Analgesia for total hip and knee arthroplasty: a review of lumbar plexus, femoral, and sciatic nerve blocks

Use of peripheral nerve blocks (PNBs) during lower extremity surgery has evolved. In this article, we review the pertinent anatomy and the literature concerning the advantages and disadvantages of both PNBs and traditional methods of postoperative analgesia (neuraxial and patient-controlled) for total hip arthroplasty and total knee arthroplasty. We conclude that use of PNBs for total hip and total knee arthroplasty compares favorably with traditional methods of postoperative analgesia. As use of PNBs becomes more widespread, understanding their risks and benefits will be of great value to orthopedic surgeons

Keywords : Analgesia,Analgesia,Epidural,Analgesia,Patient-Controlled,Analgesics,Analgesics,Opioid,Anesthesia,Spinal,Arthroplasty,Arthroplasty,Replacement,Hip,Arthroplasty,Replacement,Knee,drug effects,Humans,Knee,Lumbosacral Plexus,methods,Nerve Block,Pain,Postoperative,physiopathology,prevention & control,Sciatic Nerve,surgery,, Total,Hip,Knee, back pain massage london

Date of Publication : 2009 Aug

Authors : Hogan MV;Grant RE;Lee L;

Organisation : Department of Orthopaedic Surgery, University of Virginia Health System, Charlottesville, Virginia 22908-0159, USA. macalushogan@gmail.com

Journal of Publication : Am J Orthop (Belle Mead NJ)

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/19809608

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