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LOCAL PERIARTICULAR ANALGESIA IN TOTAL KNEE ARTHROPLASTY

OBJECTIVE: To evaluate the use of infiltration of periarticular analgesic agents intraoperatively in total knee arthroplasty (TKA), with regard to benefits, reduction of pain, opioid consumption, improvement of range of motion and early ambulation. METHODS: To analyze the benefits of periarticular d...

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Autores principales: Sadigursky, David, Simões, Daniel Pereira, de Albuquerque, Raphael Araújo, Silva, Monize Zórnio, Fernandes, Rogério Jamil Carneiro, Colavolpe, Paulo Oliveira
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Departamento de Ortopedia e Traumatologia (DOT/FMUSP) 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5474418/
https://www.ncbi.nlm.nih.gov/pubmed/28642656
http://dx.doi.org/10.1590/1413-785220172502151116
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author Sadigursky, David
Simões, Daniel Pereira
de Albuquerque, Raphael Araújo
Silva, Monize Zórnio
Fernandes, Rogério Jamil Carneiro
Colavolpe, Paulo Oliveira
author_facet Sadigursky, David
Simões, Daniel Pereira
de Albuquerque, Raphael Araújo
Silva, Monize Zórnio
Fernandes, Rogério Jamil Carneiro
Colavolpe, Paulo Oliveira
author_sort Sadigursky, David
collection PubMed
description OBJECTIVE: To evaluate the use of infiltration of periarticular analgesic agents intraoperatively in total knee arthroplasty (TKA), with regard to benefits, reduction of pain, opioid consumption, improvement of range of motion and early ambulation. METHODS: To analyze the benefits of periarticular drug infiltration, the patients submitted to TKA were evaluated, being separated into two groups. One group received the local periarticular infiltration protocol containing 0.5% bupivacaine (400mg/20ml), 1/1000 epinephrine (0.3ml), triamcinolone hexacetonide (20mg/1ml), clonidine (150mcg/1ml) and 20 ml of saline (0.9% SS) and, the other group underwent conventional intravenous analgesia. The results were compared and the variables analyzed were age, sex, BMI, comorbidities, postoperative complications, pain, functional capacity, range of motion, transfusion and rescue opioids for analgesia. RESULTS: The mean age of the patients was 68 years and most were female and presented involvement of the left knee. Postoperatively, patients who had received periarticular infiltration showed improvement of pain as well as functional capacity. CONCLUSION: The analysis of data obtained demonstrated that the periarticular infiltration of analgesic agents is significantly effective for pain control and functional recovery.Level of Evidence II, Prospective Comparative Study.
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spelling pubmed-54744182017-06-22 LOCAL PERIARTICULAR ANALGESIA IN TOTAL KNEE ARTHROPLASTY Sadigursky, David Simões, Daniel Pereira de Albuquerque, Raphael Araújo Silva, Monize Zórnio Fernandes, Rogério Jamil Carneiro Colavolpe, Paulo Oliveira Acta Ortop Bras Original Articles OBJECTIVE: To evaluate the use of infiltration of periarticular analgesic agents intraoperatively in total knee arthroplasty (TKA), with regard to benefits, reduction of pain, opioid consumption, improvement of range of motion and early ambulation. METHODS: To analyze the benefits of periarticular drug infiltration, the patients submitted to TKA were evaluated, being separated into two groups. One group received the local periarticular infiltration protocol containing 0.5% bupivacaine (400mg/20ml), 1/1000 epinephrine (0.3ml), triamcinolone hexacetonide (20mg/1ml), clonidine (150mcg/1ml) and 20 ml of saline (0.9% SS) and, the other group underwent conventional intravenous analgesia. The results were compared and the variables analyzed were age, sex, BMI, comorbidities, postoperative complications, pain, functional capacity, range of motion, transfusion and rescue opioids for analgesia. RESULTS: The mean age of the patients was 68 years and most were female and presented involvement of the left knee. Postoperatively, patients who had received periarticular infiltration showed improvement of pain as well as functional capacity. CONCLUSION: The analysis of data obtained demonstrated that the periarticular infiltration of analgesic agents is significantly effective for pain control and functional recovery.Level of Evidence II, Prospective Comparative Study. Departamento de Ortopedia e Traumatologia (DOT/FMUSP) 2017 /pmc/articles/PMC5474418/ /pubmed/28642656 http://dx.doi.org/10.1590/1413-785220172502151116 Text en http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License
spellingShingle Original Articles
Sadigursky, David
Simões, Daniel Pereira
de Albuquerque, Raphael Araújo
Silva, Monize Zórnio
Fernandes, Rogério Jamil Carneiro
Colavolpe, Paulo Oliveira
LOCAL PERIARTICULAR ANALGESIA IN TOTAL KNEE ARTHROPLASTY
title LOCAL PERIARTICULAR ANALGESIA IN TOTAL KNEE ARTHROPLASTY
title_full LOCAL PERIARTICULAR ANALGESIA IN TOTAL KNEE ARTHROPLASTY
title_fullStr LOCAL PERIARTICULAR ANALGESIA IN TOTAL KNEE ARTHROPLASTY
title_full_unstemmed LOCAL PERIARTICULAR ANALGESIA IN TOTAL KNEE ARTHROPLASTY
title_short LOCAL PERIARTICULAR ANALGESIA IN TOTAL KNEE ARTHROPLASTY
title_sort local periarticular analgesia in total knee arthroplasty
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5474418/
https://www.ncbi.nlm.nih.gov/pubmed/28642656
http://dx.doi.org/10.1590/1413-785220172502151116
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