Impact of Analgesic Technique on Immediate Patient-Reported Outcomes after Total Knee Arthroplasty

Abstract

Introduction: The choice of analgesic technique for Total Knee Arthroplasty affects its rehabilitation and surgical outcomes. This study evaluates this choice on short-term postoperative quality of life. Methods: In this prospective observational study, patients were categorized into two groups: epidural analgesia or peripheral nerve blocks. The medical and the intraoperative data of 36 adult patients undergoing scheduled total knee arthroplasty was collected. The researchers applied the KOOS, EQ-5D and Clinical Frailty Scale questionnaires, preoperatively and at 48 hours postoperatively. Results: Both groups showed postoperative improvement in pain, mobility, and perceived health status. However, no significant differences were observed between the groups across any of the outcome measures, suggesting comparable post-operative results. . Discussion: Although epidural analgesia has traditionally been favored, no clear advantage was identified. These results support the consideration of both techniques in clinical practice and highlight the need for further research on long-term, patient-centered recovery indicators.