Injections require less organization, planning and have less morbidity.
By Robert B. Bourne, MD, FRCS(C)
ORTHOPEDICS TODAY 2008; 28:94
Relieving postoperative pain is an extremely important part of what we do as orthopedic surgeons. We all want to minimize postoperative pain and most believe in regional anesthesia, multimodal analgesia and in acute pain services. I think there is overwhelming evidence for regional anesthesia for both hip and knee arthroplasty. There is a lower mortality rate and there are significant decreases in morbidity in terms of blood loss, nausea, vomiting, respiratory depression and deep vein thrombosis…
…To us, I think the periarticular injections are a good substitute for peripheral nerve blocks in minimizing pain after total hip replacement simply because they require less organization, they require less facilities, we think there is less potential morbidity to the patient and certainly less cost.