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Continuous local infiltration analgesia is equal to femoral and sciatic nerve block for total knee arthroplasty.
Arch Orthop Trauma Surg
January 2025
Department of Anaesthesia, Main-Kinzig-Kliniken, Herzbachweg 14, 63571, Gelnhausen, Germany.
Background: Total knee arthroplasty (TKA) is associated with moderate to severe postoperative pain. Pain control is crucial for rapid mobilisation and reduces side effects as well as the length of hospital stay. In this context, a variety of multimodal pain control regimes show good pain relief, including several nerve blocks, iPACK and local infiltration analgesia (LIA).
View Article and Find Full Text PDFAntegrade Femoral Puncture Using a Suture-Mediated Closure Device in Infrainguinal Endovascular Interventions.
Ann Vasc Surg
December 2024
Department of Vascular Surgery, IRCCS Sacro Cuore-Don Calabria, Negrar, VR, Italy.
Background: ProGlide is a suture-mediated vascular closure device (VCD) indicated for retrograde access closure at the common femoral artery (CFA). However, its off-label use for antegrade and/or superficial femoral artery (SFA) access has become common in many practices. This study evaluated the efficacy and safety of ProGlide for femoral artery access closure in patients undergoing antegrade infrainguinal endovascular procedures.
View Article and Find Full Text PDFTreatment and Rehabilitation of Complicated Fractures of Both Lower Limbs: A Case Report.
J Orthop Case Rep
December 2024
Department of Orthopedic Surgery, Sapporo Medical University, School of Medicine, Sapporo, Japan.
Introduction: Few studies have reported the treatment and rehabilitation of combined fractures of the femur, tibia, and ankle in the same lower limb.
Case Report: A 69-year-old man presented to our hospital with a fall injury due to high-energy trauma after falling from a 5 m ladder while painting and landing on both feet. Examination revealed right femoral supracondylar; left tibial plateau; right calcaneal; left ankle crush; first and third lumbar vertebrae burst; sacral; C7, Th1, and Th9 compression; and bilateral acetabular fractures.
Anterior Transversus Abdominis Plane Block for Lower Extremity Revascularization.
J Surg Res
December 2024
Department of Cardiovascular Surgery, Mayo Clinic Health System, Eau Claire, Wisconsin.
Article Synopsis
- Regional anesthesia, specifically the anterior transversus abdominis (TAP) block, is being explored for its potential benefits in vascular surgery, as a study compares opioid usage post-lower extremity revascularization surgery in patients who received this block versus those who didn't.
- A retrospective review of 107 patients (41 with TAP block and 66 without) showed no significant differences in procedural metrics, but the group receiving the regional block experienced shorter hospital stays and used significantly less opioids both during and after surgery.
- The findings suggest that incorporating the anterior TAP block with local anesthesia may lead to lower opioid consumption and improved recovery post-surgery, highlighting the advantages of regional anesthesia in vascular procedures.
Cardiovascular, perceptual, and performance responses to single- vs. multi-chambered blood flow restriction cuffs.
Front Sports Act Living
November 2024
Department of Exercise Science, Salisbury University, Salisbury, MD, United States.
Article Synopsis
- This study examined how different types of blood flow restriction (BFR) cuffs, single-chamber (SC-BFR) and multi-chamber (MC-BFR), affect exercise performance, heart responses, and feelings during workouts when participants exercise until they can't anymore.
- Twenty-seven active participants performed resistance training under three conditions: SC-BFR, MC-BFR, and no BFR (N-BFR) to analyze various metrics like heart rate and exercise discomfort.
- Results showed that SC-BFR resulted in less overall reps and lower discomfort compared to the other methods, indicating that the type of BFR cuff used significantly influences exercise outcomes.
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