Peripheral Nerve Blocks: Optimal Method to Achieve a Painless Total Hip Arthroplasty—Opposes

We present the options in managing early postoperative pain in the setting of total hip or knee replacement, as part of a multimodal pain management program. The advantages and disadvantages of peripheral nerve blocks versus periarticular injection are discussed, including their mode of action. We review recent literature on periarticular injections. Intraoperative periarticular injection of multimodal drugs can significantly reduce requirements for patient-controlled analgesia and improve patient satisfaction, with no apparent risks.