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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Departamento de Ortopedia e Traumatologia (DOT/FMUSP)
2017
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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. |
format | Online Article Text |
id | pubmed-5474418 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Departamento de Ortopedia e Traumatologia (DOT/FMUSP) |
record_format | MEDLINE/PubMed |
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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