Related Experiment Video
Updated: Jul 25, 2025

Knee Arthrocentesis in Adults
Published on: February 25, 2022
Periarticular Injection Versus Peripheral Nerve Blockade in Bilateral Total Hip Arthroplasty
Carolyn Sivco1, Dahlia Townsend2, Michael P Leslie3
1Anesthesiology, Yale School of Medicine, New Haven, USA.
For total hip arthroplasty, preoperative peripheral nerve blocks (PNBs) provided superior pain control compared to periarticular injections (PAI). This case study highlights PNBs as a potentially more effective method for managing post-surgical pain.
Area of Science:
- Orthopedic Surgery
- Anesthesiology
- Pain Management
Background:
- Effective pain control after total hip arthroplasty (THA) is crucial for patient satisfaction, early discharge, and improved surgical outcomes.
- Two primary analgesic methods for reducing opioid use in THA are surgeon-administered periarticular injections (PAI) and anesthesiologist-administered motor-sparing peripheral nerve blocks (PNBs).
- Comparing these modalities within a single patient undergoing bilateral THA offers a unique perspective on their relative efficacy.
More Related Videos
09:51The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
05:18Author Spotlight: Ultrasound-Guided Needle Release Combined with Corticosteroid Injection for the Treatment of Supinator Syndrome
Published on: May 26, 2023
Related Concept Videos
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
One of the advantages of...
Local Anesthetics: Clinical Application as Spinal Anesthesia