Hamstring donor-site block: evaluation of pain control after anterior cruciate ligament reconstruction
| Autor: | Brandon D. Bushnell, Thomas J. Noonan, Gary Sakryd |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Adult
Male medicine.medical_specialty Anterior cruciate ligament reconstruction Adolescent Visual analogue scale Anterior cruciate ligament medicine.medical_treatment Injections Intramuscular Transplantation Autologous Young Adult Medicine Humans Orthopedics and Sports Medicine Anesthetics Local Anterior Cruciate Ligament Muscle Skeletal Pain Measurement Bupivacaine Pain Postoperative medicine.diagnostic_test business.industry Arthroscopy Palliative Care Nerve Block Middle Aged Plastic Surgery Procedures Surgery Transplantation medicine.anatomical_structure Anesthesia Nerve block Female business Hamstring Femoral Nerve medicine.drug |
| Zdroj: | Arthroscopy : the journal of arthroscopicrelated surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association. 26(7) |
| ISSN: | 1526-3231 |
| Popis: | Purpose The purpose of this study was to evaluate the effectiveness of using a hamstring donor-site block in controlling postoperative pain levels after anterior cruciate ligament (ACL) reconstruction with autogenous hamstring graft. Methods Over a 5-month period, 27 patients underwent ACL reconstruction with hamstring autograft. All patients received a preoperative femoral nerve block. Intraoperatively, these patients were randomly assigned to groups with and without a hamstring donor-site block. The block group received a 20-mL injection of 0.25% bupivacaine into the hamstring donor site through an arthroscopic shaver sleeve. Both groups received standard postoperative pain medications as needed. Postoperative pain scores were taken by use of a visual analog scale (VAS) and recorded immediately on arrival to the recovery room, at 1 hour after arrival, and at 2 hours after arrival. Results There were 15 patients in the hamstring donor-site block group and 12 patients in the standard treatment group. For the block group, mean VAS scores were 3.20 ± 2.54 on arrival, 2.80 ± 1.61 at 1 hour, and 2.87 ± 1.41 at 2 hours. For the standard treatment group, mean VAS scores were 5.50 ± 1.62 on arrival, 6.08 ± 1.56 at 1 hour, and 5.33 ± 2.02 at 2 hours. The hamstring block group had statistically significantly lower mean VAS scores on arrival ( P = .0118), at 1 hour ( P = .0001), and at 2 hours ( P = .0010). There were no complications in either group. Conclusions Injection of the hamstring donor site with local anesthetic through an arthroscopic shaver sleeve showed a statistically significant improvement in postoperative pain levels in patients undergoing autogenous hamstring ACL reconstruction. Level of Evidence Level III, retrospective comparative study. |
| Databáze: | OpenAIRE |
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