Efficacy of periarticular injection of bupivacaine, fentanyl, and methylprednisolone in total knee arthroplasty. A prospective, randomized trial

Journal of Arthroplasty

Volumn 25, Issue 6, 2010, Pages 851-857

  Mullaji, Arun ^a   Kanna, Raj ^a   Shetty, Gautam M ^a   Chavda, Vipul ^b   Singh, D P ^c  

^a BREACH CANDY HOSPITAL   (India)

^b Arthritis Clinic   (India)

^c TATA INSTITUTE OF SOCIAL SCIENCES   (India)

Author keywords

Extensor lag; Knee flexion; Pain score; Periarticular injection; Total knee arthroplasty

Indexed keywords

BUPIVACAINE; DICLOFENAC; ETORICOXIB; FENTANYL; METHYLPREDNISOLONE ACETATE; PARACETAMOL; TRAMADOL;

ADULT; AGED; ANALGESIA; ARTICLE; CLINICAL ARTICLE; COMPARATIVE STUDY; COMPUTER ASSISTED SURGERY; DRUG EFFICACY; EVENING DOSAGE; FEMALE; HUMAN; KNEE FUNCTION; MALE; MUSCLE FUNCTION; OSTEOARTHRITIS; PAIN ASSESSMENT; POSTOPERATIVE PERIOD; PROSPECTIVE STUDY; QUADRICEPS FEMORIS MUSCLE; TOTAL KNEE REPLACEMENT; VISUAL ANALOG SCALE;

AGED; AGED, 80 AND OVER; ANALGESICS, OPIOID; ANESTHETICS, COMBINED; ANESTHETICS, LOCAL; ARTHROPLASTY, REPLACEMENT, KNEE; BUPIVACAINE; FEMALE; FENTANYL; GLUCOCORTICOIDS; HUMANS; INJECTIONS, INTRA-ARTICULAR; KNEE JOINT; MALE; METHYLPREDNISOLONE; MIDDLE AGED; OSTEOARTHRITIS, KNEE; PAIN MEASUREMENT; PAIN, POSTOPERATIVE; RANGE OF MOTION, ARTICULAR; SURGERY, COMPUTER-ASSISTED;

EID: 77955922834     PISSN: 08835403     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.arth.2009.09.007     Document Type: Article

References (41)

1. Badner N.H., Bourne R.B., Rorabeck C.H., et al. Intra-articular injection of bupivacaine in knee-replacement operations: results of use for analgesia and for preemptive blockade. J Bone Joint Surg 1996, 78A:734.
2. Browne C., Copp S., Reden L., et al. Bupivacaine bolus injection versus placebo for pain management following total knee arthroplasty. J Arthroplasty 2004, 19:377.
3. Busch C.A., Shore B.J., Bhandari R., et al. Efficacy of periarticular multimodal drug injection in total knee arthroplasty: a randomized trial. J Bone Joint Surg 2006, 88A:959.
4. Rasmussen S., Kramhoft M.U., Sperling K.P., et al. 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, 75:606.
5. Lombardi A.V., Berend K.R., Mallory T.H., et al. Soft tissue and intra-articular injection of bupivacaine, epinephrine, and morphine has a beneficial effect after total knee arthroplasty. Clin Orthop 2004, 428:125.
6. Peters C.L., Shirley B., Erickson J. The effect of a new multimodal perioperative anesthetic regimen on postoperative pain, side effects, rehabilitation, and length of hospital stay after total joint arthroplasty. J Arthroplasty 2006, 21(6 Suppl 2):132.
7. Parvataneni H.K., Ranawat A.S., Ranawat C.S. The use of local peri-articular injections in the management of postoperative pain after total hip and knee replacement: a multimodal approach. Instr Course Lect 2007, 56:125.
8. Parvataneni H.K., Shah V.P., Howard H., et al. Controlling pain after total hip and knee arthroplasty using a multimodal protocol with local periarticular injections: a prospective randomized study. J Arthroplasty 2007, 22(6 Suppl 2):33.
9. Ranawat A.S., Ranawat C.S. Pain management and accelerated rehabilitation for total hip and total knee arthroplasty. J Arthroplasty 2007, 22(7 Suppl 3):12.
10. Vendittoli P.A., Makinen P., Drolet P., et al. A multimodal analgesia protocol for total knee arthroplasty: a randomized, controlled study. J Bone Joint Surg 2006, 88A:282.
11. Ritter M.A., Koehler M., Keating E.M., et al. Intra-articular morphine and/or bupivacaine after total knee replacement. J Bone Joint Surg 1999, 81B:301.
12. Tanaka N., Sakahashi H., Sato E., et al. The efficacy of intra-articular analgesia after total knee arthroplasty in patients with rheumatoid arthritis and in patients with osteoarthritis. J Arthroplasty 2001, 16:306.
13. Mauerhan D.R., Campbell M., Miller J.S., et al. Intra-articular morphine and/or bupivacaine in the management of pain after total knee arthroplasty. J Arthroplasty 1997, 12:546.
14. Badner N.H., Bourne R.B., Rorabeck C.H., et al. Addition of morphine to intra-articular bupivacaine does not improve analgesia following knee joint replacement. Reg Anesth 1997, 22:347.
15. Klasen J.A., Opitz S.A., Melzer C., et al. Intraarticular, epidural, and intravenous analgesia after total knee arthroplasty. Acta Anaesthesiol Scand 1999, 43:1021.
16. Kizilkaya M., Yildirim O.S., Dogan N., et al. Analgesic effects of intraarticular sufentanil and sufentanil plus methylprednisolone after arthroscopic knee surgery. Anesth Analg 2004, 98:1062.
17. Kizilkaya M., Yildirim O.S., Ezirmik N., et al. Comparisons of analgesic effects of different doses of morphine and morphine plus methylprednisolone after knee surgery. Eur J Anaesthesiol 2005, 22:603.
18. Rasmussen S., Larsen A.S., Thomsen S.T., et al. Intra-articular glucocorticoid, bupivacaine and morphine reduces pain, inflammatory response and convalescence after arthroscopic meniscectomy. Pain 1998, 78:131.
19. Rasmussen S., Lorentzen J.S., Larsen A.S., et al. Combined intra-articular glucocorticoid, bupivacaine and morphine reduces pain and convalescence after diagnostic knee arthroscopy. Acta Orthop Scand 2002, 73:175.
20. Soderlund A., Westman L., Ersmark H., et al. Analgesia following arthroscopy: a comparison of intra-articular morphine, pethidine and fentanyl. Acta Anaesthesiol Scand 1997, 4:6.
21. Kligman M., Bruskin A., Sckliamser J., et al. Intra-synovial, compared to intra-articular morphine provides better pain relief following knee arthroscopy menisectomy. Can J Anesth 2002, 49:380.
22. Catterall W.A., Mackie K. Local anesthetics. The pharmacological basis of therapeutics 2006, 369. McGraw-Hill, New-York. 11th ed. L.L. Burnton, J.S. Lazo, K.L. Parker (Eds.).
23. Gutstein H.B., Akil H. Opioid analgesics. The pharmacological basis of therapeutics 2006, 547. McGraw-Hill, New-York. 11th ed. L.L. Burnton, J.S. Lazo, K.L. Parker (Eds.).
24. Schimmer B.P., Parker K.L. Adrenocorticotropic hormone: adrenocortical steroids and their synthetic analogs: inhibitors of the synthesis and actions of adrenocortical hormones. The pharmacological basis of therapeutics 2006, 1587. McGraw-Hill, New-York. 11th ed. L.L. Burnton, J.S. Lazo, K.L. Parker (Eds.).
25. Buvanendran A., Kroin J.S., Tuman K.J., et al. Effects of perioperative administration of a selective cyclooxygenase 2 inhibitor on pain management and recovery of function after knee replacement: a randomized controlled trial. JAMA 2003, 290:2411.
26. Woolf C.J., Chong M.S. Review article. Preemptive analgesia: treating postoperative pain by preventing the establishment of central sensitization. Anesth Analg 1993, 77:362.
27. Prasad N., Padmanabhan V., Mullaji A. Comparison between two methods of drain clamping after total knee arthroplasty. Arch Orthop Trauma Surg 2005, 125:381.
28. Strichartz G.R., Berde C.B. Local anesthetics. Anesthesia 1994, Vol.1:489. Churchill-Livingstone, New York. 4th ed. R.D. Miller (Ed.).
29. Salerno A., Hermann R. Efficacy and safety of steroid use for postoperative pain relief. Update and review of the medical literature. J Bone Joint Surg 2006, 88A:1361.
30. Akerman B., Arwestrom E., Post C. Local anesthetics potentiate spinal morphine antinociception. Anesth Analg 1988, 67:943.
31. Cohen S., Pantuck C.B., Amar D., et al. The primary action of epidural fentanyl after cesarean delivery is via a spinal mechanism. Anesth Analg 2002, 94:674.
32. Stein C. Review article. The control of pain in peripheral tissue by opioids. N Engl J Med 1995, 332:1685.
33. Varkel V., Volpin G., Ben-David B., et al. Intraarticular fentanyl compared with morphine for pain relief following arthroscopic knee surgery. Can J Anaesth 1999, 46:867.
34. Parfitt K. Corticosteroids. The complete drug reference 1999, 1010. Pharmaceutical Press, London. 2nd ed.
35. Bird H.A. Intra-articular and intralesional therapy. Rheumatology 1998, 3.7.1-3.7.4. Mosby, London. 2nd ed. J.H. Klippel, P.A. Dieppe (Eds.).
36. Carr D.B., Goudas L.C. Acute pain. Lancet 1999, 353:2051.
37. Samad T.A., Moore K.A., Sapirstein A., et al. Interleukin-1beta-mediated induction of Cox-2 in the CNS contributes to inflammatory pain hypersensitivity. Nature 2001, 410:471.
38. Holte K., Kehlet H. Perioperative single-dose glucocorticoid administration: pathophysiologic effects and clinical implications. J Am Coll Surg 2002, 195:694.
39. Mirzai H., Tekin I., Alincak H. Perioperative use of corticosteroid and bupivacaine combination in lumbar disc surgery: a randomized controlled trial. Spine 2002, 27:343.
40. Sauerland S., Nagelschmidt M., Mallmann P., et al. Risks and benefits of preoperative high dose methylprednisolone in surgical patients: a systematic review. Drug Saf 2000, 23:449.
41. Peersman G., Laskin R., Davis J., et al. Infection in total knee replacement: a retrospective review of 6489 total knee replacements. Clin Orthop 2001, 392:15.