The Journal of Arthroplasty
Volume 25, Issue 8 , Pages 1246-1249 , December 2010

Femoral Nerve Block vs Fascia Iliaca Block for Total Knee Arthroplasty Postoperative Pain Control: A Prospective, Randomized Controlled Trial

  • Brisbane Orthopaedic & Sports Medicine Centre Writing Committee

Received 28 January 2009 ,Accepted 22 November 2009.

References 

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  3. Singelyn FJ, Deyaert M, Joris D, et al. Effects of intravenous patient-controlled analgesia with morphine, continuous epidural analgesia, and continuous three-in-one block on postoperative pain and knee rehabilitation after unilateral total knee arthroplasty. Anesth Analg. 1998;87:88
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  6. Lopez S, Gros T, Bernard N, et al. Fascia iliaca compartment block for femoral bone fractures in prehospital care. Reg Anesth Pain Med. 2003;28:203
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  10. Özen M, İnan N, Tümer F, et al. The effect of 3-in-1 femoral nerve block with ropivacaine 0.375% on postoperative morphine consumption in elderly patients after total knee replacement surgery. Agri. 2006;18:44
  11. Szczukowski MJ, Hines JA, Snell JA, et al. Femoral nerve block for total knee arthroplasty patients: a method to control postoperative pain. J Arthroplasty. 2004;19:720
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  13. Fowler SJ, Symons J, Sabato S, et al. Epidural analgesia compared with peripheral nerve blockade after major knee surgery: a systematic review and meta-analysis of randomized trials. Br J Anaesth. 2008;100:154
  14. Wathen JE, Gao D, Merritt G, et al. A randomized controlled trial comparing a fascia iliaca compartment nerve block to a traditional systemic analgesic for femur fractures in a pediatric emergency department. Ann Emerg Med. 2007;50:162
  15. Candal-Couto JJ, McVie JL, Haslam N, et al. Pre-operative analgesia for patients with femoral neck fractures using a modified fascia iliaca block technique. Injury. 2005;36:505
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  17. Stevens M, Harrison G, McGrail M. A modified fascia iliaca compartment block has significant morphine-sparing effect after total hip arthroplasty. Anaesth Intensive Care. 2007;36:949
  18. Ganapathy S, Wasserman RA, Watson JT, et al. Modified continuous femoral three-in-one block for postoperative pain after total knee arthroplasty. Anesth Analg. 1999;89:1197
  19. Morau D, Lopez S, Biboulet P, et al. Comparison of continuous 3-in-1 and fascia Iliaca compartment blocks for postoperative analgesia: feasibility, catheter migration, distribution of sensory block, and analgesic efficacy. Reg Anesth Pain Med. 2003;28:309
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  22. Shelley BG, Haldane GJ. Pneumoretroperitoneum as a consequence of fascia iliaca block. Reg Anesth Pain Med. 2006;31:582

 No benefits or funds were received in support of the study.

PII: S0883-5403(09)00554-3

doi: 10.1016/j.arth.2009.11.018

The Journal of Arthroplasty
Volume 25, Issue 8 , Pages 1246-1249 , December 2010