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Injection pre TKA

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By David Bennett Pediatric Orthopaedic Surgeon in the United States
D F Wallace, S R Emmett, K K Kang, G S Chahal, R Hiskens, S Balasubramanian, K McGuinness, H Parsons, J Achten, M L Costa
Intra-operative, peri-articular injection of local anaesthesia is an increasingly popular way of controlling pain following total knee replacement. At the same time, the problems associated with allogenic blood transfusion have led to interest in alternative methods for managing blood loss after total knee replacement, including the use of auto-transfusion of fluid from the patient's surgical drain. It is safe to combine peri-articular infiltration with auto-transfusion from the drain. We performed a randomised clinical trial to compare the concentration of local anaesthetic in the blood and in the fluid collected in the knee drain in patients having either a peri-articular injection or a femoral nerve block...
December 2012: Journal of Bone and Joint Surgery. British Volume
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