Efficacy of local infiltration analgesia in the early postoperative period after total knee replacement

Background: Total knee replacement (TKR) is a commonly performed surgical procedure, all across the world. TKR may be associated with severe postoperative pain, usually requiring prolonged hospital stay and relative immobilization of patient, cause unwanted medical problems like nosocomial infections, DVT poor outcome. Local infiltration analgesia (LIA) becoming more used owing to excellent pain relief, low frequency complications, anti-inflammatory effect. The injection contains mixture an anesthetic drug NSAID, which epinephrine or corticosteroid can added. LIA easy use, relatively cheap, many authors concluded that it reduces opioid consumption.Objectives: 1.To assess relief postoperatively using visual analogue score (VAS). 2.To range movements (knee flexion extensor lag) postoperatively.Methods Methodology: This study observational clinical study, centered at private between March 2019 October 2020. Data was collected from 42 patients undergoing total local periods 2020 October. Written informed consent taken. Patients allergy any drugs, uncontrolled diabetes hypertension were excluded study. A (cocktail) drugs ropivacaine, ketorolac, adrenaline normal saline given spinal needle. Quality estimated by 0 10 6 hr, 24hr, 48 72hr after surgery during rest movement assessed goniometer. entered in excel sheet analyzed paired t test. Software SPSS 20 for statistical analysis. P value