Pain Control and Functional Milestones in Total Knee Arthroplasty: Liposomal Bupivacaine versus Femoral Nerve Block

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• 作者：Stephen Yu MD ; Alessandra Szulc MA…
• 刊名：Clinical Orthopaedics and Related Research®
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：475
• 期：1
• 页码：110-117
• 全文大小：953KB
• 刊物主题：Orthopedics; Surgical Orthopedics; Medicine/Public Health, general; Surgery; Sports Medicine; Conservative Orthopedics;
• 出版者：Springer US
• ISSN：1528-1132
• 卷排序：475

文摘

BackgroundAlthough pain management after total knee arthroplasty (TKA) affects rehabilitation, length of stay, and functional outcomes, pain management for patients undergoing TKA has yet to be standardized. Femoral nerve blocks (FNBs) are commonly used as an adjunct; however, these can result in transient quadriceps weakness and have been associated with in-hospital falls. Periarticular infiltration of liposomal bupivacaine has been recently introduced as a long-acting analgesic that can be administered without affecting motor function.