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INFLUENCE OF TYPE OF ANALGESIA ON EARLY POSTOPERATION RECOVERY AFTER TOTAL KNEE REPLACEMENT
INTRODUCTIONThe aim of the study is to compare the effect of two types of analgetic procedures on reducing pain and increasing range of motion in the knee joint after total knee replacement. The practical contribution of this research is in the more frequent introduction thattype of analgesia that will more effectively reduce pain, therefore speeding up functional recovery and shortening the length of hospitalization.METHODSThe study is a prospective randomized study conducted at the Orthopedic Clinic Lovran. Participated 8 patients, ASA (American Society of Anesthesiology) groups II and III, aged between 59 and 80. The patients were divided into two groups: in the first group of patients postoperative pain was treated with systemic analgesia and in the second group with epidural analgesia. Variables that was taken: morphological, range of motion and visual analogue pain scale.RESULTS Data were processed with Statistica software package, version 220.127.116.11.1984-2018. TIBCO Software Inc. The first step in data processing was the standard determination of the basic statistical parameters of the distribution of variables. The Mann-Whitney U test was used to test the first hypothesis. Patients treated with systemic analgesia experienced significantly less pain than patients treated with epidural analgesia (p = 0.03; p <0.05). t-test for independent samples was used to test the second hypothesis and there were no statistically significant differences between groups in the range of motion (p = 0.21; p> 0.05).CONCLUSION Both anesthesia methods have a successful treatment effect. Considering obtained results, and considering the small number of studies that follow these two techniques, research should continue on more respondents.