The use of local anesthetic to block post-operative pain at the site of its generation is redefined in this book into a management program allowing early mobilization and dramatic pain control in the early post-operative period. This multimodal technique is demonstrated here with application to lower limb arthroplasty and spinal surgery. This is not only a detailed explanation and instruction in the technique and concept, but a historical perspective on its development, and will be of great interest to all orthopedic surgeons as well as anesthetists.
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