Continuous femoral blocks improve recovery and outcome of patients undergoing total knee arthroplasty

Jacques E. Chelly, Jennifer Greger, Ralf E Gebhard, Kevin Coupe, Terry A. Clyburn, Rosemary Buckle, Allen Criswell

Research output: Contribution to journalArticle

238 Citations (Scopus)

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 languageEnglish
Pages (from-to)436-445
Number of pages10
JournalJournal of Arthroplasty
Volume16
Issue number4
DOIs
StatePublished - Jul 3 2001
Externally publishedYes

Fingerprint

Knee Replacement Arthroplasties
Thigh
Patient-Controlled Analgesia
Morphine
Epidural Analgesia
Pain Management
Postoperative Pain
General Anesthesia
Hospitalization
Rehabilitation
Hemorrhage

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 journalArticle

Chelly, Jacques E. ; Greger, Jennifer ; Gebhard, Ralf E ; Coupe, Kevin ; Clyburn, Terry A. ; Buckle, Rosemary ; Criswell, Allen. / Continuous femoral blocks improve recovery and outcome of patients undergoing total knee arthroplasty. In: Journal of Arthroplasty. 2001 ; Vol. 16, No. 4. pp. 436-445.
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