Edited by Vaibhav Bagaria, ISBN 978-953-51-2243-2, 240 pages, Publisher: InTech, Chapters published January 27, 2016 under CC BY 3.0 license Edited Volume This book is aimed at giving an overview of the field of arthroplasty and covers arthroplasty of several regions starting from the cervical spine to the ankle. While the current trend is focusing on one particular joint, sometimes having an understanding of the entire subject and cross learning from various subspecialties play a key role in evolving the science. The book is precisely meant to do that, exposing the readers to various types of arthroplasties. It also touches on failures and complications like infections to ensure that the subject is dealt with in a comprehensive manner. Radiology and investigations form an important element for successful outcomes and so does being informed about the newer developments in the field. The chapters on 3D printing and PRP ensure that the all the subjects from the very basic to what can be expected on the horizon are well covered.
CONCLUSION: Neuraxial anaesthesia for total hip or total knee arthroplasty, or both appears equally effective without increased morbidity when compared with general anaesthesia. There is limited quantitative evidence to suggest that neuraxial anaesthesia is associated with improved perioperative outcomes. Future investigations should compare intermediate and long-term outcome differences to better inform anaesthesiologists, surgeons, and patients on importance of anaesthetic selection.
CONCLUSIONS: Compared with general anesthesia, regional anesthesia for total hip arthroplasty was associated with a reduction in deep surgical site infection rates, hospital length of stay, and rates of postoperative cardiovascular and pulmonary complications. These findings could have an important medical and economic impact on health-care practice
CONCLUSION: Although no significant differences were noted on pain scores, patients who received spinal anesthesia with intrathecal morphine and femoral nerve block used less narcotic pain medication than any other group. Females reported significantly higher pain between 24-48 hours post-op compared with males but not significantly greater anesthetic usage.