کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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6208314 | 1603973 | 2016 | 4 صفحه PDF | دانلود رایگان |
BackgroundIntraoperative injections can help reduce early postoperative pain in total knee arthroplasty. We proposed that liposomal bupivacaine would not be superior to more common and cheaper injections.MethodsA single-blinded prospective randomized study with 207 consecutive patients was completed. Patients were randomized to treatment with periarticular liposomal bupivacaine injection, periarticular injection of bupivacaine/morphine, or intra-articular injection of bupivacaine/morphine at the conclusion of the procedure. Postoperative visual analog pain scores and narcotic consumption were recorded and analyzed.ResultsThere was no significant difference in postoperative visual analog pain scores or narcotic consumption among the 3 study groups.ConclusionIntra-articular injection of bupivacaine and morphine is as effective for postoperative pain control in total knee arthroplasty as periarticular bupivacaine/morphine injection and liposomal bupivacaine. Use of liposomal bupivacaine in total knee arthroplasty is costly and not justified.
Journal: The Journal of Arthroplasty - Volume 31, Issue 9, Supplement, September 2016, Pages 22-25