Abstract

Total knee arthroplasty (TKA) is usually associated with moderate to severe postoperative pain.Early postoperative mobilization is critical to both reduction of immobility-related complications and achieving the optimal functional outcome following surgery. Objectives: To compare the effectiveness of pain management by LIA and LIA+ACB in promoting early functional recovery after TKR. Material and Methods: The study was conducted in the orthopedic department at MIMSR Medical College, Latur in 68 patients coming to Outpatient department with complaints of pain and stiffness of knee, suffering from osteoarthritis was assessed. In Group A, the patients will receive LIA and in Group B, the patients will receive LIA + ACB. All cases will be done under single shot Spinal Anaesthesia. Results: We included 34 patients each in LIA and LIA+ACB group in our study. In LIA group, 16(47.1%) were males and 18(52.9%) were females. In LIA+ACB group, 10629.4%) were males and 24(70.6%) were females. Involvement of left side was seen in 52.9% cases in LIA group as against 64.7% in LIA+ACB group. Involvement of right side was seen in 47.1% cases in LIA group as against 35.3% in LIA+ACB group. Pain at rest, sitting position, knee flexion, knee extension, standing and walking on the first postoperative day was less in LIA+ACB group compared to LIA group. (p<0.05). Conclusion: Pain at rest, sitting position, knee flexion, knee extension, standing and walking on the first postoperative day was less in LIA+ACB group compared to LIA group. (p<0.05) and there is no difference in the pain perceived at rest, knee flexion, knee extension, standing and walking on the day of surgery between two groups on the second postoperative day (p>0.05). There is no difference in the pain perceived at sitting and at knee flexion on the day of discharge between two groups on the second postoperative day. (p>0.05).

Description