of Arthroplasty
SN - 0883-5403
IS - 4
ER -