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Current Issue - March 2010, Volume 4, Issue No. 1

Official Journal of Malaysian Orthopaedic Association and ASEAN Orthopaedic Association

The Effects of Single Shot versus Continuous Femoral Nerve Block on Postoperative Pain and Rehabilitation Following Total Knee Arthroplasty


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  5. Elson DW, Brenkel IJ. Predicting pain after total knee arthroplasty. J Arthroplasty. 2006; 21: 1047-53.
  6. Ragucci MV, Leali A, Moroz A, Fetto J. Comprehensive deep venous thrombosis prevention strategy after total-knee arthroplasty. Am J Phys Med Rehabil. 2003; 82: 164-8.
  7. Bong, Matthew R, Di Cesare. Stiffness after total knee arthroplasty. J Am Acad Orthop Surg. 2004; 12: 164-71.
  8. Wheeler M, Oderda GM, Ashburn MA, Lipman AJ. Adverse events associated with postoperative opioid analgesia: A systemic review. J Pain 2002; 3: 159-80.
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  10. De Ruyter ML, Brueilly KE, Harrison BA, Greengrass RA, Putzke JD, Broderson MP. A pilot study on continuous femoral perineural cathether for analgesia after total knee arthroplasty the effect on physical rehabilitation and outcomes. J Arthroplasty. 2006; 21: 1111-7.
  11. Hebl JR, Kopp SL, Ali MH, Horlocker TT, Dilger JA, Lennor RL, Williams BA, Hanssen BD, Pagano MW. A comprehensive anesthesia protocol that emphasizes peripheral nerve blockade for total knee and total hip arthroplasty. J Bone Joint Surg. 2005; 87-A Suppl 2: 63-70.
  12. Allen HW, Liu SS, Ware PD, Nairn CS, Owens BD. Peripheral nerve blocks improve analgesia after total knee replacement surgery. Anesth Analg. 1998; 87: 93-7.
  13. Wang H, Boctor B, Verner J. The effect of single-injection femoral nerve block on rehabilitation and length of hospital stay after total knee replacement. Reg Anesth Pain Med. 2002; 27: 139-44.
  14. Ng HP, Cheong KF, Lim A. Intraoperative single-shot “3-in-1” femoral nerve block with ropivacaine 0.25%, ropivacaine 0.5% or bupivacaine 0.25% provides comparable 48-hr analgesia after unilateral total knee replacement. Can J Anaesth. 2001; 48: 1102-8.
  15. Singelyn FJ, Deyaert M, Joris D, Pendeville E, Gouverneur, JM. Effects of intravenous patient-controlled analgesia with morphine, continuous epidural analgesia and continuous three-in-one block on postoperative pain and knee rehabilitation after unilateral total knee arthroplasty. Anesth Analg. 1998; 87: 88-92.
  16. Insall JN, Dorr LD, Scott RD, Scott WN. Rationale of the Knee Society clinical rating system. Clin Orthop Relat Res 1989; 248: 13-4.
  17. Milne S, Brosseau L, Robinson V, Noel MJ, Davis J, Drouin H, Wells G, Tugwell P. Continuous passive motion following total knee arthroplasty. Cochrane Database Syst Rev. 2003; (2): CD004260
  18. Nelson CL, Kim J, Lotke PA. Stiffness after total knee arthroplasty. J Bone Joint Surg. 2005;87-A Suppl 1(Pt 2): 264-70.
  19. Capdevila X, Barthlet Y, Biboulet P, Ryckwaert, Y, Rubenovitch J, d’Athis F. Effects of perioperative analgesic technique on the surgical outcome and duration of rehabilitation after major knee surgery. Anaesthesiology. 1999; 91: 8-15.
  20. Horlocker TT, Kopp S, Pagnano MW, Hebl JR. Analgesia for total hip and knee arthroplasty: A multimodal pathway featuring peripheral nerve block. J Am Acad Orthop Surg. 2006; 14: 126-35.
  21. Chelly JE, Greger J, Gebhard R. Continuous femoral blocks improve recovery and outcome of patients undergoing total knee arthroplasty. J Arthroplasty. 2001; 16: 436-45.
  22. Hirst GC, Lang SA, Dust WN. Femoral nerve block: single injection verses continuous infusion for total knee arthroplasty. Reg Anesth. 1996; 21: 292-7.
  23. Szczukowski MJ Jr, Hines JA, Snell JA, Sisca TS. Femoral nerve block for total knee arthroplasty: a method to control postoperative pain. J Arthroplasty. 2004; 19: 720-5.
  24. Salinas FV, Liu SS, Mulroy MF. The effect of single-injection femoral nerve block versus continuous femoral nerve block after total knee arthroplasty on hospital length of stay and long term functional recovery within an established clinical pathway. Anaesth Analg. 2006; 102: 1234-9.
  25. Pearson SD, Kleefield SF, Soukop JR. Critical Pathways intervention to reduce length of hospital sty. Am J Med. 2001; 110: 175-80.
  26. Kim S, Losina E, Solomon DH. Effectiveness of clinical pathways for total knee and hip arthroplasty: a literature review. J Arthroplasty. 2003; 18: 69-74.
  27. Niskanen RO, Korkala OL, Haapala J, Kuokkanen, HO, Kaukonen JP, Salo SA. Drainage is of no use in primary uncomplicated cemented hip and knee arthroplasty for osteoarthritis: a prospective randomized study. J Arthroplasty. 2000; 15: 567-9.
  28. Parker MJ, Roberts CP, Hay D. Closed suction drainage for hip and knee arthroplasty. A meta-analysis. J Bone Joint Surg. 2004; 86-A: 1146-52.
  29. Cuvillon P, Ripart J, Lalaourcey L. The continuous femoral nerve block catheter for postoperative analgesia: bacterial colonization, infectious rate and adverse effects. Anesth Analg. 2001; 93: 1045-9.
  30. Todkar M. Sciatic nerve block causing heel ulcer in 36 patients after TKR et al. Acta Orthop Belg. 2005; 71: 724-5.
  31. Edwards JL, Pandit H, Popat MT. Perioperative analgesia: a factor in development of heel ulcers? Br J Nursing. 2006; 15: S20-5.

Abstract   |   Reference

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The Malaysian Orthopaedic Journal is a peer-reviewed journal that is published three times a year in both print and electronic online version. The purpose of this journal is to publish original research studies, evaluation of current practices and case reports in various subspecialties of orthopaedics and traumatology, as well as associated fields like basic science, biomedical engineering, rehabilitation medicine and nursing.

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