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12.06.2017 | Review Article

Single Local Infiltration Analgesia (LIA) Aids Early Pain Management After Total Knee Replacement (TKR): An Evidence-Based Review and Commentary

verfasst von: E. Carlos Rodriguez-Merchan, MD, PhD

Erschienen in: HSS Journal ® | Ausgabe 1/2018

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Abstract

Background

There is controversy in the literature regarding the role of single local infiltration analgesia (LIA) after total knee replacement (TKR).

Questions/Purposes

Is single LIA really efficient in controlling pain after TKR?

Methods

A Cochrane Library and PubMed (MEDLINE) search related to the justification LIA after TKR was analyzed. The main criteria for selection were that the articles were focused in the aforementioned question.

Results

Two hundred ninety-nine articles were found until February 9, 2017, but only 27 were selected and reviewed because they were focused on clinical experience with LIA following TKR. Fifteen of them were considered level of evidence (I-II) while 12 had a lower level of evidence (III-IV). LIA reduced the amount of perioperative opioid administration and enabled adequate pain management in conjunction with oral medication without adverse effects. No clinically marked effects on the functional outcome after TKR were detected.

Conclusion

Single dose LIA provides effective analgesia in the initial postoperative period after TKR in most randomized clinical trials, systematic reviews, and meta-analyses.

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Tripuraneni KR, Woolson ST, Giori NJ. Local infiltration analgesia in TKA patients reduces length of stay and postoperative pain scores. Orthopedics. 2011;34:173.CrossRefPubMed

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Titel: Single Local Infiltration Analgesia (LIA) Aids Early Pain Management After Total Knee Replacement (TKR): An Evidence-Based Review and Commentary
verfasst von: E. Carlos Rodriguez-Merchan, MD, PhD
Publikationsdatum: 12.06.2017
Verlag: Springer US
Erschienen in: HSS Journal ® / Ausgabe 1/2018
Print ISSN: 1556-3316
Elektronische ISSN: 1556-3324
DOI: https://doi.org/10.1007/s11420-017-9560-x

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