SciELO - Scientific Electronic Library Online

 
vol.80 número1Resección guiada por ecografía de gangliones dorsales de muñecaEvaluación clínica y radiológica de la instrumentación y artrodesis corta por vía posterior en fracturas toracolumbares índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Articulo

Indicadores

  • No hay articulos citadosCitado por SciELO

Links relacionados

  • No hay articulos similaresSimilares en SciELO

Compartir


Revista de la Asociación Argentina de Ortopedia y Traumatología

versión On-line ISSN 1852-7434

Resumen

PESCIALLO, César et al. Estudio comparativo para el manejo del dolor en el reemplazo total de rodilla: infiltración tisular intraoperatoria versus bloqueo de nervios periféricos. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2015, vol.80, n.1, pp. 12-19. ISSN 1852-7434.

Background: The aim of thisstudy is to compare intraoperative infiltration of periarticular soft tissues versus the use of peripheral nerve blocks (sciatic and femoral) for postoperative pain management in total knee arthroplasty. Methods: We prospectively evaluated 60 patients who were divided into two equal groups: group A, with intraoperative infiltration and group B, with femoral and sciatic nerve block before surgery. Results: Pain was significantly lower in group B (block) than in the control group A (infiltration) at 4 and 8 hours after surgery (p = 0.008). Two and three days after surgery, pain curve was inverted and it was statistically lower in group A (p = 0.009 and p = 0.023, respectively). Conclusions: Results showed that both methods were effective in the treatment of pain after surgery and even to reduce opiate use. Low levels of pain and less use of opioids in the immediate postoperative period led to a better rehabilitation and comfort of the patient.

Palabras clave : Knee replacement; Pain; Analgesia; Peripheral nerve block.

        · resumen en Español     · texto en Español     · Español ( pdf )

 

Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License