Continuous femoral blocks improve recovery and outcome of patients undergoing total knee arthroplasty.

@article{Chelly2001ContinuousFB,
  title={Continuous femoral blocks improve recovery and outcome of patients undergoing total knee arthroplasty.},
  author={Jacques E. Chelly and Jennifer R. Greger and Ralf E. Gebhard and Kevin John Coupe and Terry A. Clyburn and Rosemary Buckle and A R Criswell},
  journal={The Journal of arthroplasty},
  year={2001},
  volume={16 4},
  pages={
          436-45
        }
}
This study was designed to determine the effects of continuous femoral infusion (CFI) on total knee arthroplasty recovery. A total of 92 patients were distributed in 3 groups: Patients in group 1 received general anesthesia followed by patient-controlled analgesia (PCA) with morphine (n = 33), patients in group 2 received 3-in-1 and sciatic blocks followed by CFI (n = 29), and patients in group 3 received epidural analgesia (n = 30). Blocks reduced postoperative morphine requirement by 74% (vs… 
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Femoral nerve block for total knee arthroplasty patients: a method to control postoperative pain.
The Effect of Continuous Femoral Nerve Block on Pain after Total Knee Arthroplasty
TLDR
CFNB is a safe, pain relief and effective method and could be used for pain management after TKA and there was no significant difference between the 2 groups 6 and 12 hours operatively.
Continuous Femoral Nerve Block versus Patient-Controlled Analgesia following Total Knee Arthroplasty
TLDR
Both FNC and PCA provide reliable pain control, and both groups were similar in terms of pain NRS-R and NRS-M, overall satisfaction, and length of hospital stay.
Analgesia and functional outcome after total knee arthroplasty: periarticular infiltration vs continuous femoral nerve block.
TLDR
Early postoperative activity measures (2MWT and walking time) were proved to be possible indicators of knee function recovery at 6 weeks after surgery and Femoral block is associated with lower opioid consumption and a better recovery at6 weeks than periarticular infiltration.
Postoperative Pain Control for Total Knee Arthroplasty: Continuous Femoral Nerve Block Versus Intravenous Patient Controlled Analgesia
TLDR
There is improvement in pain scores, at rest and on movement, as well as a reduction in incidence of severe pain, in patients who receive CFNB versus those who receive intravenous PCA.
A pilot study on continuous femoral perineural catheter for analgesia after total knee arthroplasty: the effect on physical rehabilitation and outcomes.
Patient-reported outcomes after femoral nerve block versus periarticular injections in patients undergoing total knee arthroplasty: A randomized controlled study
TLDR
Periarticular injection of local anesthetics provides better quality of recovery and sufficient level of analgesia than does single shot femoral nerve block for patients undergoing total knee arthroplasty in early postoperative period.
Postoperative pain relief and functional outcome following total knee arthroplasty - a prospective comparative audit of three analgesic regimes.
TLDR
It is demonstrated that Regime 3 with the use of nerve blocks and femoral nerve catheter has given the maximum pain relief and good functional outcome following total knee replacement.
Two continuous femoral nerve block strategies after TKA
TLDR
Despite the additional time, effort and cost to place and manage continuous femoral nerve catheters, the 7-day continuous Femoral nerve block can be recommended as an effective and safe regional component of a multimodal analgesia strategy after TKA.
Combination Therapy with Continuous Three-in-One Femoral Nerve Block and Periarticular Multimodal Drug Infiltration after Total Hip Arthroplasty
TLDR
Although there were no clinically significant differences in outcomes among the three groups, combination therapy with CFNB and LIA provided better pain relief after THA than CFNB or LIA alone, with few side effects.
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References

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TLDR
It is concluded that continuous fascia iliaca block with 0.2% B results in opioid-sparing and improved range of motion during the immediate postoperative period in patients undergoing elective knee arthroplasty.
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TLDR
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TLDR
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TLDR
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TLDR
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TLDR
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TLDR
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TLDR
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TLDR
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