A Randomized Controlled Trial of Intraarticular Ropivacaine for Pain Management Immediately Following Total Knee Arthroplasty View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2010-09

AUTHORS

Adam S. Rosen, Clifford W. Colwell, Pamela A. Pulido, Tricia L. Chaffee, Steven N. Copp

ABSTRACT

Total knee arthroplasty (TKA) is a commonly performed procedure for the treatment of end-stage arthritis of the knee. Pain control following TKA is difficult to manage in some patients. We examined the use of a postoperative intraarticular injection of 100 mL of 0.2% (200 mg) ropivacaine in a double-blind, prospective, placebo-controlled pilot study to evaluate its use as a pain control modality. All patients received general anesthesia. Postoperatively, patients were placed on intravenous patient-controlled analgesia with morphine. The ropivacaine group showed an early trend in lower visual analog scale (VAS) scores when compared with the placebo group. Patients receiving ropivacaine used a similar amount of narcotics compared with the placebo group. Intraarticular ropivacaine used for pain control after TKA demonstrated no statistically significant difference in lowering VAS scores or narcotic usage; therefore, intraarticular ropivacaine as a single modality is not recommended for effective pain management. More... »

PAGES

155-159

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11420-010-9155-2

DOI

http://dx.doi.org/10.1007/s11420-010-9155-2

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1005340410

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/21886529


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