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Bloqueo perisartorial de triple inyección versus bloqueo subsartorial dual para artroplastia total de rodilla: un
Moustafa Abdelaziz Moustafa1, Ahmad Samir Alabd1, Aly Mahmoud Moustafa Ahmed1
1Department of Anesthesia and Surgical Intensive Care, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Anesthesia and pain medicine
|February 10, 2026
Resumen
El bloqueo Triple Inyección Peri-Sartorius (TIPS) mejora significativamente el control del dolor después de la artroplastia total de rodilla (TKA) en comparación con el bloqueo dual subsartorial (DSB). TIPS reduce las puntuaciones de dolor y el uso de opiáceos, mejorando la recuperación.
Área de la Ciencia:
- Anestesiología Anestesiología.
- Cirugía Ortopédica en Cirugía Ortopédica.
- Manejo del dolor Manejo del dolor.
Sus antecedentes:
- Un manejo eficaz del dolor postoperatorio es crucial para la recuperación de la artroplastia total de rodilla (TKA).
- El bloqueo de Triple Inyección Peri-Sartorius (TIPS) es un nuevo enfoque para la analgesia perioperatoria.
- La comparación de TIPS con el bloque dual subsartorial (DSB) puede optimizar las estrategias de control del dolor.
Objetivo del estudio:
- Evaluar la eficacia del bloque TIPS frente al DSB para el control del dolor postoperatorio en pacientes con TKA.
- Para comparar las puntuaciones de dolor de la escala analógica visual (VAS) entre las dos técnicas de bloqueo.
- Para evaluar el consumo de opiáceos y las métricas de recuperación funcional después de TKA.
Principales métodos:
- Ochenta y ocho pacientes con TKA fueron asignados al azar en grupos DSB y TIPS.
- El grupo DSB recibió bloqueos del canal del triángulo femoral y del aductor distal.
- El grupo TIPS recibió DSB más una inyección suprasartorial superficial en el músculo sartorio.
Principales resultados:
- El grupo TIPS demostró puntuaciones significativamente más bajas en reposo y VAS dinámico a las 4, 8 y 12 horas postoperatoriamente (P < 0,001).
- Los pacientes en el grupo TIPS requirieron significativamente menos morfina y tuvieron un tiempo más largo para la primera solicitud de analgésico (P < 0,001).
- No se observaron diferencias significativas en las pruebas de tiempo y marcha o de 30 sillas de pie entre los grupos.
Conclusiones:
- El bloque TIPS ofrece una analgesia postoperatoria superior después de TKA en comparación con el DSB.
- La adición de una inyección suprasartorial a la DSB proporciona un alivio efectivo del dolor con un requerimiento reducido de opioides.
- El bloqueo TIPS garantiza la analgesia de ahorro motor sin afectar negativamente la recuperación funcional después de TKA.
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