J Korean Orthop Assoc.  2008 Oct;43(5):625-630. 10.4055/jkoa.2008.43.5.625.

Short Term Analgesic Effects of Intraoperative Periarticular Injection in Total Knee Arthroplasty

• Song EK
• Seon JK
• Park SJ
• Kim YJ
• Lee DS
• Yang HK

• KMID: 2186425
• DOI: http://doi.org/10.4055/jkoa.2008.43.5.625

Abstract

PURPOSE: The purpose of this study was to evaluate the clinical results of intraoperative periarticular injection for osteoarthritic patients who are treated with total knee arthroplasty (TKA).
MATERIALS AND METHODS
Forty patients (2 males and 38 females) who underwent TKA under general anesthesia from January 2007 to May 2007 were enrolled in this study. We classified 20 cases to the injection group and 20 cases to the control group. For the injection group, we injected ropivacaine 40 mg, ketolocac tromethamine 2 mg, epinephrine 0.5 cc and morphine 0.8 cc to the periarticular soft tissue before inserting the prosthesis, and the same amount of saline was injected in the control group. We assessed the clinical results according to preoperative and postoperative range of motion (ROM), the visual analogue scale (VAS), and the dosage of the patient controlled anesthesia (PCA) in both groups.
RESULTS
There was no significant difference in preoperative ROM and VAS between the groups (p>0.05). However, significant differences between the groups were reported for the postoperative ROM at 6 and 12 hour. In terms of the VAS, it showed significant differences between the groups at 6 and 12 hours and at the first and second days after operation. The dosage of PCA was significantly lower at postoperative 6 and 12 hours.
CONCLUSION
For the patients treated with TKA, periarticular injection to the operation site is supposed to be an effective method at the early stage for recovery of the ROM, the postoperative pain control and to decrease of the PCA dosage.

Keyword

Periarticular injection; Total knee arthroplasty

MeSH Terms

Amides
Anesthesia
Anesthesia, General
Arthroplasty
Epinephrine
Humans
Knee
Male
Morphine
Pain, Postoperative
Passive Cutaneous Anaphylaxis
Prostheses and Implants
Range of Motion, Articular
Tromethamine
Amides
Epinephrine
Morphine
Tromethamine

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