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3 results on '"knee artroplasty"'

1. Evaluation of analgesic regimens in total knee arthroplasty, retrospective study

Author

Serkan Tulgar, Onur Selvi, Özgür Şentürk, Talat Ercan Şerifsoy, Selim Şanel, and Sertaç Meydaneri

Subjects
knee artroplasty, femoral block, analgesia, Medicine, Medicine (General), R5-920
Abstract

INTRODUCTION[|]Analgesic therapies have an immense role in early rehabilitation period after Total knee arthroplasty (TKA) and multimodal approaches should be considered as the first choice. In this retrospective study, we aimed to evaluate the effectiveness of multimodal analgesic therapies for TKA, including FNB and patient controlled analgesia (PCA).[¤]METHODS[|]We retrospectively evaluated 79 patients who underwent TKA between January and December 2016. Sixty-three patients met inclusion criteria. Hemodynamic records and VAS scores for 0-2-4-6-9-12 hours were evaluated and patients were separated into three groups. Group 1: FNB with %0.25 bupivacaine, Group 2: FNB with %0.166 Bupivacaine, Group 3: No FNB.[¤]RESULTS[|]Average age of patients was 64.3+-14.9 years and average BMI was 32.5+-5.3 kg/m2. There was not statistical difference between the age, gender, ASA scores, BMI and anaesthesia types for all groups (p0.05). When difference between groups 1-3 and groups 2-3 were compared, the difference was statistically significantly for VAS 0 (p>0.05). Additional analgesic use was highest in group 3.[¤]DISCUSSION AND CONCLUSION[|]This study has shown that FNB significantly decreases postoperative pain intensity and additional analgesia requirements in patients undergoing TKA. A concentration of 0.166% bupivacaine is as effective as a concentration of 0.25% when used as part of multimodal analgesia regimen in TKA.[¤]

Published
2017
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2. Evaluation of analgesic regimens in total knee arthroplasty, retrospective study

Author

Sertac Meydaneri, Talat Ercan Serifsoy, Serkan Tulgar, Ozgur Senturk, Selim Sanel, Onur Selvi, and Maltepe Üniversitesi

Subjects
Bupivacaine, femoral block, lcsh:R5-920, business.industry, Visual analogue scale, Patient-controlled analgesia, medicine.medical_treatment, lcsh:R, Analgesic, lcsh:Medicine, Hemodynamics, Retrospective cohort study, knee arthroplasty, knee artroplasty, Regimen, Anesthesia, Medicine, Original Article, Analgesia, lcsh:Medicine (General), business, General Economics, Econometrics and Finance, Body mass index, medicine.drug
Abstract

WOS: 000408987200003, PubMed ID: 28971169, OBJECTIVE: Analgesic therapies have an immense role in early rehabilitation period after total knee arthroplasty (TKA) and multimodal approaches should be considered as the first choice of treatment. In this retrospective study, the aim was to evaluate the effectiveness of multimodal analgesic therapies for TKA, including femoral nerve block (FNB) and patient controlled analgesia (PCA). METHODS: The data of 79 patients who underwent TKA between January and December 2016 were retrospectively evaluated. In all, 63 patients met the inclusion criteria. Hemodynamic records and Visual Analogue Scale (VAS) pain scores for postoperative 0, 2, 4, 6, 9, and 12 hours were evaluated and patients were separated into 3 groups. Group 1: FNB with 0.25% bupivacaine, Group 2: FNB with 0.166% bupivacaine, and Group 3: No FNB. RESULTS: The average age of the patients was 64.3 +/- 14.9 years and average body mass index (BMI) was 32.5 +/- 5.3 kg/m(2). There was no statistical difference between groups in age, gender, American Society of Anesthesiologists (ASA) classification of physical health scores, BMI, or anesthesia type (p0.05). When difference between Groups 1 and 3 and Groups 2 and 3 were compared, the difference was statistically significant for VAS 0 (p>0.05). Additional analgesic use was highest in Group 3. CONCLUSION: This study demonstrated that FNB significantly decreases postoperative pain intensity and additional analgesia requirement in patients undergoing TKA. A concentration of 0.166% bupivacaine is as effective as a concentration of 0.25% when used as part of a multimodal analgesia regimen in TKA.

Published
2017

3. The timing of tourniquet release in total knee arthroplasty and its influence on blood loss

Author

Zengin E.Ç., Gülman B., Erdoğan M., Sezgin H., Çirakli A., Pişkin A., and Ondokuz Mayıs Üniversitesi

Subjects
Hemostasis, Blood drainage, Blood transfusion, Knee artroplasty, Tourniquet use, Complication
Abstract

We performed a prospective, randomized study to investigate the effect of tourniquet release on the perioperative and postoperative blood loss. Eighty patients with ages ranging 52 to 84, who received total knee artroplasty were evaluated. Patients were randomly divided in two groups. Posterior cruciate retaining, bicompartmental total knee prostheses were used in all. In group 1, the tourniquet was deflated intraoperatively after the prosthetic componenets were settled and hemostasis was done. In group 2, the tourniquet was released after the wound was closed and a compressive bandage was applied. First day mean blood drainage was 400 ml (±208.5) in group 1 and 530 ml (±136.6) in group 2 (p

Published
2012
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