Menu
Menu
19 Harley St, London, W1G 9QJ, UK

[Comparison of postoperative pain relief by continuous femoral nerve block and that by epidural block during physiotherapy after minimally invasive surgery of total knee arthroplasty and uni-condylar knee arthroplasty].

Related Articles

[Comparison of postoperative pain relief by continuous femoral nerve block and that by epidural block during physiotherapy after minimally invasive surgery of total knee arthroplasty and uni-condylar knee arthroplasty].

Masui. 2012 Dec;61(12):1316-23

Authors: Osawa M, Takahama Y, Kondo Y

Abstract
BACKGROUND: We compared postoperative pain relief during physiotherapy after minimally invasive surgery (MIS) of total knee arthroplasty (TKA) and unicondylar arthroplasty (UKA).
METHODS: Ninety-five patients scheduled for TKA or UKA under spinal anesthesia were divided into continuous femoral nerve block (0.1-0.12% ropivacaine 4 ml x hr(-1)) combined with a single sciatic block (Group CFNB) and epidural block (0.1-0.19% ropivacaine 4 ml x hr(-1)) combined with a single femoral block (Group EP). Visual analogue scale (VAS) at rest, walking, maximal knee flexion, extension, and maximal pain on POD 1 were recorded. Patient’s satisfaction of analgesia and supplemental analgesics on POD 1 were recorded. We compared VAS and satisfaction of TKA with UKA during CFNB or EP.
RESULTS: VAS at physiotherapy was higher than VAS at rest. VAS at maximal knee flexion was higher than VAS at rest, walking or maximal knee extension in UKA of Group CFNB (n = 29) or EP (n = 19). VAS at flexion and extension were higher than VAS at walk- ing in TKA of Group CFNB (n = 20) or EP (n = 27). VAS, patient’s satisfaction and supplemental analgesics on POD 1 were comparable in both groups.
CONCLUSIONS: VAS at physiotherapy after TKA or UKA during CFNB or EP was very severe than VAS at rest.

PMID: 23362767 [PubMed – in process]

Related Articles [Comparison of postoperative pain relief by continuous femoral nerve block and that by epidural block during physiotherapy after minimally invasive surgery of total knee arthroplasty and uni-condylar knee arthroplasty]. ...

What our patients say ...

Consultant Spinal Surgeon
Consultant Spinal Surgeon
Consultant Spinal Surgeon
Consultant Spinal Surgeon
Consultant Spinal Surgeon
Consultant Spinal Anaesthetist

This surgical technique consists of a percutaneous approach for the treatment of small to medium size hernias of the intervertebral disc by laser energy. The main objective is to reduce the intradiscal pressure in the nucleus pulposus

Laser Disc Surgery can be performed under local anaesthetic as a day case at our centre on the prestigious Harley Street.
What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

treatment of all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

Trusted by patients worldwide

The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

Laser Spine Surgery Articles

SHADES of grey – The challenge of ‘grumbling’ cauda equina symptoms in older adults with lumbar spinal stenosis.
Abstract Diagnosing cauda equina syndrome is challenging in older adults with lumbar spinal stenosis. Understanding these challenges is vital for
Read more.
The influence of preoperative mental health on clinical outcomes after laminectomy in patients with lumbar spinal stenosis.
Abstract OBJECTIVE: The influence of preoperative mental health on health-related quality of life (HRQOL) in patients with lumbar spinal stenosis
Read more.
MicroRNA transcriptome analysis on hypertrophy of ligamentum flavum in patients with lumbar spinal stenosis.
Abstract Introduction: Molecular pathways involved in ligamentum flavum (LF) hypertrophy are still unclarified. The purpose of this study was to
Read more.
Salvage Strategy for Failed Spinal Fusion Surgery Using Lumbar Lateral Interbody Fusion technique: A Technical Note.
Abstract Introduction: Failed spinal fusion surgery sometimes requires salvage surgery when symptomatic, especially with postsurgical decrease in intervertebral disc height
Read more.
Integrated anatomy of the neuromuscular, visceral, vascular, and urinary tissues determined by MRI for a surgical approach to lateral lumbar
Abstract Introduction: To comprehensively investigate the anatomy of the neuromuscular, visceral, vascular, and urinary tissues and their general influence on
Read more.
Clinical Outcomes of Treating Cervical Adjacent Segment Disease by Anterior Cervical Discectomy and Fusion Versus Total Disc Replacement: A Systematic
Related Articles Clinical Outcomes of Treating Cervical Adjacent Segment Disease by Anterior Cervical Discectomy and Fusion Versus Total Disc Replacement:
Read more.

If you have any emergency Doctor’s need, simply call our 24 hour emergency

Your personal case manager will ensure that you receive the best possible care.

Call Now 

+44 844 589 2020
+44 203 973 8810