This can have both detrimental physical and psychological consequences for patients, as well as a substantial economic impact due to increased costs of health care and lost productivity. Untreated pain can result in complex pathophysiology than the pain caused by the original injury or disease. Research has found that orthopedic surgeries are the most painful procedures.(1) Unrelieved pain post orthopedic surgery is a stressor that can cause altered physiologic changes and negative effects on every organ system of the body. Procedure: iPACK Procedure: Periarticular local infiltration analgesia (LIA)īackground: Total Knee Arthroplasty (TKA) is one of the most frequent procedures performed by orthopedic surgeons. Condition or diseaseĪrthroplasty Complications Pain, Joint Arthritis Knee Regional Anesthesia Morbidity Our hypothesis is iPACK (Interspace between the Popliteal Artery and the Capsule of the posterior Knee) peripheral nerves anesthetic block is superior to Periarticular local Infiltration Analgesia (LIA)which is commonly given by the surgeons during the TKA in terms of pain relief and early mobilization. The ideal analgesic regimen post TKA should enable adequate pain control, early mobilization and physical therapy, shorten hospital stay, reduce the risk of postoperative complications and improve patient satisfaction. Although various analgesic techniques have been proposed, there is currently no consensus on the optimal protocol to improve functional outcomes following TKA. Total knee arthroplasty (TKA) is a common orthopedic procedure associated with severe postoperative pain which may limit patient rehabilitation and hospital discharge.
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