| Autor: |
Rosen AS, Colwell CW Jr, Pulido PA, Chaffee TL, Copp SN |
| Jazyk: |
angličtina |
| Zdroj: |
HSS journal : the musculoskeletal journal of Hospital for Special Surgery [HSS J] 2010 Sep; Vol. 6 (2), pp. 155-9. Date of Electronic Publication: 2010 Feb 25. |
| DOI: |
10.1007/s11420-010-9155-2 |
| Abstrakt: |
Total knee arthroplasty (TKA) is a commonly performed procedure for the treatment of end-stage arthritis of the knee. Pain control following TKA is difficult to manage in some patients. We examined the use of a postoperative intraarticular injection of 100 mL of 0.2% (200 mg) ropivacaine in a double-blind, prospective, placebo-controlled pilot study to evaluate its use as a pain control modality. All patients received general anesthesia. Postoperatively, patients were placed on intravenous patient-controlled analgesia with morphine. The ropivacaine group showed an early trend in lower visual analog scale (VAS) scores when compared with the placebo group. Patients receiving ropivacaine used a similar amount of narcotics compared with the placebo group. Intraarticular ropivacaine used for pain control after TKA demonstrated no statistically significant difference in lowering VAS scores or narcotic usage; therefore, intraarticular ropivacaine as a single modality is not recommended for effective pain management. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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