Regional analgesia has been introduced successfully into the postoperative pain management after total knee arthroplasty, reducing pain scores, opioid use and adverse effects. Combination of regional analgesia techniques is associated with better pain management and lower side effects than single regional techniques.

Optimal perioperative pain management strategies are critical for early mobilization and shorter hospital stays in TKA. Peripheral nerve blocks commonly used in TKA perioperative analgesia including individual and combined femoral, obturator, …

Keywords: Peripheral nerve block, Total knee arthroplasty, Randomized controlled trial, Network meta-analysis. Introduction. Total knee arthroplasty (TKA) is a frequently performed elective orthopaedic procedure, relieving joint pain in patients with end-stage osteoarthritis or rheumatic arthritis of the knee .

2020年3月24日 · Background: Regional nerve blocks are widely used in primary total knee arthroplasty (TKA) to reduce postoperative pain and opioid consumption. The purpose of our study was to evaluate the efficacy and safety of regional nerve blocks after TKA in support of the combined clinical practice guidelines of the American Association of Hip and Knee ...

2023年11月15日 · Optimal postoperative knee analgesia is essential for patients’ comfort, satisfaction, and functional recovery. Some authors say PAI and iPACK can provide incomplete analgesia and suggest that a peripheral nerve block (PNB) needs to be added to PAI or iPACK (Eccles et al. 2019; Domagalska and Reysner 2022; Sankineani et al. 2018a).

Usually, a good compromise for the femoral nerve block for the total knee replacement in our practice is actually femoral triangle block, because the femoral triangle block will block most of the branches that we are interested in for total knee replacement pain management, but at the same time it spares the bulk of the muscles of the anterior ...

2024年10月7日 · Peripheral nerve blocks have been a commonly used analgesic approach to control pain after TKA [6, 7], which involve femoral nerve block (FNB), adductor canal block (ACB), infiltration between the popliteal artery and the capsule of the knee (IPACK), and so forth.

2022年10月1日 · Currently, the most widely utilized regional nerve blocks for primary TKA includes femoral nerve block, adductor canal block, and infiltration between Popliteal Artery and Capsule of Knee (iPACK). When regional nerve blocks were introduced to improve pain management after TKA, it was more common to use a combined femoral and sciatic nerve block.

2017年1月12日 · Femoral nerve blocks (FNB) can provide effective pain relief but result in quadriceps weakness with increased risk of falls following total knee arthroplasty (TKA). Adductor canal block...

2025年3月12日 · 全膝关节置换术（Total Knee Arthroplasty，TKA）引起的术后疼痛可能会限制术后早期行走，延长住院时间，增加阿片类药物的用量。 ... 虽然传统的股神经阻滞或内收肌管阻滞（Adductor Canal Block，ACB）对膝关节前部区域提供镇痛，但是有文献显示TKA术后膝关节后 …