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Acta Orthopaedica Volume 86, 2015 - Issue 3
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Knee

Doubtful effect of continuous intraarticular analgesia after total knee arthroplasty

A randomized, double-blind study of 200 patients

Abdulemir AliDepartment of Orthopedics, Skåne University Hospital, Clinical Sciences, Lund University, Lund, Sweden.Correspondence[email protected]
,
Martin SundbergDepartment of Orthopedics, Skåne University Hospital, Clinical Sciences, Lund University, Lund, Sweden.Correspondence[email protected]
,
Ulrik HanssonDepartment of Orthopedics, Skåne University Hospital, Clinical Sciences, Lund University, Lund, Sweden.Correspondence[email protected]
,
Johan MalmvikDepartment of Orthopedics, Skåne University Hospital, Clinical Sciences, Lund University, Lund, Sweden.Correspondence[email protected]
&
Gunnar FlivikDepartment of Orthopedics, Skåne University Hospital, Clinical Sciences, Lund University, Lund, Sweden.Correspondence[email protected]
Pages 373-377 | Received 07 Apr 2014, Accepted 17 Oct 2014, Published online: 27 Nov 2014

  • Andersen LO, Husted H, Otte KS, Kristensen BB, Kehlet H. High-volume infiltration analgesia in total knee arthroplasty: a randomized, double-blind, placebo-controlled trial. Acta Anaesthesiol Scand 2008a; 52(10): 1331-5.
  • Andersen LO, Kristensen BB, Husted H, Otte KS, Kehlet H. Local anesthetics after total knee arthroplasty: intraarticular or extraarticular administration? A randomized, double-blind, placebo-controlled study. Acta Orthop 2008b; 79(6): 800-5.
  • Andersen KV, Bak M, Christensen BV, Harazuk J, Pedersen NA, Soballe K. A randomized, controlled trial comparing local infiltration analgesia with epidural infusion for total knee arthroplasty. Acta Orthop 2010a; 81(5): 606-10.
  • Andersen LO, Husted H, Kristensen BB, Otte KS, Gaarn-Larsen L, Kehlet H. Analgesic efficacy of intracapsular and intra-articular local anaesthesia for knee arthroplasty. Anaesthesia 2010b; 65(9): 904-12.
  • Batai I, Kerenyi M, Falvai J, Szabo G. Bacterial growth in ropivacaine hydrochloride. Anesth Analg 2002; 94(3): 729-31.
  • Bianconi M, Ferraro L, Traina GC, Zanoli G, Antonelli T, Guberti A et al. Pharmacokinetics and efficacy of ropivacaine continuous wound instillation after joint replacement surgery. Br J Anaesth 2003; 91(6): 830-5.
  • Browne C, Copp S, Reden L, Pulido P, Colwell CJr.Bupivacaine bolus injection versus placebo for pain management following total knee arthroplasty. J Arthroplasty 2004; 19(3): 377-80.
  • Busch CA, Shore BJ, Bhandari R, Ganapathy S, MacDonald SJ, Bourne RB et al. Efficacy of periarticular multimodal drug injection in total knee arthroplasty. A randomized trial. J Bone Joint Surg Am 2006; 88(5): 959-63.
  • Dobie I, Bennett D, Spence DJ, Murray JM, Beverland DE. Periarticular local anesthesia does not improve pain or mobility after THA. Clin Orthop Relat Res 2012; 470(7): 1958-65.
  • Dobrydnjov I, Anderberg C, Olsson C, Shapurova O, Angel K, Bergman S. Intraarticular vs. extraarticular ropivacaine infusion following high-dose local infiltration analgesia after total knee arthroplasty: a randomized double-blind study. Acta Orthop 2011; 82(6): 692-8.
  • Essving P, Axelsson K, Kjellberg J, Wallgren O, Gupta A, Lundin A. Reduced morphine consumption and pain intensity with local infiltration analgesia (LIA) following total knee arthroplasty. Acta Orthop 2010; 81(3): 354-60.
  • Fischer HB, Simanski CJ, Sharp C, Bonnet F, Camu F, Neugebauer EA et al. A procedure-specific systematic review and consensus recommendations for postoperative analgesia following total knee arthroplasty. Anaesthesia 2008; 63(10): 1105-23.
  • Gomez-Cardero P, Rodriguez-Merchan EC. Postoperative analgesia in TKA: ropivacaine continuous intraarticular infusion. Clin Orthop Relat Res 2010; 468(5): 1242-7.
  • Goyal N, McKenzie J, Sharkey PF, Parvizi J, Hozack WJ, Austin MS. The 2012 Ranawat award: intraarticular analgesia after TKA reduces pain: a randomized, double-blinded, placebo-controlled, prospective study. Clin Orthop Relat Res 2013; 471(1): 64-75.
  • Horlocker TT. Pain management in total joint arthroplasty: a historical review. Orthopedics 2010; 33(9 Suppl): 14-9.
  • Kampe S, Poetter C, Buzello S, Wenchel HM, Paul M, Kiencke P et al. Ropivacaine 0.1% with sufentanil 1 microg/mL inhibits in vitro growth of Pseudomonas aeruginosa and does not promote multiplication of Staphylococcus aureus. Anesth Analg 2003; 97(2): 409-11.
  • Kerr DR, Kohan L. Local infiltration analgesia: a technique for the control of acute postoperative pain following knee and hip surgery: a case study of 325 patients. Acta Orthop 2008; 79(2): 174-83.
  • Klasen JA, Opitz SA, Melzer C, Thiel A, Hempelmann G. Intraarticular, epidural, and intravenous analgesia after total knee arthroplasty. Acta Anaesthesiol Scand 1999; 43(10): 1021-6.
  • Liu SS, Richman JM, Thirlby RC, Wu CL. Efficacy of continuous wound catheters delivering local anesthetic for postoperative analgesia: a quantitative and qualitative systematic review of randomized controlled trials. J Am Coll Surg 2006; 203(6): 914-32.
  • Mauerhan DR, Campbell M, Miller JS, Mokris JG, Gregory A, Kiebzak GM. Intra-articular morphine and/or bupivacaine in the management of pain after total knee arthroplasty. J Arthroplasty 1997; 12(5): 546-52.
  • Niemelainen M, Kalliovalkama J, Aho AJ, Moilanen T, Eskelinen A. Single periarticular local infiltration analgesia reduces opiate consumption until 48 hours after total knee arthroplasty. Acta Orthop 2014: 1-6. [Epub ahead of print]
  • Rasmussen S, Kramhoft MU, Sperling KP , Pedersen JH. Increased flexion and reduced hospital stay with continuous intraarticular morphine and ropivacaine after primary total knee replacement: open intervention study of efficacy and safety in 154 patients. Acta Orthop Scand 2004; 75(5): 606-9.
  • Ritter MA, Koehler M, Keating EM, Faris PM, Meding JB. Intra-articular morphine and/or bupivacaine after total knee replacement. J Bone Joint Surg Br 1999; 81(2): 301-3.
  • Specht K, Leonhardt JS, Revald P, Mandoe H, Andresen EB, Brodersen J et al. No evidence of a clinically important effect of adding local infusion analgesia administrated through a catheter in pain treatment after total hip arthroplasty. Acta Orthop 2011; 82(3):3 15-20.
  • Toftdahl K, Nikolajsen L, Haraldsted V, Madsen F, Tonnesen EK, Soballe K. Comparison of peri- and intraarticular analgesia with femoral nerve block after total knee arthroplasty: a randomized clinical trial. Acta Orthop 2007; 78(2): 172-9.
  • Vendittoli PA, Makinen P, Drolet P, Lavigne M, Fallaha M, Guertin M C et al. A multimodal analgesia protocol for total knee arthroplasty. A randomized, controlled study. J Bone Joint Surg Am 2006; 88(2): 282-9.
  • Wang H, Boctor B, Verner J. The effect of single-injection femoral nerve block on rehabilitation and length of hospital stay after total knee replacement. Reg Anesth Pain Med 2002; 27(2): 139-44.
  • Williams D, Petruccelli D, Paul J, Piccirillo L, Winemaker M, de Beer J. Continuous infusion of bupivacaine following total knee arthroplasty: a randomized control trial pilot study. J Arthroplasty 2013; 28(3): 479-84.
  • Wylde V, Rooker J, Halliday L, Blom A. Acute postoperative pain at rest after hip and knee arthroplasty: severity, sensory qualities and impact on sleep. Orthop Traumatol Surg Res 2011; 97(2): 139-44.
  • Zhang S, Wang F, Lu ZD, Li YP, Zhang L, Jin QH. Effect of single-injection versus continuous local infiltration analgesia after total knee arthroplasty: a randomized, double-blind, placebo-controlled study. J Int Med Res 2011; 39(4): 1369-80.

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