Femoral Nerve Block vs Fascia Iliaca Block for Total Knee Arthroplasty Postoperative Pain Control. A Prospective, Randomized Controlled Trial

Timothy J. McMeniman; Peter J. McMeniman; Peter T. Myers; David A. Hayes; Alex Cavdarski; Man Shun Wong; Adrian J. Wilson; Mark A. Jones; Mark C. Watts

doi:10.1016/j.arth.2009.11.018

Femoral Nerve Block vs Fascia Iliaca Block for Total Knee Arthroplasty Postoperative Pain Control. A Prospective, Randomized Controlled Trial

Timothy J. McMeniman, Peter J. McMeniman, Peter T. Myers, David A. Hayes, Alex Cavdarski, Man Shun Wong, Adrian J. Wilson, Mark A. Jones, Mark C. Watts^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › Research › peer-review

31 Citations (Scopus)

Abstract

Femoral nerve block (FNB) is an accepted mode of analgesia for lower limb procedures but has a documented complication rate. This study compared femoral nerve and fascia iliaca regional anesthesia for total knee arthroplasty (TKA), using fentanyl consumption as the primary outcome measure. Ninety-eight primary unilateral TKA patients were blinded and randomized into fascia iliaca block (FIB) (n = 51) or FNB (n = 47) groups. No significant differences were found in analgesia use (fentanyl and tramadol) at 12 and 36 hours in pain, nausea and range of motion between the groups. There was one case of paresthesia in the femoral nerve in the FNB group. Fascia iliaca block is as effective as FNB as part of a multimodal anesthetic regimen for TKA.

Original language	English
Pages (from-to)	1246-1249
Number of pages	4
Journal	Journal of Arthroplasty
Volume	25
Issue number	8
DOIs	https://doi.org/10.1016/j.arth.2009.11.018
Publication status	Published - Dec 2010
Externally published	Yes

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McMeniman, T. J., McMeniman, P. J., Myers, P. T., Hayes, D. A., Cavdarski, A., Wong, M. S., Wilson, A. J., Jones, M. A., & Watts, M. C. (2010). Femoral Nerve Block vs Fascia Iliaca Block for Total Knee Arthroplasty Postoperative Pain Control. A Prospective, Randomized Controlled Trial. Journal of Arthroplasty, 25(8), 1246-1249. https://doi.org/10.1016/j.arth.2009.11.018

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abstract = "Femoral nerve block (FNB) is an accepted mode of analgesia for lower limb procedures but has a documented complication rate. This study compared femoral nerve and fascia iliaca regional anesthesia for total knee arthroplasty (TKA), using fentanyl consumption as the primary outcome measure. Ninety-eight primary unilateral TKA patients were blinded and randomized into fascia iliaca block (FIB) (n = 51) or FNB (n = 47) groups. No significant differences were found in analgesia use (fentanyl and tramadol) at 12 and 36 hours in pain, nausea and range of motion between the groups. There was one case of paresthesia in the femoral nerve in the FNB group. Fascia iliaca block is as effective as FNB as part of a multimodal anesthetic regimen for TKA.",

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AU - McMeniman, Timothy J.

AU - McMeniman, Peter J.

AU - Myers, Peter T.

AU - Hayes, David A.

AU - Cavdarski, Alex

AU - Wong, Man Shun

AU - Wilson, Adrian J.

AU - Jones, Mark A.

AU - Watts, Mark C.

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AB - Femoral nerve block (FNB) is an accepted mode of analgesia for lower limb procedures but has a documented complication rate. This study compared femoral nerve and fascia iliaca regional anesthesia for total knee arthroplasty (TKA), using fentanyl consumption as the primary outcome measure. Ninety-eight primary unilateral TKA patients were blinded and randomized into fascia iliaca block (FIB) (n = 51) or FNB (n = 47) groups. No significant differences were found in analgesia use (fentanyl and tramadol) at 12 and 36 hours in pain, nausea and range of motion between the groups. There was one case of paresthesia in the femoral nerve in the FNB group. Fascia iliaca block is as effective as FNB as part of a multimodal anesthetic regimen for TKA.

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Femoral Nerve Block vs Fascia Iliaca Block for Total Knee Arthroplasty Postoperative Pain Control. A Prospective, Randomized Controlled Trial

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