A guide to regional analgesia for Total Knee Arthroplasty

center dot Regional analgesia has been introduced successfully into the postoperative pain management after total knee arthroplasty, reducing pain scores, opioid use and adverse effects. center dot Combination of regional analgesia techniques is associated with better pain management and lower side effects than single regional techniques. center dot Adductor canal block provides good analgesia and considerably lower detrimental effect in muscular strength than femoral nerve block, enhancing surgical recovery. center dot Infiltration techniques may have equivalent analgesic effect than epidural analgesia and peripheral nerve blocks, however there should be awareness of dose dependent toxicity. center dot Novel long-acting local anesthetics role for regional analgesia is still to be determined, and will require larger randomized trials to support its advantage over traditional local anesthetics.

Automated summary

Regional analgesia has shown success in postoperative pain management after total knee arthroplasty, reducing pain scores, opioid use and adverse effects. Combining different regional analgesia techniques can lead to better pain management with lower side effects. Adductor canal block provides good analgesia with less impact on muscular strength compared to femoral nerve block, enhancing recovery post-surgery.