Clinical orthopaedics and related research
-
Clin. Orthop. Relat. Res. · May 2014
Continuous femoral nerve block using 0.125% bupivacaine does not prevent early ambulation after total knee arthroplasty.
Continuous femoral nerve block has been shown to decrease opioid use, improve postoperative pain scores, and decrease length of stay. However, several studies have raised the concern that continuous femoral nerve block may delay patient ambulation and increase the risk of falls during the postoperative period. ⋯ Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.
-
Clin. Orthop. Relat. Res. · May 2014
Observational StudyLateralizing epidural catheter placement as evidenced by electrical stimulation.
Epidural steroids are more effective if administered in the anterolateral epidural space. It follows that the ability to administer local anesthetics in the ipsilateral anterolateral epidural space should likewise improve their efficacy for postoperative epidural analgesia. ⋯ Level IV, therapeutic study. See Instructions for Authors for a complete description of levels of evidence.
-
Clin. Orthop. Relat. Res. · May 2014
Does chondrocalcinosis affect Knee Society scores and range of motion after TKA?
Chondrocalcinosis is manifested by crystalline deposits of calcium commonly found during primary TKA for osteoarthritis. Its frequency among patients undergoing TKA is poorly defined, as is its influence on pain or function after TKA. ⋯ Level III, therapeutic study. See the Instructions for Authors for a complete description of levels of evidence.
-
Clin. Orthop. Relat. Res. · May 2014
Randomized Controlled Trial Comparative StudyIntraarticular analgesia versus epidural plus femoral nerve block after TKA: a randomized, double-blind trial.
Pain management after TKA remains challenging and the efficacy of continuously infused intraarticular anesthetics remains a controversial topic. ⋯ Level I, therapeutic study. See Instructions for Authors for a complete description of levels of evidence.