Additional pain relieving effect of intraoperative periarticular injections after simultaneous bilateral TKA: a randomized, controlled study.

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
In Jun KohTae Kyun Kim

Abstract

The authors investigated the clinical value of intraoperative periarticular multimodal drug injections (PMDI) in patients on continuous epidural analgesia after simultaneous bilateral TKAs. In 55 patients scheduled to undergo simultaneous bilateral TKAs, one knee was randomly assigned to the PMDI group for which intraoperative periarticular injections were administered and the other knee was assigned to the No-PMDI group for which the injections were not done. These two groups were compared for pain level (during the operation night and on postoperative days (POD) 1, 4, and 7), functional recovery (ability to perform straight leg raising on POD 1 and maximum flexion on POD 7), patient satisfaction (POD 7), and the incidence of wound complications. The PMDI group showed a lower pain level during the operation night and on POD 1 than the No-PMDI group, but no differences in pain levels were observed between the groups on POD 4 or 7. Furthermore, no significant group differences were found in terms of functional recovery, patient satisfaction. No wound complication has been occurred in the PMDI group. This study demonstrates that PMDI provides additional pain relief limited to the immediate postoperative period but does not improv...Continue Reading

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Citations

Apr 12, 2012·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Masahiko IkeuchiToshikazu Tani
Aug 3, 2011·Indian Journal of Anaesthesia·Prem KakarGurpreet Popli
Jan 12, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Masahiko IkeuchiToshikazu Tani
Jul 7, 2014·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Woon-Hwa JungJae-Heon Jeong
Jun 21, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Yuanjun TengYayi Xia
Mar 16, 2013·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Chris Hyunchul JoJin Huh
Apr 6, 2013·Journal of Clinical Anesthesia·Usha Gurunathan
Jan 28, 2012·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·In Jun KohTae Kyun Kim
Feb 6, 2013·Orthopedics·Javad Parvizi, Michael R Bloomfield
Jun 17, 2011·Pain Practice : the Official Journal of World Institute of Pain·Joseph V PergolizziSumedha A Labhsetwar
Dec 28, 2012·Knee Surgery & Related Research·UNKNOWN Korean Knee Society
May 26, 2017·Knee Surgery & Related Research·In Jun KohYong In
Aug 31, 2012·The Journal of Bone and Joint Surgery. British Volume·D M R GibbsC N Esler
Oct 31, 2012·The Journal of Bone and Joint Surgery. British Volume·C B Chang, W S Cho
Jun 24, 2017·Acta ortopedica brasileira·David SadigurskyPaulo Oliveira Colavolpe
Jul 13, 2017·Journal of Orthopaedic Surgery and Research·Hidenori TanikawaKazunari Okuma
Dec 14, 2011·Clinical Orthopaedics and Related Research·In Jun KohTae Kyun Kim
Jul 10, 2018·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·Vasileios SoranoglouThomas P Sculco

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