AceReport Image
ARTHROPLASTY
No benefit of L2 paravertebral block over lumbar plexus block for motor function after THA
Verified
This report has been verified by one or more authors of the original publication.
Clin Orthop Relat Res. 2014 May;472(5):1475-81. doi: 10.1007/s11999-013-3393-9
Contributing Authors

R Wardhan AS Auroux B Ben-David JE Chelly

60 patients undergoing total hip arthroplasty were randomized to either a lumbar plexus block (LPB) or a paravertebral nerve block (PVB) at L2 as a method of postoperative analgesia. The purpose of the study was to evaluate the L2 PVB as an alternative to LPB, as it has been suggested that motor function may be benefited through using L2 PVB. Patients were monitored for the first 24 postoperative hours for cumulative morphine consumption through intravenous patient-controlled analgesia, postoperative pain at rest and on movement, and weakness of the quadriceps and hip flexors. Results demonstrated that while the effect of L2 PVB on postoperative pain was similar to that of LPB, motor function was not significantly difference between groups. Additionally, mean morphine consumption over the first 24h was significantly increased in patients who received the L2 PVB

Unlock the full ACE Report

You have access to {0} free articles per month.
Click below to unlock and view this {1}
Unlock Now

Critical appraisals of the latest, high-impact randomized controlled trials and systematic reviews in orthopaedics

Access to OrthoEvidence podcast content, including collaborations with the Journal of Bone and Joint Surgery, interviews with internationally recognized surgeons, and roundtable discussions on orthopaedic news and topics

Subscription to The Pulse, a twice-weekly evidence-based newsletter designed to help you make better clinical decisions

Exclusive access to original content articles, including in-house systematic reviews, and articles on health research methods and hot orthopaedic topics

Or upgrade today and gain access to all OrthoEvidence content for just $1.99 per week.
{0} of {1} free articles

Become an OrthoEvidence Premium Member. Expand your perspective with high-quality evidence.

Upgrade Now
You've reached your limit of 4 free articles views this month

Access to OrthoEvidence for as little as $1.99 per week.

Stay connected with latest evidence. Cancel at any time
  • Critical appraisals of the latest, high-impact randomized controlled trials and systematic reviews in orthopaedics
  • Access to OrthoEvidence podcast content, including collaborations with the Journal of Bone and Joint Surgery, interviews with internationally recognized surgeons, and roundtable discussions on orthopaedic news and topics
  • Subscription to The Pulse, a twice-weekly evidence-based newsletter designed to help you make better clinical decisions
Upgrade Account
Upgrade
Search
Close Search Window
Welcome Back!
Forgot Password?
Start your FREE trial today!

Account will be affiliated with


OR
Forgot Password?

OR
Please check your email

If an account exists with the provided email address, a password reset email will be sent to you. If you don't see an email, please check your spam or junk folder.

For further assistance, contact our support team.

Cite this Ace Report

OrthoEvidence. No benefit of L2 paravertebral block over lumbar plexus block for motor function after THA. ACE Report. 2014;4(8):10. Available from: https://myorthoevidence.com/AceReport/Report/

Copy Citation
Share this Ace Report