The Optimal Analgesic Block for Total Knee Arthroplasty

Thomas Fichtner Bendtsen; Bernhard Moriggl; Vincent Chan; Jens Børglum

doi:10.1097/AAP.0000000000000485

The Optimal Analgesic Block for Total Knee Arthroplasty

Reg Anesth Pain Med. 2016 Nov/Dec;41(6):711-719. doi: 10.1097/AAP.0000000000000485.

Authors

Thomas Fichtner Bendtsen¹, Bernhard Moriggl, Vincent Chan, Jens Børglum

Affiliation

¹ From the *Department of Anesthesia, Aarhus University Hospital, Aarhus, Denmark; †Division of Clinical and Functional Anatomy, Medical University of Innsbruck, Innsbruck, Austria; ‡Department of Anesthesia, Toronto, Western Hospital, University of Toronto, Toronto, Ontario, Canada; and §Department of Anesthesia, Zealand University Hospital, University of Copenhagen, Copenhagen, Denmark.

PMID: 27685346
DOI: 10.1097/AAP.0000000000000485

Abstract

Peripheral nerve block for total knee arthroplasty is ideally motor sparing while providing effective postoperative analgesia. To achieve these goals, one must understand surgical dissection techniques, distribution of nociceptive generators, sensory innervation of the knee, and nerve topography in the thigh.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Anatomic Landmarks
Arthroplasty, Replacement, Knee / adverse effects*
Cadaver
Dissection
Femoral Nerve / anatomy & histology
Humans
Knee / innervation
Knee / surgery*
Motor Activity
Nerve Block / adverse effects
Nerve Block / methods*
Nociceptors
Obturator Nerve / anatomy & histology
Pain Threshold
Pain, Postoperative / diagnosis
Pain, Postoperative / etiology
Pain, Postoperative / prevention & control*
Peripheral Nerves / anatomy & histology*
Sciatic Nerve / anatomy & histology
Treatment Outcome