Chinese Journal of Tissue Engineering Research ›› 2011, Vol. 15 ›› Issue (17): 3053-3056.doi: 10.3969/j.issn.1673-8225.2011.17.005

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Patient-controlled femoral nerve analgesia and epidural analgesia for postoperative pain after total knee arthroplasty

Qian Xiao1, Qu Yu-xing2, Jiang Tao2, Xu Jian-da2, Zheng Chong2   

  1. 1Nanjing University of Chinese Medicine, Nanjing  210029, Jiangsu Province, China
    2First Department of Orthopedics, Changzhou Hospital of Traditional Chinese Medicine, Nanjing University of Chinese Medicine, Changzhou  213003, Jiangsu Province, China
  • Received:2010-10-17 Revised:2011-01-26 Online:2011-04-23 Published:2011-04-23
  • About author:Qian Xiao★, Studying for master’s degree, Nanjing University of Chinese Medicine, Nanjing 210029, Jiangsu Province, China 7350619@163.com

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Abstract:

BACKGROUND: Postoperative pain is the main hindrance to joint function rehabilitation, and most clinicians prefer controlled femoral nerve analgesia and epidural analgesia.
OBJECTIVE: To evaluate the therapeutic effect of patient-controlled femoral nerve analgesia (PCFNA) and epidural analgesia (PCEA) on postoperative pain and functional rehabilitation after total knee arthroplasty.
METHODS: Forty-two patients undergoing unilateral total knee arthroplasty were randomly divided into group PCFNA and group PCEA．All patients received unilateral spinal anesthesia. Visual analogue scale (VAS) pain scores and Bromage scores were recorded at each time point of 4, 8, 12, 24 and 48 hours. And the range of motion (ROM) and adverse effects were recorded at the time point of 1 day, 2 days, 3 days, 1 week and 1 month.
RESULTS AND CONCLUSION: No statistical significance was found in the VAS pain score．The Bromage scores in group PCFNA were obviously lower than those in group PCEA and the ROM was better in group PCFNA than the group PCEA. Femoral nerve analgesia effects on postoperative pain after total knee arthroplasty are secure and effective.

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