Local infiltration analgesia versus femoral nerve block in total knee arthroplasty: A meta-analysis

doi:10.1016/j.otsr.2015.03.015

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	Local infiltration analgesia versus femoral nerve block in total knee arthroplasty: A meta-analysis
	Yun, XD; Yin, XL; Jiang, J; Teng, YJ; Dong, HT; An, LP; Xia, YY; Xia, YY (reprint author), Lanzhou Univ, Hosp 2, Dept Orthopaed, Orthopaed Key Lab Gansu Prov, 82 Cuiyingmen, Lanzhou 730000, Gansu, Peoples R China.
刊名	ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH
	2015-09
卷号	101 期号:5 页码:565-569
关键词	Total knee arthroplasty Local infiltration analgesia Femoral nerve block Pain control
ISSN号	1877-0568
DOI	10.1016/j.otsr.2015.03.015
文献子类	Article
英文摘要	Introduction: Local infiltration analgesia (LIA) and femoral nerve block (FNB) are both used for the pain management after total knee arthroplasty (TKA). Controversy still remains regarding the optimal technique for pain relief in patients undergoing TKA. The purpose of this meta-analysis was to compare the analgesia achieved with LIA and the one from FNB following TKA. Hypothesis: LIA achieves better pain control than FNB in patients with TKA. Methods: Databases, including Pubmed, EMBASE, the Cochrane Library and Web of Science were comprehensively searched to identify studies comparing LIA with FNB for patients with TKA. Two reviewers independently selected trials, extracted data, and assessed the methodological qualities of included studies. Data were analyzed by RevMan 5.2. Results: Nine RCTs involving 782 patients were included. LIA achieved more rapid pain relief (VAS) at 6 h postoperatively [SMD6h = 0.9 2, 95% CI (-1.38, -0.47)] than FNB. There were no significant differences at 24h and 48h [SMD24h = -0.03, 95% CI (-0.46, 0.40); SMD48h=0.28, 95% CI (-0.35, 0.91)], VAS with activity at 24h and 48h [SMD6h=-0.54, 95% CI (-1.62, 0.54); SMD24h=-0.22, 95% CI (-1.41, 0.96); SMD48h=-0.08, 95% CI (-0.52, 0.69)], opioid consumption at 24h and 48h [SMD24h=0.24, 95% CI (-0.82,0.34); SMD48h=0.15, 95% CI (0.25, 0.54)] and length of hospital stay [MD = -0.52, 95% CI (-1.13, 0.09)]. Discussion: LIA may be the better choice in the pain management of TKA for it could achieve fast pain relief and is easier to perform than FNB for patients with TKA. Level of evidence: Level II, meta-analysis and systematic review. (C) 2015 Elsevier Masson SAS. All rights reserved.
学科主题	Orthopedics ; Surgery
出版地	MILANO
资助项目	国家自然科学基金项目 ; 甘肃省自然科学基金计划 ; 兰州市科技局资助项目
项目编号	National Natural Science Foundation of China [81450042] ; Natural Science Foundation of Gansu Province [1208RJZA273] ; Science and Technology Project of Lanzhou City [2014-2-27]
语种	英语
WOS记录号	WOS:000361242000009
资助机构	NSFC ; GSSTD ; LZSTB
内容类型	期刊论文
源URL	[http://ir.lzu.edu.cn/handle/262010/179392]
专题	第二临床医学院_期刊论文
通讯作者	Xia, YY (reprint author), Lanzhou Univ, Hosp 2, Dept Orthopaed, Orthopaed Key Lab Gansu Prov, 82 Cuiyingmen, Lanzhou 730000, Gansu, Peoples R China.
推荐引用方式 GB/T 7714	Yun, XD,Yin, XL,Jiang, J,et al. Local infiltration analgesia versus femoral nerve block in total knee arthroplasty: A meta-analysis[J]. ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH,2015,101(5):565-569.
APA	Yun, XD.,Yin, XL.,Jiang, J.,Teng, YJ.,Dong, HT.,...&Xia, YY .(2015).Local infiltration analgesia versus femoral nerve block in total knee arthroplasty: A meta-analysis.ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH,101(5),565-569.
MLA	Yun, XD,et al."Local infiltration analgesia versus femoral nerve block in total knee arthroplasty: A meta-analysis".ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH 101.5(2015):565-569.