Clinical Study

Pain Control after Total Knee Arthroplasty: Comparing Intra-Articular Local Anesthetic Injection with Femoral Nerve Block

Table 3

Postoperative pain intensity, cumulative opioid consumption, incidences of opioid-related side effects, time to ambulation, early ambulation, and hospital stay.

IALA group ()FNB group () value

Verbal pain intensity
 POD1 (0/1/2/3/4)0/34/4/1/00/51/3/1/00.622
 POD2 (0/1/2/3/4)0/37/1/0/00/48/0/0/00.442
Cumulative opioid
 POD1 (mg), mean (SD)38.21 (18.36)35.55 (14.69)0.437
 POD2 (mg), mean (SD)69.28 (33.43)59.56 (29.40)0.142
Cumulative opioid consumptionBW
 POD1 (mg/kg), mean (SD)0.54 (0.23)0.56 (0.26)0.801
 POD2 (mg/kg), mean (SD)0.98 (0.43)0.99 (0.48)0.919
Opioid related side
 Dizziness (%)5 (12.8)6 (10.9)1.000
 Nausea (%)2 (5.1)3 (5.5)1.000
 Vomiting (%)4 (10.3)3 (5.5)0.444
Time to walk (hrs), mean 33 (14)35 (17)0.68
Early ambulation (<12 hrs)300.07
Postop hospital stay (day), mean (SD)4.18 (0.91)4.51 (1.41)0.205

Categorical data were analyzed using Fisher’s exact test. Continuous data were analyzed using -test.
BW: body weight (kg).
POD1: postoperative day 1.
POD2: postoperative day 2.
pain intensity scale: 0 = no pain, 1 = mild pain, 2 = moderate pain, 3 = severe pain, and 4 = extreme pain.
to i.v. equivalent dose of morphine.
pruritus or respiratory depression was recorded in both groups.
time interval from the end of operation to postoperatively first time walking assisted with a walker.