ArticleJournal of experimental orthopaedics2025
Postoperative analgesia in total knee arthroplasty for posttraumatic arthritis: A randomised controlled trial comparing patient-controlled intravenous analgesia, continuous femoral/sciatic nerve block and continuous local infiltration analgesia.
Article in Journal of experimental orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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1 citing paper in PubMed.
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Purpose: Postoperative pain remains a major obstacle to early mobilisation following total knee arthroplasty (TKA) and is particularly challenging in patients with posttraumatic arthritis due to prior injury, scarring, and complex surgeries. While various analgesic strategies have been evaluated in degenerative TKA, evidence in posttraumatic cases is lacking. This study is the first to compare patient-controlled intravenous analgesia (PCIA), continuous femoral/sciatic nerve block (cFNB/cSNB), and continuous local infiltration analgesia (cLIA) in this specific population. Methods: In this prospective, monocentric, randomised controlled trial, 92 patients undergoing TKA for posttraumatic arthritis were allocated to PCIA ( Results: At t1, patients in cFNB/cSNB reported significantly lower pain scores compared to cLIA ( Conclusions: In patients undergoing TKA for posttraumatic arthritis, cFNB/cSNB provided superior early postoperative pain control and functional recovery compared to PCIA and cLIA. The findings suggest that standard fast-track protocols may not be fully applicable in this complex patient population, highlighting the need for individualised analgesic strategies. Level of Evidence: Level I.
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