Use this url to cite publication: https://hdl.handle.net/20.500.12512/19039
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Comparison of 2 analgesia modalities in total knee replacement surgery: is there an effect on knee function rehabilitation? / Janis Zinkus, Lina Mockutė, Arūnas Gelmanas, Ramūnas Tamošiūnas, Arūnas Vertelis, Andrius Macas
Type of publication
Straipsnis Web of Science ir Scopus duomenų bazėje / Article in Web of Science and Scopus database (S1)
Author(s)
Title
Comparison of 2 analgesia modalities in total knee replacement surgery: is there an effect on knee function rehabilitation? / Janis Zinkus, Lina Mockutė, Arūnas Gelmanas, Ramūnas Tamošiūnas, Arūnas Vertelis, Andrius Macas
Publisher (trusted)
Medical Science International Publishing
Date Issued
2017-06-20
Extent
p. 3019-3025.
Is part of
Medical science monitor. Smithtown : Medical Science International Publishing, 2017, vol. 23.
Version
Originalus / Original
Description
pISSN 1234-1010
Field of Science
Abstract
BACKGROUND We compared the effects of continuous femoral nerve block (CFNB) and continuous intraarticular block (CIAB) on pain, functional recovery and adverse effects after total knee arthroplasty (TKA). MATERIAL AND METHODS We prospectively randomized 54 patients undergoing TKA into 2 groups: CFNB (Group F) and CIAB (Group I). Surgery was performed under spinal anesthesia. All patients received patient-controlled analgesia (PCA) with morphine, diclofenac, and acetaminophen for the first 72 h postoperatively. Pain was assessed with a visual analog scale (VAS), 48-h morphine consumption and 72-h local anesthetic dosage were recorded, motor blockade was assessed, maximum range of motion (ROM) was measured, and adverse effect profiles were recorded. RESULTS There was no significant difference in postoperative pain at rest, in passive motion, active motion, or active movement (2-min walk test (2MWT)) between study groups. Group I had less opioid usage in the first 24 h postoperatively (p<0.05). No significant difference was found between the groups in the postoperative local anesthetic dosage (p>0.05). Significantly lower scores of Bromage scale in Group I in 72 h after surgery (p<0.05) were found. Group I had superior passive maximum ROM in 1 month after surgery and superior active maximum ROM on day 7 and at 1 month after surgery (p<0.05). CONCLUSIONS Both CFNB and CIAB are effective postoperative analgesia methods after TKA. CIAB leads to lower postoperative opioid usage in the first 24 h, lower motor blockade in the first 72 h, and better knee function on day 7 and at 1 month after surgery.
Is Referenced by
Type of document
type::text::journal::journal article::research article
ISSN (of the container)
1643-3750
WOS
000403757600002
Other Identifier(s)
(LSMU ALMA)990000934440107106
Coverage Spatial
Jungtinės Amerikos Valstijos / United States of America (US)
Language
Anglų / English (en)
Journal | IF | AIF | AIF (min) | AIF (max) | Cat | AV | Year | Quartile |
---|---|---|---|---|---|---|---|---|
MEDICAL SCIENCE MONITOR | 1.894 | 3.035 | 3.035 | 3.035 | 1 | 0.624 | 2017 | Q3 |
Journal | IF | AIF | AIF (min) | AIF (max) | Cat | AV | Year | Quartile |
---|---|---|---|---|---|---|---|---|
MEDICAL SCIENCE MONITOR | 1.894 | 3.035 | 3.035 | 3.035 | 1 | 0.624 | 2017 | Q3 |
Journal | Cite Score | SNIP | SJR | Year | Quartile |
---|---|---|---|---|---|
Medical Science Monitor | 2.7 | 0.792 | 0.619 | 2017 | Q1 |