Olcay Guler1, Serhat Mutlu2, Mehmet Isyar1, Harun Mutlu3, Ahmet M Bulbul1, Mahir Mahirogullari1. 1. Medipol University Medical Faculty, Orthopedics and Traumatology Department, 34083, Istanbul, Turkey. 2. Orthopedics and Traumatology Department, Kanuni Sultan Suleyman Training Hospital, 34303, Istanbul, Turkey. 3. Orthopedics and Traumatology Department, Gaziosmanpaşa Taksim Training Hospital, 34200, Istanbul, Turkey.
Abstract
BACKGROUND: We aimed to evaluate periarticular multimodal drug injection (PMDI) in bilateral total knee arthroplasty. METHODS: In 154 knees of 77 patients, PMDI was administered intraoperatively through the regions other than posterior capsule to one knee; other knee was control. RESULTS: Drug-injected knees had lower visual analog scale scores and higher passive range of motion postoperatively (p < 0.05). The active straight leg raise was higher in drug-injected knees (47 [61%] vs 19 [24.7%], p = 0.001). CONCLUSIONS: PMDI is a safe and effective method of early postoperative pain management in total knee arthroplasty when applied through regions other than posterior capsule.
BACKGROUND: We aimed to evaluate periarticular multimodal drug injection (PMDI) in bilateral total knee arthroplasty. METHODS: In 154 knees of 77 patients, PMDI was administered intraoperatively through the regions other than posterior capsule to one knee; other knee was control. RESULTS: Drug-injected knees had lower visual analog scale scores and higher passive range of motion postoperatively (p < 0.05). The active straight leg raise was higher in drug-injected knees (47 [61%] vs 19 [24.7%], p = 0.001). CONCLUSIONS:PMDI is a safe and effective method of early postoperative pain management in total knee arthroplasty when applied through regions other than posterior capsule.
Entities:
Keywords:
Periarticular drug injection; Postoperative pain management; Range of motion; Total knee arthroplasty; Visual analog scale scores
Authors: Constant A Busch; Benjamin J Shore; Rakesh Bhandari; Su Ganapathy; Steven J MacDonald; Robert B Bourne; Cecil H Rorabeck; Richard W McCalden Journal: J Bone Joint Surg Am Date: 2006-05 Impact factor: 5.284