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Revista de la Asociación Argentina de Ortopedia y Traumatología
On-line version ISSN 1852-7434
Abstract
PESCIALLO, César et al. Intraoperative Soft Tissue Injection For Pain Management Following Total Knee Arthroplasty. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2009, vol.74, n.1, pp.55-62. ISSN 1852-7434.
Background: Patients concern about pain after total knee replacement is a matter of fact. The purpose of this study was to evaluate the effectiveness of an intraoperative soft tissue injection for pain management following Total Knee Arthroplasty. Method: We evaluated 60 patients prospectively, divided into two groups, i.e. thirty patients per group (10 men - 20 momen each). Group A received an injection and group B did not. In each case, pain complaints and pain killers usage were addressed. Results: Patients' pain scores in the experimental group were lower than in the control group. They attained statistical significance in the first 96 hours after surgery. Reduction in the narcotics used was also significant in the first 4 hours. Conclusions: Lower pain rates and narcotics consumption after total knee replacement generate happier patients, which leads to an early start of physical therapy and earlier discharge from hospital. We believe this should be considered a strong tool against pain after TKR.
Keywords : Knee replacement; Pain relief; Narcotics.