[Postoperative analgesia following total knee arthroplasty].
Total knee arthroplasty (TKA) is associated with considerable postoperative pain which may be difficult to manage. This article describes advantages and disadvantages of the different analgesic techniques used for pain treatment after TKA, for example i.v. patient-controlled analgesia, epidural pain treatment, and peripheral nerve blocks (especially femoral and sciatic blocks). Randomised studies suggest that peripheral nerve blocks have the best effect and have fewest side effects. Intra-articular administration of analgesics is the most recently introduced technique.
Toftdahl
Karen
K
Arhus Universitetshospital, Arhus Sygehus, Anaestesiologisk- intensiv Afdeling N. karen.toftdahl@dadlnet.dk
Nikolajsen
Lone
L
Søballe
Kjeld
K
Tønnesen
Else
E
D000698:Analgesia / Q000379:methods*; D015360:Analgesia, Epidural; D016058:Analgesia, Patient-Controlled; D000700:Analgesics / Q000008:administration & dosage*; D000701:Analgesics, Opioid / Q000008:administration & dosage; D019645:Arthroplasty, Replacement, Knee / Q000009:adverse effects*; D006801:Humans; D007270:Injections, Intra-Articular; D009407:Nerve Block / Q000379:methods; D010149:Postoperative Pain / Q000188:drug therapy*
D000700:Analgesics; D000701:Analgesics, Opioid