Il controllo del dolore nelle protesi totali di ginocchio

摘要

The pharmacological treatment of pain associated with knee osteoarthritis in the perioperative period includes paracetamol and nonsteroidal anti-inflammatory drugs for mild-to-moderate pain and opioids for moderate-to-severe pain. The efficacy and tolerability of the association naloxone-oxycodone and tapentadol have been demonstrated for the management of severe pain. The use of femoral nerve block immediately after surgery allows early mobilisation and facilitates rehabilitation. However, these perineural infusions also induce undesired quadriceps weakness. Adductor canal block has been suggested as an analgesic alternative to femoral nerve block since it results in significant quadriceps motor sparing.