Abstract
Introduction: Use of local infiltration in knee joint arthroplasty, provide postoperative analgesia and preserves motor power of quadriceps, which helps in early mobilisation, as compared to femoral nerve block which paralyses vastus medialis
Aim: To compare the application of postoperative analgesia provided by ultrasound guided femoral nerve block and local infiltration in unilateral total knee replacement
Material and Methods: A prospective study was conducted on 60 patients between 25 – 65years of ASA I and II, which were randomly(using random number table) divided into two groups – group 1-femoral nerve block (FNB) and group 2-local infiltration analgesia(LIA). Patients with chronic pain and on opioids were excluded. (power> 80%) Numeric rating scale (primary objective), sedation score, nausea vomiting score and motor power were analysed.
Result: Pain relief was better in FNB group (p value <.001) with less fentanyl demand (p value <.001) ,low sedation score and low nausea vomiting scoring but associated with low muscle power grading
Conclusion: FNB has better pain relief than LIA group but range of motion was reduced in FNB group.
Keywords: Local infliltration, inotrophy, opoids.
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Corresponding Author
Dr Deepika Chaubey
Resident DNB (Anaesthesia), Department of Anaesthesia and Critical care,
Indian Spinal Injuries Centre, Vasant Kunj, Delhi, India
Mobile: 8826384442, Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
DOI: https://dx.doi.org/10.18535/jmscr/v5i7.210
