title: Randomized clinical trial of continuous femoral nerve block combined with sciatic nerve block versus epidural analgesia for unilateral total knee arthroplasty.
abstract: Pain control following total knee arthroplasty (TKA) is crucial to hasten rehabilitation and decrease morbidity. We evaluated whether there is a difference between epidural infusion and continuous femoral nerve block with respect to postoperative pain control and rehabilitation course. Fifty patients completed the study. There was no statistically significant difference in the pain scores (P=0.33), morphine consumption (P=0.09) mean blood pressure or heart rate (P=0.957, and P=0.716) between groups. The postoperative daily mobilization (P=0.80), knee joint range of motion (P=0.83), and straight leg test (P=0.99) were also similar between both groups. Patients were highly satisfied with their pain management in both groups without statistically significant difference (P=0.98).
authors.affiliation: Department of Anesthesiology, King Saud University, Riyadh, Saudi Arabia.
authors.forename: Tariq
authors.initials: T
authors.lastname: Al-Zahrani
authors.affiliation: Department of Anesthesiology, King Fahad Medical City, Riyadh, Saudi Arabia.
authors.forename: Khaled S
authors.initials: KS
authors.lastname: Doais
authors.affiliation: Department of Orthopedic, King Saud University, Riyadh, Saudi Arabia.
authors.forename: Fawzi
authors.initials: F
authors.lastname: Aljassir
authors.affiliation: Department of Orthopedic, King Saud University, Riyadh, Saudi Arabia.
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Alshaygy
authors.affiliation: Department of Orthopedic, King Saud University, Riyadh, Saudi Arabia.
authors.forename: Waleed
authors.initials: W
authors.lastname: Albishi
authors.affiliation: Department of Anesthesiology, King Fahad Medical City, Riyadh, Saudi Arabia; Department of Anesthesiology, University of Virginia, Charlottesville, VA.
authors.forename: Abdullah S
authors.initials: AS
authors.lastname: Terkawi
mesh_terms: D000368:Aged; D015360:Analgesia, Epidural; D000701:Analgesics, Opioid / Q000008:administration & dosage; D019645:Arthroplasty, Replacement, Knee / Q000534:rehabilitation*; D005260:Female; D005267:Femoral Nerve; D006801:Humans; D008297:Male; D008875:Middle Aged; D009020:Morphine / Q000008:administration & dosage; D009407:Nerve Block / Q000379:methods*; D010147:Pain Measurement; D010149:Postoperative Pain / Q000517:prevention & control*; D011446:Prospective Studies; D012584:Sciatic Nerve; D018084:Ultrasonography, Interventional
chemical_list: D000701:Analgesics, Opioid; D009020:Morphine
keywords: continuous femoral nerve block; epidural analgesia; total knee arthroplasty