当前位置： SCI文献检索 > MEDICAL SCIENCE MONITOR期刊下所有文献 > Comparison of 2 Analgesia Modalities in Total Knee Replacement Surgery: Is There an Effect on Knee Function Rehabilitation?

Comparison of 2 Analgesia Modalities in Total Knee Replacement Surgery: Is There an Effect on Knee Function Rehabilitation?

Abstract：

:BACKGROUND We compared the effects of continuous femoral nerve block (CFNB) and continuous intraarticular block (CIAB) on pain, functional recovery and adverse effects after total knee arthroplasty (TKA). MATERIAL AND METHODS We prospectively randomized 54 patients undergoing TKA into 2 groups: CFNB (Group F) and CIAB (Group I). Surgery was performed under spinal anesthesia. All patients received patient-controlled analgesia (PCA) with morphine, diclofenac, and acetaminophen for the first 72 h postoperatively. Pain was assessed with a visual analog scale (VAS), 48-h morphine consumption and 72-h local anesthetic dosage were recorded, motor blockade was assessed, maximum range of motion (ROM) was measured, and adverse effect profiles were recorded. RESULTS There was no significant difference in postoperative pain at rest, in passive motion, active motion, or active movement (2-min walk test (2MWT)) between study groups. Group I had less opioid usage in the first 24 h postoperatively (p<0.05). No significant difference was found between the groups in the postoperative local anesthetic dosage (p>0.05). Significantly lower scores of Bromage scale in Group I in 72 h after surgery (p<0.05) were found. Group I had superior passive maximum ROM in 1 month after surgery and superior active maximum ROM on day 7 and at 1 month after surgery (p<0.05). CONCLUSIONS Both CFNB and CIAB are effective postoperative analgesia methods after TKA. CIAB leads to lower postoperative opioid usage in the first 24 h, lower motor blockade in the first 72 h, and better knee function on day 7 and at 1 month after surgery.

journal_name

Med Sci Monit

journal_title

Medical science monitor : international medical journal of experimental and clinical research

authors

Zinkus J,Mockutė L,Gelmanas A,Tamošiūnas R,Vertelis A,Macas A

doi

10.12659/msm.899320

subject

Has Abstract

pub_date

2017-06-20 00:00:00

pages

3019-3025

eissn

1234-1010

issn

1643-3750

pii

899320

journal_volume

23

pub_type

杂志文章,随机对照试验

相关文献

MEDICAL SCIENCE MONITOR文献大全
  • Experimental study of the mechanism of tolerance induction in dexamethasone-treated dendritic cells.

    abstract：BACKGROUND:The aim of this study was to investigate the mechanisms underlying tolerance induction of dexamethasone (Dex)-treated dendritic cells (DCs). MATERIAL/METHODS:Well-grown DC2.4 cells were randomly assigned to receive control, 50 µg/L, 100 µg/L, or 200 µg/L of dexamethasone and then were cultured for 6 days. T...

    journal_title：Medical science monitor : international medical journal of experimental and clinical research

    pub_type： 杂志文章

    doi：10.12659/msm.881758

    authors： Gong YB,Huang YF,Li Y,Han GC,Li YR,Wang DJ,Du GP,Yu JF,Song J

    更新日期：2011-05-01 00:00:00

  • Cornual pregnancy--a case report.

    abstract：:Ectopic pregnancy is a rare phenomenon in mammals. The most common localization is an oviduct, ovary and abdominal cavity. Confirmation of the ectopic pregnancy is always a difficult medical problem. The diagnosis is mainly based on the patient's history and gynecological examination. This paper concerns a case report...

    journal_title：Medical science monitor : international medical journal of experimental and clinical research

    pub_type： 杂志文章

    doi：

    authors： Cyganek A,Marianowski L

    更新日期：2000-07-01 00:00:00

  • Correlation of MACC1/c-Myc Expression in Endometrial Carcinoma with Clinical/Pathological Features or Prognosis.

    abstract：:BACKGROUND Endometrial carcinoma (EC) is a type of female reproductive malignant tumor, the incidence of which is generally 20~30%. Multiple factors and genes are involved in the regulation of EC occurrence and progression. This study aimed to measure the expressions of MACC1 and c-Myc in EC patients to analyze their ...

    journal_title：Medical science monitor : international medical journal of experimental and clinical research

    pub_type： 杂志文章

    doi：10.12659/MSM.908812

    authors： Zhang Q,Xu P,Lu Y,Dou H

    更新日期：2018-07-09 00:00:00

  • Total intravenous anaesthesia with methohexitone or propofol for knee arthroscopy in day-case surgery.

    abstract：:The aim of the study was to assess the usefulness of methohexitone and propofol in total intravenous anaesthesia applied during planned knee joint arthroscopy in day-case surgery. Studies comprised 186 patients divided into 2 groups depending on the anaesthetic used (methohexitone n = 112 or propofol n = 74). ECG, hea...

    journal_title：Medical science monitor : international medical journal of experimental and clinical research

    pub_type： 杂志文章

    doi：

    authors： Piotrowski D,Gaszyński W,Ulbrich K,Kaszyński Z

    更新日期：2000-01-01 00:00:00

  • Weighted Gene Coexpression Network Analysis Identifies Cysteine-Rich Intestinal Protein 1 (CRIP1) as a Prognostic Gene Associated with Relapse in Patients with Acute Myeloid Leukemia.

    abstract：:BACKGROUND Acute myeloid leukemia (AML) is associated with a high relapse rate and poor prognosis. This study aimed to use weighted gene coexpression network analysis (WGCNA) of gene coexpression networks to identify candidate prognostic biomarker genes in patients with AML and to investigate the expression of these g...

    journal_title：Medical science monitor : international medical journal of experimental and clinical research

    pub_type： 杂志文章

    doi：10.12659/MSM.918092

    authors： Ye C,Ma S,Xia B,Zheng C

    更新日期：2019-10-02 00:00:00

  • DNA repair alterations in common pediatric malignancies.

    abstract：:DNA repair is an important defense mechanism against DNA damage and includes four distinct pathways: direct, excision, mismatch, and double-strand break repair systems. Recent evidence suggests that alterations in proteins participating in the DNA repair systems may result in cellular senescence, cell death, and neopl...

    journal_title：Medical science monitor : international medical journal of experimental and clinical research

    pub_type： 杂志文章,评审

    doi：

    authors： Papaefthymiou MA,Giaginis CT,Theocharis SE

    更新日期：2008-01-01 00:00:00

  • Value of Antral Nodularity for the Diagnosis of Helicobacter pylori Infection in Children.

    abstract：BACKGROUND:The aim of this study was to confirm the role of antral nodularity in the diagnosis of Helicobacter pylori (H. pylori) infection in children. MATERIAL AND METHODS:This prospective study included 107 children (58 male; 54.2%), between the ages of 3 and 18 years, infected with H. pylori, which was confirmed i...

    journal_title：Medical science monitor : international medical journal of experimental and clinical research

    pub_type： 杂志文章

    doi：10.12659/MSM.893467

    authors： Łazowska-Przeorek I,Kotowska M,Banasiuk M,Karolewska-Bochenek K,Banaszkiewicz A,Gawrońska A,Albrecht P

    更新日期：2015-06-24 00:00:00

  • The effects of medical treatment and rehabilitation in a patient with adult tethered cord syndrome in the late postoperative period.

    abstract：BACKGROUND:The possibility of functional tethered cord syndrome (TCS) should be considered when adolescent patients present with unexplained lumbar, buttock, and leg symptoms. Symptoms progress if untreated. Success depends on early diagnosis, the complete untethering of the spinal cord, and rehabilitation. A rare case...

    journal_title：Medical science monitor : international medical journal of experimental and clinical research

    pub_type： 杂志文章

    doi：

    authors： Kabayel DD,Ozdemir F,Unlu E,Bilgili N,Murat S

    更新日期：2007-12-01 00:00:00

  • Nomogram for Predicting Risk of Intestinal Complications After Colorectal Cancer Surgery.

    abstract：:BACKGROUND Intestinal complications are a major cause of morbidity after colorectal cancer surgery. This study aimed to develop an effective nomogram for predicting risk of intestinal complications following colorectal cancer surgery. MATERIAL AND METHODS We retrospectively analyzed 1876 patients who underwent colorec...

    journal_title：Medical science monitor : international medical journal of experimental and clinical research

    pub_type： 杂志文章

    doi：10.12659/MSM.915692

    authors： Jiang HH,Dong XL,Tang X,Li AJ,Chang Y,Li HG,Chen Y,Zhang ZY,Tang EJ,Lin MB

    更新日期：2019-03-21 00:00:00

  • Correlation between musical responsiveness and developmental age among early age children as assessed by the Non-Verbal Measurement of the Musical Responsiveness of Children.

    abstract：BACKGROUND:The currently-available standardized music tests are not suitable for administration to young children and children with special needs because they are complicated and require verbal instructions and verbal responses. A test that was named the Non-Verbal Measurement of the Musical Responsiveness of Children,...

    journal_title：Medical science monitor : international medical journal of experimental and clinical research

    pub_type： 杂志文章

    doi：

    authors： Matsuyama K

    更新日期：2005-10-01 00:00:00

  • 5-Hydroxy-4'-Nitro-7-Propionyloxy-Genistein Inhibited Invasion and Metastasis via Inactivating Wnt/b-Catenin Signal Pathway in Human Endometrial Carcinoma Ji Endometrial Cells.

    abstract：:BACKGROUND Chemotherapy has been assuring more important roles in the treatment of carcinoma. Developing new types of drugs with less adverse effects and low drug resistance has become an important researching focus. The present study aimed to investigate the anticancer effects of 5-hydroxy-4'-nitro-7-propionyloxy-gen...

    journal_title：Medical science monitor : international medical journal of experimental and clinical research

    pub_type： 杂志文章

    doi：10.12659/MSM.909472

    authors： Bai J,Luo X

    更新日期：2018-05-17 00:00:00

  • The Smart Class Teaching Module for Rehabilitation Medicine English Education in China.

    abstract：:BACKGROUND Learning medical English is particularly challenging for non-native English-speaking medical students. The Smart Class teaching module is a new online teaching module for rehabilitation-related medical English, the efficacy of which has yet to be established in the literature. Gender differences should also...

    journal_title：Medical science monitor : international medical journal of experimental and clinical research

    pub_type： 杂志文章

    doi：10.12659/MSM.929834

    authors： Lin Q,Qiu Y,Liang J,Zheng Y,Liao Y,Huang H,Hou L,Lang S,Zhao B,Yiming Z,Yan Q,Ou H,Zhang Y

    更新日期：2021-01-17 00:00:00

  • Ganoderma Lucidum Polysaccharides Ameliorates Hepatic Steatosis and Oxidative Stress in db/db Mice via Targeting Nuclear Factor E2 (Erythroid-Derived 2)-Related Factor-2/Heme Oxygenase-1 (HO-1) Pathway.

    abstract：:BACKGROUND Type 2 diabetes mellitus (T2DM) and its comorbidities, including obesity, hypertension, and hyperlipidemia, are commonly associated with non-alcoholic fatty liver disease (NAFLD). Ganoderma lucidum polysaccharide (GDLP) is one of the central bioactive components in Ganoderma lucidum with anti-inflammatory, ...

    journal_title：Medical science monitor : international medical journal of experimental and clinical research

    pub_type： 杂志文章

    doi：10.12659/MSM.921905

    authors： Li HN,Zhao LL,Zhou DY,Chen DQ

    更新日期：2020-04-04 00:00:00

  • Comparative Study of the Effectiveness and Safety of Transurethral Bipolar Plasmakinetic Enucleation of the Prostate and Transurethral Bipolar Plasmakinetic Resection of the Prostate for Massive Benign Prostate Hyperplasia (>80 ml).

    abstract：:BACKGROUND The aim of this study was to compare the clinical safety and effectiveness of transurethral bipolar plasmakinetic enucleation of the prostate (PKEP) vs. transurethral bipolar plasmakinetic resection of the prostate (PKRP) in the treatment of benign prostate hyperplasia (BPH) more than 80 ml. MATERIAL AND ME...

    journal_title：Medical science monitor : international medical journal of experimental and clinical research

    pub_type： 杂志文章

    doi：10.12659/MSM.921272

    authors： Jiang Y,Bai X,Zhang X,Wang M,Tian J,Mu L,Zhang N,Li M,Du Y

    更新日期：2020-04-27 00:00:00

  • Roles and mechanisms of copper transporting ATPases in cancer pathogenesis.

    abstract：:Copper (Cu) is an essential trace element for cell metabolism as a cofactor to many key metabolic enzymes. Numerous physiological processes rely on the adequate and timely transport of copper ions mediated by copper-transporting ATPases (Cu-ATPases), which are essential for human cell growth and development. Inherited...

    journal_title：Medical science monitor : international medical journal of experimental and clinical research

    pub_type： 杂志文章,评审

    doi：

    authors： Zhang Y,Li M,Yao Q,Chen C

    更新日期：2009-01-01 00:00:00

  • Antiproliferative Effects of Matricine in Gemcitabine-Resistant Human Pancreatic Carcinoma Cells Are Mediated via Mitochondrial-Mediated Apoptosis, Inhibition of Cell Migration, Invasion Suppression, and Mammalian Target of Rapamycin (mTOR)-TOR/PI3K/AKT S

    abstract：:BACKGROUND Pancreatic cancer is a major cause of mortality worldwide. Inefficient drugs, their adverse effects, and the development of drug resistance make it difficult to curb the growing incidence of pancreatic cancer. Against this backdrop, the development new drug regimens with no or negligible adverse effects is ...

    journal_title：Medical science monitor : international medical journal of experimental and clinical research

    pub_type： 杂志文章

    doi：10.12659/MSM.914244

    authors： Fang K,Wang L,Chen L,Liu T,Fang Z

    更新日期：2019-04-21 00:00:00

  • T-SPOT.TB in Detection of Active Tuberculosis During Pregnancy: A Retrospective Study in China.

    abstract：BACKGROUND:Interferon-gamma release assays have not been validated in active TB among pregnant women. Therefore, the objective of this retrospective study was to estimate the diagnostic value of T-SPOT.TB in active TB among pregnant women. MATERIAL/METHODS:Between May 2012 and May 2015, 26 consecutive pregnant women w...

    journal_title：Medical science monitor : international medical journal of experimental and clinical research

    pub_type： 杂志文章

    doi：10.12659/msm.896943

    authors： Chen Q,Guo X,Wang X,Wang M

    更新日期：2016-01-06 00:00:00

  • Effect of a human-type communication robot on cognitive function in elderly women living alone.

    abstract：BACKGROUND:Considering the high prevalence of dementia, it would be of great value to develop effective tools to improve cognitive function. We examined the effects of a human-type communication robot on cognitive function in elderly women living alone. MATERIAL/METHODS:In this study, 34 healthy elderly female volunte...

    journal_title：Medical science monitor : international medical journal of experimental and clinical research

    pub_type： 杂志文章,随机对照试验

    doi：10.12659/msm.883350

    authors： Tanaka M,Ishii A,Yamano E,Ogikubo H,Okazaki M,Kamimura K,Konishi Y,Emoto S,Watanabe Y

    更新日期：2012-09-01 00:00:00

  • Effects of the association of lansoprazole, clarithromycin and metronidazole for helicobacter Pylori eradication therapy, measured by the 13C Aminopyrine breath test.

    abstract：BACKGROUND:Lansoprazole (LAN) is a proton pump inhibitor drug (PPI) metabolized by the P-450 liver cytochrome (CYP-450) system. LAN is used in association with antimicrobial agents in Helicobacter pylori (HP) eradication therapy. The 13C-Aminopyrine breath test (ABT) is a non-invasive tool exploring liver CYP-450 metab...

    journal_title：Medical science monitor : international medical journal of experimental and clinical research

    pub_type： 临床试验,杂志文章

    doi：

    authors： Malfatti F,Giannini E,Emanuela T,Polegato S,Podestà E,Fumagalli A,Cotelessa T,Chiarbonello B,Bellotti M,Botta F,Milazzo S,Testa R

    更新日期：2005-02-01 00:00:00

  • Assessment of Passive Stiffness of Medial and Lateral Heads of Gastrocnemius Muscle, Achilles Tendon, and Plantar Fascia at Different Ankle and Knee Positions Using the MyotonPRO.

    abstract：:BACKGROUND The aim of this study was to assess the passive stiffness of the medial and lateral gastrocnemius (MG and LG), Achilles tendon (AT), and plantar fascia (PF) at different ankle and knee positions. MATERIAL AND METHODS Stiffness was assessed using a portable hand-held device (MyotonPRO). In 30 healthy partici...

    journal_title：Medical science monitor : international medical journal of experimental and clinical research

    pub_type： 杂志文章

    doi：10.12659/MSM.909550

    authors： Huang J,Qin K,Tang C,Zhu Y,Klein CS,Zhang Z,Liu C

    更新日期：2018-10-23 00:00:00

  • Effects of interaction between cadmium and selenium on heart metabolism in mice: the study of RNA, protein, ANP synthesis activities and ultrastructure in mouse heart.

    abstract：:Heavy metals tend to occur in increasingly many aspects of human activities. Studies of cadmium (Cd) have revealed that it is extremely toxic in its effects. It is known that selenium (Se) may suppress deleterious effects of Cd. We investigated the effects of dietary Cd-intoxication on the incorporation of precursors ...

    journal_title：Medical science monitor : international medical journal of experimental and clinical research

    pub_type： 杂志文章

    doi：

    authors： Skowerski M,Jasik K,Konecki J

    更新日期：2000-03-01 00:00:00

  • The impact of diabetic autonomic neuropathy on the incretin effect.

    abstract：BACKGROUND:The aim of this study was to determine the effect of diabetic autonomic neuropathy (AN) on the incretin effect in patients with type 2 diabetes mellitus (DM2). MATERIAL/METHODS:Forty patients with DM2 (20 with and 20 without AN) and 10 healthy controls were studied. The subjects underwent an oral glucose to...

    journal_title：Medical science monitor : international medical journal of experimental and clinical research

    pub_type： 杂志文章

    doi：

    authors： Kazakos KA,Sarafidis PA,Yovos JG

    更新日期：2008-04-01 00:00:00

  • Astragaloside IV Protects Against Oxidized Low-Density Lipoprotein (ox-LDL)-Induced Endothelial Cell Injury by Reducing Oxidative Stress and Inflammation.

    abstract：:BACKGROUND Endothelial injury is the main mechanism of atherosclerosis, and is caused by oxidized low-density lipoprotein (ox-LDL). Astragaloside IV (AS-IV) is the primary active ingredient of the Chinese herb Huangqi, and exhibits antioxidant and anti-inflammatory properties in cardiovascular diseases. This study inv...

    journal_title：Medical science monitor : international medical journal of experimental and clinical research

    pub_type： 杂志文章

    doi：10.12659/MSM.912894

    authors： Zhu Z,Li J,Zhang X

    更新日期：2019-03-22 00:00:00

  • The Association Between the rs2975760 and rs3792267 Single Nucleotide Polymorphisms of Calpain 10 (CAPN10) and Gestational Diabetes Mellitus.

    abstract：:BACKGROUND This study aimed to investigate the association between the rs2975760 and rs3792267 single nucleotide polymorphisms (SNPs) of the calpain 10 (CAPN10) gene and gestational diabetes mellitus. MATERIAL AND METHODS The study included 138 patients with gestational diabetes mellitus and 152 healthy pregnant women...

    journal_title：Medical science monitor : international medical journal of experimental and clinical research

    pub_type： 杂志文章

    doi：10.12659/MSM.914930

    authors： Zhang X,Shi C,Wei L,Sun F,Ji L

    更新日期：2019-07-11 00:00:00

  • Exercise training is associated with improved levels of C-reactive protein and adiponectin in ZDF (type 2) diabetic rats.

    abstract：BACKGROUND:Chronic low-grade systemic inflammation is a feature of such chronic diseases as cardiovascular disease and type 2 diabetes (T2D). There is evidence that regular exercise is effective as a treatment in these situations. This study intended to assess the levels of two inflammatory mediators, C-reactive protei...

    journal_title：Medical science monitor : international medical journal of experimental and clinical research

    pub_type： 杂志文章

    doi：

    authors： de Lemos ET,Reis F,Baptista S,Pinto R,Sepodes B,Vala H,Rocha-Pereira P,Silva AS,Teixeira F

    更新日期：2007-08-01 00:00:00

  • Cardiac Findings of Pulmonary Thromboembolism by Autopsy: A Review of 48 Cases.

    abstract：:BACKGROUND To identify the overall effects of pulmonary thromboembolism (PTE) on the heart, we evaluated the heart findings and clinical characteristics of deceased patients diagnosed with PTE. MATERIAL AND METHODS PTEs were classified into 2 categories: fatal and contributory. Cases with a history of cardiopulmonary ...

    journal_title：Medical science monitor : international medical journal of experimental and clinical research

    pub_type： 杂志文章

    doi：10.12659/msm.897695

    authors： Yakar A,Yakar F,Ziyade N,Yıldız M,Üzün İ

    更新日期：2016-04-27 00:00:00

  • Evaluation of CBASS sequence in degenerative disease of the lumbar spine based on analysis of consecutive 78 cases.

    abstract：BACKGROUND:Despite high efficiency of magnetic resonance (MR) imaging in degenerative disease of lumbar spine (DDLS), in many cases its appearance is ambiguous or not compatible with clinical findings. Therefore, different new techniques have been proposed to improve the quality of MR images. One of them is CBASS (Comp...

    journal_title：Medical science monitor : international medical journal of experimental and clinical research

    pub_type： 杂志文章

    doi：

    authors： Maksymowicz H,Sasiadek M,Dusza B,Filarski J

    更新日期：2004-06-01 00:00:00

  • A Novel Nanofiber Hydrogel Loaded with Platelet-Rich Plasma Promotes Wound Healing Through Enhancing the Survival of Fibroblasts.

    abstract：:BACKGROUND Hydrogels are ideal biological carriers in vivo and have been widely used in the treatment of wound healing through loading with or without bioactive substances. Platelet-rich plasma (PRP) is purified from autologous plasma and has known curative efficacy for wound healing. The combined efficacy of shorten ...

    journal_title：Medical science monitor : international medical journal of experimental and clinical research

    pub_type： 杂志文章

    doi：10.12659/MSM.919812

    authors： Zhang P,Zhou L,Wang L,Dong Q

    更新日期：2019-11-18 00:00:00

  • Effect of physiotherapy on the strength of tibial internal rotator muscles in males after anterior cruciate ligament reconstruction (ACLR).

    abstract：BACKGROUND:The goal of this study was to evaluate the effect of physiotherapy on the strength of muscles responsible for tibial internal rotation (IR) in male patients after anterior cruciate ligament reconstruction (ACLR) using autografts of the semitendinosus and gracilis muscles (STGR). MATERIAL/METHODS:Fifty-nine ...

    journal_title：Medical science monitor : international medical journal of experimental and clinical research

    pub_type： 临床试验,杂志文章

    doi：10.12659/msm.881940

    authors： Czamara A,Szuba Ł,Krzemińska A,Tomaszewski W,Wilk-Frańczuk M

    更新日期：2011-09-01 00:00:00

  • Predicting fear of heights, snakes, and public speaking from multimodal classical conditioning events.

    abstract：BACKGROUND:Two hundred fifty one men and women participated in a study of the prediction of fear of heights, snakes, and public speaking by providing retrospective accounts of multimodal classical conditioning events involving those stimuli. The fears selected for study represent those believed by some to be innate (i....

    journal_title：Medical science monitor : international medical journal of experimental and clinical research

    pub_type： 杂志文章

    doi：

    authors： Wu NY,Conger AJ,Dygdon JA

    更新日期：2006-04-01 00:00:00