The Optimal Analgesic Block for Total Knee Arthroplasty

ABSTRACTPeripheral nerve block for total knee arthroplasty is ideally motor sparing while providing effective postoperative analgesia. To achieve these goals, one must understand surgical dissection techniques, distribution of nociceptive generators, sensory innervation of the knee, and nerve topogr...

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Veröffentlicht in:	Regional anesthesia and pain medicine 2016-11, Vol.41 (6), p.711-719
Hauptverfasser:	Bendtsen, Thomas Fichtner, Moriggl, Bernhard, Chan, Vincent, Børglum, Jens
Format:	Artikel
Sprache:	eng
Schlagworte:	Analgesics Anatomic Landmarks Arthroplasty, Replacement, Knee - adverse effects Cadaver Dissection Femoral Nerve - anatomy & histology Humans Joint replacement surgery Joint surgery Knee Knee - innervation Knee - surgery Motor Activity Nerve Block - adverse effects Nerve Block - methods Nociceptors Obturator Nerve - anatomy & histology Pain Threshold Pain, Postoperative - diagnosis Pain, Postoperative - etiology Pain, Postoperative - prevention & control Peripheral Nerves - anatomy & histology Regional anesthesia Sciatic Nerve - anatomy & histology Treatment Outcome
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Zusammenfassung:	ABSTRACTPeripheral nerve block for total knee arthroplasty is ideally motor sparing while providing effective postoperative analgesia. To achieve these goals, one must understand surgical dissection techniques, distribution of nociceptive generators, sensory innervation of the knee, and nerve topography in the thigh.
ISSN:	1098-7339 1532-8651
DOI:	10.1097/AAP.0000000000000485