Regional Anesthesia in Total Joint Arthroplasty: What Is the Evidence?

Abstract

Total joint arthroplasty is one of the most common surgical procedures performed for end-stage osteoarthritis. The increasing demand for knee and hip arthroplasties along with the improvement in life expectancy has created a substantial medical and economic impact on the society. Effective planning of health care for these individuals is vital. The best method for providing anesthesia and analgesia for total joint arthroplasty has not been defined. Yet, emerging evidence suggests that the type of anesthesia can affect morbidity and mortality of patients undergoing these procedures.

Keywords: morbidity; mortality; neuraxial anesthesia; peripheral nerve block; total hip arthroplasty; total knee arthroplasty.