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- Karen Toftdahl, Lone Nikolajsen, Kjeld Søballe, and Else Tønnesen.
- Arhus Universitetshospital, Arhus Sygehus, Anaestesiologisk- intensiv Afdeling N. karen.toftdahl@dadlnet.dk
- Ugeskr. Laeg. 2006 May 15;168(20):1991-6.
AbstractTotal knee arthroplasty (TKA) is associated with considerable postoperative pain which may be difficult to manage. This article describes advantages and disadvantages of the different analgesic techniques used for pain treatment after TKA, for example i.v. patient-controlled analgesia, epidural pain treatment, and peripheral nerve blocks (especially femoral and sciatic blocks). Randomised studies suggest that peripheral nerve blocks have the best effect and have fewest side effects. Intra-articular administration of analgesics is the most recently introduced technique.
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