Özet:

Objective The aim of this study was to evaluate the effects of a multimodal protocol in pre-emptive analgesia following Total Knee Arthroplasty (TKA), using epidural anesthesia with femoral nerve blockage (FNB) or local infiltration analgesia (LIA) methods in fast-track TKA. Material and Methods This study was planned as a single-centre, randomized, single-blind, controlled study. The study included 72 voluntary patients, aged 40-80 years, of both genders, who underwent TKA for primary or secondary osteoarthritis. The patients were divided into two groups using a computer randomization program. Group I: FNB application and Group II: LIA methods. Groups were compared in terms of functional scores. Results No statistically significant difference was determined between the groups in respect of age, gender, height, weight, BMI, ASA, operated side, prosthesis type, and operating time (p>0.05). A statistically significant difference was determined in the function score values between the measurement times in both groups (p<0.05). Multiple comparison tests (post-hoc) were applied to determine at which time or times there was a difference. In both groups, the function score values were different at all the measurement times, with the preoperative measurement found to be the lowest and the postoperative 3-month values the highest. Conclusions Our study show that used multimodal analgesia with femoral nerve block or local infiltration analgesia can be applied as effective analgesia methods in fasttrack TKA and can be considered as alternatives for each other.

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