Is the Continuous Saphenous Block the Right Technique for Postoperative Pain Management After Total Knee Replacement?

2013 ◽  
Vol 38 (5) ◽  
pp. 461 ◽  
Author(s):  
Jacques E. Chelly
Keyword(s):  
Pain Management ◽  
Postoperative Pain ◽  
Total Knee Replacement ◽  
Knee Replacement ◽  
Postoperative Pain Management ◽  
Total Knee ◽  
The Right

scholarly journals Postoperative analgesia in total knee arthroplasty

2021 ◽  
Vol 9 (8) ◽  
pp. 2564
Author(s):  
Rodrigo A. Mendoza-Aceves ◽  
Paola G. Gloria-Coronado ◽  
Enrique Ortega Madrid ◽  
Karen Meade Yovanovich ◽  
Mónica Padilla Zavala ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Pain Management ◽  
Postoperative Pain ◽  
Total Knee Replacement ◽  
Knee Replacement ◽  
Knee Arthroplasty ◽  
Surgical Techniques ◽  
Postoperative Pain Management ◽  
Local Infiltration Analgesia ◽  
Total Knee

Total knee arthroplasty is commonly performed in patients with end-stage osteoarthritis or rheumatic knee arthritis to relieve joint pain, increase mobility, and improve quality of life. Despite advances in surgical techniques, postoperative pain management in these types of patients is still deficient. An exhaustive review was performed with the available literature, using the PubMed, ScienceDirect, Scopus and Cochrane databases from 2004 to 2021. The search criteria were formulated to identify reports related to total knee replacement and pain management. Pain after total knee arthroplasty has been shown to involve both peripheral and central pain pathways, which is why various postoperative pain management strategies are currently applied, including patient-controlled analgesia, continuous peripheral nerve blocks, or single injection or local infiltration analgesia. Today local techniques such as periarticular injections are becoming more common in total knee replacement due to their effectiveness in controlling pain without causing muscle weakness. The development of minimally invasive techniques associated with multimodal and preventive analgesia improves recovery rates and early rehabilitation in patients undergoing total knee arthroplasty, reducing in-hospital costs, risk of complications, and improving patient satisfaction with chronic osteoarthropathy.  

scholarly journals One Stage Conversion of an Infected Fused Knee to Total Knee Replacement - A Surgical Challenge

2013 ◽  
Vol 7 (1) ◽  
pp. 67-71 ◽  
Author(s):  
Mukartihal Ravikumar ◽  
Daniel Kendoff ◽  
Mustafa Citak ◽  
Stefan Luck ◽  
Thorsten Gehrke ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Total Knee Replacement ◽  
Knee Replacement ◽  
Revision Arthroplasty ◽  
Preoperative Assessment ◽  
Stage Conversion ◽  
One Stage ◽  
Common Technique ◽  
Total Knee ◽  
The Right

Background and Purpose: Two-stage revision arthroplasty is a common technique for the treatment of infected total knee replacement. Few reports have addressed the conversion of a fused knee into a total knee replacement. However, there is no case reported of converting an infected fused knee into a hinge knee using a one-stage procedure. Methods: We report on a 51-year old male patient with an infected fused knee after multiple surgeries. Results and Interpretation: A one-stage conversion of septic fused knee into total knee arthroplasty by a rotational hinge prosthesis was performed. The case highlights that with profound preoperative assessment, meticulous surgical technique, combined antibiotic treatment and the right implant, one-stage revision in a surgical challenge may have a role as a treatment option with good functional outcome.

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