Hasegawa Morgan, Singh Dylan, Urits Ivan, Pi Michael, Nakasone Cass, Viswanath Omar, Kaye Alan D
Surgery- Division of Orthopaedics, University of Hawai'i Department of Sugery-Division of Orthopaedics.
John A. Burns School of Medicine, University of Hawai'i- John A . Burns School of Medicine.
Orthop Rev (Pavia). 2022 Aug 5;14(3):37405. doi: 10.52965/001c.37405. eCollection 2022.
Total Knee Arthroplasty (TKA) is an increasingly common procedure performed for advanced osteoarthritis. Optimal perioperative pain management strategies are critical for early mobilization and shorter hospital stays in TKA. Peripheral nerve blocks commonly used in TKA perioperative analgesia including individual and combined femoral, obturator, sciatic, lumbar plexus, and adductor canal nerve blocks. Overall, the safety profile varies depending on which block is utilized, but the current evidence suggests when optimally chosen and delivered, peripheral nerve blocks may provide a safe, effective option for perioperative analgesia. Determining optimal analgesic regimens for total knee arthroplasty is critical to improve postoperative pain, patient satisfaction, decreasing opioid usage, recovery times and functional outcomes, and as such, peripheral nerve blocks may represent a viable option to supplement analgesic requirements in the perioperative period.
全膝关节置换术（TKA）是针对晚期骨关节炎进行的一种越来越常见的手术。最佳的围手术期疼痛管理策略对于TKA患者的早期活动和缩短住院时间至关重要。TKA围手术期镇痛常用的外周神经阻滞包括单独或联合股神经、闭孔神经、坐骨神经、腰丛神经和收肌管神经阻滞。总体而言，安全性因所采用的阻滞方式而异，但目前的证据表明，在最佳选择和实施的情况下，外周神经阻滞可为围手术期镇痛提供一种安全、有效的选择。确定全膝关节置换术的最佳镇痛方案对于改善术后疼痛、患者满意度、减少阿片类药物使用、缩短恢复时间和改善功能结局至关重要，因此，外周神经阻滞可能是围手术期补充镇痛需求的可行选择。
