Cargando…
Was femoral nerve block effective for pain control of medial opening-wedge high tibial osteotomy?: A single blinded randomized controlled study
BACKGROUND AND PURPOSE: Medial compartment femoro–tibial osteoarthritis (OA) is a common disease and opening-wedge high tibial osteotomy (OWHTO) is the common surgical procedure carried out for these patients. While most researchers are focusing on the surgical techniques during operation, the aim o...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7837819/ https://www.ncbi.nlm.nih.gov/pubmed/33545983 http://dx.doi.org/10.1097/MD.0000000000023978 |
_version_ | 1783643030368026624 |
---|---|
author | Ren, Yi-Ming Tian, Meng-Qiang Duan, Yuan-Hui Sun, Yun-Bo Yang, Tao Hou, Wei-Yu Xie, Shu-Hua |
author_facet | Ren, Yi-Ming Tian, Meng-Qiang Duan, Yuan-Hui Sun, Yun-Bo Yang, Tao Hou, Wei-Yu Xie, Shu-Hua |
author_sort | Ren, Yi-Ming |
collection | PubMed |
description | BACKGROUND AND PURPOSE: Medial compartment femoro–tibial osteoarthritis (OA) is a common disease and opening-wedge high tibial osteotomy (OWHTO) is the common surgical procedure carried out for these patients. While most researchers are focusing on the surgical techniques during operation, the aim of this study is to evaluate the pain control effect of femoral nerve block (FNB) for OWHTO patients. METHODS: In this prospective, single-center, randomized controlled trial (RCT) study, 41 patients were operated on by OWHTO for OA during 2017 to 2018. Twenty of them (group A) accepted epidural anesthesia with FNB and 21 patients (group B) only had their single epidural anesthesia. All blocks were successful and all the 41 patients recruited were included in the analysis and there was no loss to follow-up or withdrawal. Systematic records of visual analog scores (VAS), quadriceps strength, mean number of times of patient-controlled intravenous analgesia (PCIA), using of additional opioids or nonsteroidal anti-inflammatory drugs (NSAIDs), and complications were done after hospitalization. The Student t test and Chi-Squared test was used and all P values ≤.05 were considered statistically significant. RESULTS: VAS scores at rest (3.48 ± 1.0 vs 4.68 ± 1.1) and on movemment (4.51 ± 0.6 vs 4.97 ± 0.8) decreased more in group A than group B with significance at follow-up of 12 hours. The quadriceps strength, consumption of additional opioids or NSAID injections and mean number of times that the patients pushed the PCIA button didnot differ significantly within each group. CONCLUSION: This RCT study shows that FNB in patients undergoing OWHTO for unicompartmental osteoarthritis of the knee could result in significant reduction in VAS scores at 12 hours postoperatively. Research registry, Researchregistry4792. Registered April 7, 2019 - Retrospectively registered, http://www.researchregistry.com. |
format | Online Article Text |
id | pubmed-7837819 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-78378192021-01-27 Was femoral nerve block effective for pain control of medial opening-wedge high tibial osteotomy?: A single blinded randomized controlled study Ren, Yi-Ming Tian, Meng-Qiang Duan, Yuan-Hui Sun, Yun-Bo Yang, Tao Hou, Wei-Yu Xie, Shu-Hua Medicine (Baltimore) 3700 BACKGROUND AND PURPOSE: Medial compartment femoro–tibial osteoarthritis (OA) is a common disease and opening-wedge high tibial osteotomy (OWHTO) is the common surgical procedure carried out for these patients. While most researchers are focusing on the surgical techniques during operation, the aim of this study is to evaluate the pain control effect of femoral nerve block (FNB) for OWHTO patients. METHODS: In this prospective, single-center, randomized controlled trial (RCT) study, 41 patients were operated on by OWHTO for OA during 2017 to 2018. Twenty of them (group A) accepted epidural anesthesia with FNB and 21 patients (group B) only had their single epidural anesthesia. All blocks were successful and all the 41 patients recruited were included in the analysis and there was no loss to follow-up or withdrawal. Systematic records of visual analog scores (VAS), quadriceps strength, mean number of times of patient-controlled intravenous analgesia (PCIA), using of additional opioids or nonsteroidal anti-inflammatory drugs (NSAIDs), and complications were done after hospitalization. The Student t test and Chi-Squared test was used and all P values ≤.05 were considered statistically significant. RESULTS: VAS scores at rest (3.48 ± 1.0 vs 4.68 ± 1.1) and on movemment (4.51 ± 0.6 vs 4.97 ± 0.8) decreased more in group A than group B with significance at follow-up of 12 hours. The quadriceps strength, consumption of additional opioids or NSAID injections and mean number of times that the patients pushed the PCIA button didnot differ significantly within each group. CONCLUSION: This RCT study shows that FNB in patients undergoing OWHTO for unicompartmental osteoarthritis of the knee could result in significant reduction in VAS scores at 12 hours postoperatively. Research registry, Researchregistry4792. Registered April 7, 2019 - Retrospectively registered, http://www.researchregistry.com. Lippincott Williams & Wilkins 2021-01-22 /pmc/articles/PMC7837819/ /pubmed/33545983 http://dx.doi.org/10.1097/MD.0000000000023978 Text en Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0 |
spellingShingle | 3700 Ren, Yi-Ming Tian, Meng-Qiang Duan, Yuan-Hui Sun, Yun-Bo Yang, Tao Hou, Wei-Yu Xie, Shu-Hua Was femoral nerve block effective for pain control of medial opening-wedge high tibial osteotomy?: A single blinded randomized controlled study |
title | Was femoral nerve block effective for pain control of medial opening-wedge high tibial osteotomy?: A single blinded randomized controlled study |
title_full | Was femoral nerve block effective for pain control of medial opening-wedge high tibial osteotomy?: A single blinded randomized controlled study |
title_fullStr | Was femoral nerve block effective for pain control of medial opening-wedge high tibial osteotomy?: A single blinded randomized controlled study |
title_full_unstemmed | Was femoral nerve block effective for pain control of medial opening-wedge high tibial osteotomy?: A single blinded randomized controlled study |
title_short | Was femoral nerve block effective for pain control of medial opening-wedge high tibial osteotomy?: A single blinded randomized controlled study |
title_sort | was femoral nerve block effective for pain control of medial opening-wedge high tibial osteotomy?: a single blinded randomized controlled study |
topic | 3700 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7837819/ https://www.ncbi.nlm.nih.gov/pubmed/33545983 http://dx.doi.org/10.1097/MD.0000000000023978 |
work_keys_str_mv | AT renyiming wasfemoralnerveblockeffectiveforpaincontrolofmedialopeningwedgehightibialosteotomyasingleblindedrandomizedcontrolledstudy AT tianmengqiang wasfemoralnerveblockeffectiveforpaincontrolofmedialopeningwedgehightibialosteotomyasingleblindedrandomizedcontrolledstudy AT duanyuanhui wasfemoralnerveblockeffectiveforpaincontrolofmedialopeningwedgehightibialosteotomyasingleblindedrandomizedcontrolledstudy AT sunyunbo wasfemoralnerveblockeffectiveforpaincontrolofmedialopeningwedgehightibialosteotomyasingleblindedrandomizedcontrolledstudy AT yangtao wasfemoralnerveblockeffectiveforpaincontrolofmedialopeningwedgehightibialosteotomyasingleblindedrandomizedcontrolledstudy AT houweiyu wasfemoralnerveblockeffectiveforpaincontrolofmedialopeningwedgehightibialosteotomyasingleblindedrandomizedcontrolledstudy AT xieshuhua wasfemoralnerveblockeffectiveforpaincontrolofmedialopeningwedgehightibialosteotomyasingleblindedrandomizedcontrolledstudy |