AAOS 2016: Femoral nerve block provides no benefit after ORIF of tibial plateau fractures .
Femoral Nerve Catheters After Open Reduction Internal Fixation of Tibial Plateau Fractures: A Randomized Trial
42 patients with tibial plateau fractures undergoing open reduction and internal fixation were randomized to receive patient-controlled analgesia with or without an additional continuous femoral nerve block (via bupivacaine). The purpose of this study was to determine if the addition of a femoral nerve block resulted in significantly decreased postoperative pain scores and narcotic use. Results demonstrated that pain scores and narcotic use between study groups were comparable at all follow-up points, suggesting that the addition of a femoral nerve block was not clinically beneficial.
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