The Optimal Analgesic Block for Total Knee Arthroplasty.
Peripheral nerve block for total knee arthroplasty is ideally motor sparing while providing effective postoperative analgesia. To achieve these goals, one must understand surgical dissection techniques, distribution of nociceptive generators, sensory innervation of the knee, and nerve topography in the thigh.
From the *Department of Anesthesia, Aarhus University Hospital, Aarhus, Denmark; †Division of Clinical and Functional Anatomy, Medical University of Innsbruck, Innsbruck, Austria; ‡Department of Anesthesia, Toronto, Western Hospital, University of Toronto, Toronto, Ontario, Canada; and §Department of Anesthesia, Zealand University Hospital, University of Copenhagen, Copenhagen, Denmark.
Thomas Fichtner
TF
Bendtsen
Bernhard
B
Moriggl
Vincent
V
Chan
Jens
J
Børglum
D059925:Anatomic Landmarks; D019645:Arthroplasty, Replacement, Knee / Q000009:adverse effects*; D002102:Cadaver; D004210:Dissection; D005267:Femoral Nerve / Q000033:anatomy & histology; D006801:Humans; D007717:Knee / Q000294:innervation / Q000601:surgery*; D009043:Motor Activity; D009407:Nerve Block / Q000009:adverse effects / Q000379:methods*; D009619:Nociceptors; D009776:Obturator Nerve / Q000033:anatomy & histology; D017288:Pain Threshold; D010149:Postoperative Pain / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control*; D010525:Peripheral Nerves / Q000033:anatomy & histology*; D012584:Sciatic Nerve / Q000033:anatomy & histology; D016896:Treatment Outcome