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

Cited 42 time in Web of Science Cited 46 time in Scopus
Authors
Koh, In Jun; Kang, Yeon Gwi; Chang, Chong Bum; Kwon, Sae Kwang; Seong, Sang Cheol; Kim, Tae Kyun; Seo, Eun Seok
Issue Date
2010-07
Publisher
SPRINGER
Citation
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY; Vol.18(7); 916-922
Keywords
Total knee arthroplastyPeriarticular multimodal drug injection
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 improve pain relief after POD 1, patient satisfaction and functional recovery.
ISSN
0942-2056
Language
English
URI
http://hdl.handle.net/10371/78466
DOI
https://doi.org/10.1007/s00167-010-1051-2
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College of Medicine/School of Medicine (의과대학/대학원)Orthopedic Surgery (정형외과학전공)Journal Papers (저널논문_정형외과학전공)
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