Femoral Nerve Block In Old Age

Essam Makram, Enas Wageeh, Heba Abdel Hameed
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Abstract

Background: Total Managing the discomfort that follows a knee arthroplasty (TKA), a popular orthopaedic treatment, may be difficult. Multimodal analgesia with femoral nerve block (FNB) has been used for TKA, although there are concerns concerning weakness in the quadriceps after the procedure. The purpose of this research is to evaluate how well FNB works as part of a multimodal analgesia programme for managing pain after total knee replacement. However, one of FNB's major drawbacks is the risk of quadriceps muscle weakness. Finally, in patients after total knee replacement, injectable FNB offered good analgesia, aided in early ambulation, and shortened the time of their acute hospital stay. Multimodal analgesia, which includes femoral, sciatic, lumbar, and adductor nerve blocks, is now suggested. Improving postoperative pain, patient satisfaction, recovery durations, and functional results after total knee arthroplasty necessitates the development of appropriate analgesic regimes. Multimodal analgesia, pain management, total knee replacement, early ambulation, and weakness in the quadriceps muscles are all terms that have been used to describe the effects of a TKA.
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老年股神经阻滞术
背景:膝关节置换术(TKA)是一种常用的矫形治疗方法,但术后的不适可能很难完全控制。股神经阻滞(FNB)多模式镇痛已被用于膝关节置换术,但有人担心术后股四头肌无力。这项研究的目的是评估股神经阻滞作为多模式镇痛方案的一部分,在控制全膝关节置换术后疼痛方面的效果如何。然而,FNB 的主要缺点之一是有可能导致股四头肌无力。最后,在全膝关节置换术后的患者中,注射用 FNB 可提供良好的镇痛效果,有助于早期下地活动,并缩短急性住院时间。目前建议采用多模式镇痛,包括股神经、坐骨神经、腰神经和内收肌神经阻滞。要改善全膝关节置换术后疼痛、患者满意度、恢复时间和功能效果,就必须制定适当的镇痛方案。多模式镇痛、疼痛管理、全膝关节置换、早期下地活动和股四头肌无力都是用来描述全膝关节置换术效果的术语。
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