Comparison of Efficacy of Local Infiltration Analgesia and Epidural Analgesia in Patients Undergoing Total Knee Arthroplasty
Creators
- 1. Senior Resident, Department of Orthopaedics, ESIC Medical College & Hospital, Sanathnagar, Hyderabad, Telangana
- 2. Assistant Professor, Department of Orthopaedics, Mallareddy Institute of Medical sciences, Hyderabad, Telangana
- 3. Senior Resident, Department of Orthopaedics, Gandhi Medical College & Hospital, Secunderabad, Telangana
Description
Introduction: Total knee arthroplasty (TKA) is a common procedure for improving mobility and quality of life in patients with osteoarthritis. The present study was conducted to compare the efficacy of intra-articular infusion analgesia and epidural versus following total knee replacement. Materials and Methods: 60 patients were included in a randomized prospective study and distributed in 2 groups. Patients in Group 1 received LIA and Group 2 EA. Patients were assessed for visual analogue score (VAS) for pain to determine the analgesic effect. Complications such as paraesthesia in the lower limbs, hypotension, urinary retention, and abdominal distension were recorded, and rehabilitation progress was recorded. Result: The pain was significantly more in EA group than in LIA group. With respect to complications, Patients with epidural infusion analgesia had a significantly higher complication rate in terms of hypotension (48% vs. 28%), paraesthesia in the lower extremities (44% vs. 12%,) and higher abdominal distension rate (24% vs. 4%). Patients with intra-articular infusion analgesia were able to stand/ walk (2.02 vs. 3.01 days,) and climb stairs earlier (3.96 vs. 4.12 days,) which was significant. Conclusion: It was concluded that Intra-articular infusion analgesia was associated with less intensity of pain, fewer complications and earlier rehabilitation compared to epidural analgesia.
Abstract (English)
Introduction: Total knee arthroplasty (TKA) is a common procedure for improving mobility and quality of life in patients with osteoarthritis. The present study was conducted to compare the efficacy of intra-articular infusion analgesia and epidural versus following total knee replacement. Materials and Methods: 60 patients were included in a randomized prospective study and distributed in 2 groups. Patients in Group 1 received LIA and Group 2 EA. Patients were assessed for visual analogue score (VAS) for pain to determine the analgesic effect. Complications such as paraesthesia in the lower limbs, hypotension, urinary retention, and abdominal distension were recorded, and rehabilitation progress was recorded. Result: The pain was significantly more in EA group than in LIA group. With respect to complications, Patients with epidural infusion analgesia had a significantly higher complication rate in terms of hypotension (48% vs. 28%), paraesthesia in the lower extremities (44% vs. 12%,) and higher abdominal distension rate (24% vs. 4%). Patients with intra-articular infusion analgesia were able to stand/ walk (2.02 vs. 3.01 days,) and climb stairs earlier (3.96 vs. 4.12 days,) which was significant. Conclusion: It was concluded that Intra-articular infusion analgesia was associated with less intensity of pain, fewer complications and earlier rehabilitation compared to epidural analgesia.
Files
IJPCR,Vol16,Issue6,Article249.pdf
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Additional details
Dates
- Accepted
-
2024-05-26
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/16/IJPCR,Vol16,Issue6,Article249.pdf
- Development Status
- Active
References
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