Peri-articular Steroid Injection in Total Knee Arthroplasty: A Prospective, Double Blinded, Randomized Controlled Trial

Journal of Arthroplasty

Volumn 28, Issue 4, 2013, Pages 620-623

  Chia, Samuel K ^a   Wernecke, Gregory C ^a   Harris, Ian A ^b   Bohm, Martin T ^a   Chen, Darren B ^a   MacDessi, Samuel J ^a  

^a University of New South Wales ^*

^b UNIVERSITY OF NEW SOUTH WALES   (Australia)

Author keywords

Arthroplasty; Corticosteroids; Injection; Knee; Pain

Indexed keywords

ADRENALIN; CELECOXIB; DEXTROPROPOXYPHENE PLUS PARACETAMOL; MORPHINE; OXYCODONE; ROPIVACAINE; TRIAMCINOLONE ACETATE;

ADULT; AGED; ANALGESIA; ARTICLE; CLINICAL ARTICLE; CONTROLLED STUDY; DOUBLE BLIND PROCEDURE; DRUG MEGADOSE; HUMAN; INJECTION; KNEE INJURY AND OSTEOARTHRITIS OUTCOME SCORE; KNEE OSTEOARTHRITIS; KNEE SOCIETY SCORE; LENGTH OF STAY; LOW DRUG DOSE; OUTCOME ASSESSMENT; PERIARTICULAR INJECTION; POSTOPERATIVE ANALGESIA; POSTOPERATIVE PAIN; RANDOMIZED CONTROLLED TRIAL; RANGE OF MOTION; TOTAL KNEE REPLACEMENT; VISUAL ANALOG SCALE;

AGED; ANESTHETICS, LOCAL; ARTHROPLASTY, REPLACEMENT, KNEE; DOUBLE-BLIND METHOD; DRUG THERAPY, COMBINATION; GLUCOCORTICOIDS; HUMANS; INJECTIONS, INTRA-ARTICULAR; PAIN, POSTOPERATIVE; PROSPECTIVE STUDIES; TRIAMCINOLONE;

EID: 84875113097     PISSN: 08835403     EISSN: 15328406     Source Type: Journal    
DOI: 10.1016/j.arth.2012.07.034     Document Type: Article

References (22)

1. Shoji H., Solomonow M., Yoshino S., et al. Factors affecting post operative flexion in total knee arthroplasty. Orthopedics 1990, 6:643.
2. Andersen K.V., Pfeiffer-Jensen M., Haraldsted V., et al. Reduced hospital stay and narcotic consumption, and improved mobilization with local and intraarticular infiltration after hip arthroplasty: a randomized clinical trial of an intraarticular technique versus epidural infusion in 80 patients. Acta Orthop 2007, 2:180.
3. Albert T.J., Cohn J.C., Rothman J.S., et al. Patient-controlled analgesia in a postoperative total joint arthroplasty population. J Arthroplasty 1991, 6(Suppl):23.
4. Busch C.A., Shore J.B., Bhandari R., et al. Efficacy of periarticular multimodal drug injection in total knee arthroplasty. A randomized trial. J Bone Joint Surg Am 2006, 5:959.
5. Axelsson K., Gupta A., Johanzon E., et al. Intraarticular administration of ketorolac, morphine, and ropivacaine combined with intraarticular patient-controlled regional analgesia for pain relief after shoulder surgery: a randomized, double-blind study. Anesth Analg 2008, 1:328.
6. Parvataneni H.K., Shah V.P., Hoard 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, 6(Suppl 2):33.
7. Sweetnam R. Corticosteroid arthropathy and tendon rupture. J Bone Joint Surg Br 1969, 3:397.
8. Papavasilious A.V., Isaac D.L., Marimuthu R., et al. infection in knee replacements after previous injection of intra-articular steroid. J Bone Joint Surg Br 2006, 3:321.
9. Seah V.W.T., Chin P.L., Chia S.L., et al. Single-dose periarticular steroid infiltration for pain management in total knee arthroplasty: a prospective, double-blind, randomized controlled trial. Singapore Med J 2011, 1:19.
10. Christensen C.P., Jacobs C.A., Jennings H.R. Effect of periarticular corticosteroid injections during total knee arthroplasty. A double-blind randomized trial. J Bone Joint Surg Am 2009, 11:2550.
11. Joo J.H., Park J.W., Kim J.S., et al. Is intra-articular multimodal drug injection effiective in pain management after total knee arthorplasty? A randomized, double-blinded, prospective study. J Arthroplasty 2011, 7:1095.
12. Flower R.J., Rothwell N.J. Lipocortin-1: cellular mechanisms and clinical relevance. Trends Pharmacol Sci 1994, 3:71.
13. Creamer P. Intra-articular corticosteroid injections in osteoarthritis: do they work and if so, how?. Ann Rhuem Dis 1997, 11:634.
14. Barnes P.J. Anti-inflammatory actions of glucocorticoids: molecular mechanisms. Clin Sci (Long) 1998, 6:557.
15. Pang H.N., Lo N.N., Yang K.Y., et al. Peri-articular steroid injection improves the outcome afte runicondylar knee replacement: a prospective, randomised controlled trial with a two-year follow-up. J Bone Joint Surg Br 2008, 6:738.
16. Fu P., Wu Y., Li X., et al. Efficacy of intra-articular cocktail analgesic injection in total knee arthroplasty - a randomized controlled trial. Knee 2009, 4:280.
17. Tanaka N., Sakahashi H., Sato E., et al. The efficacay of intra-articular analgesia after total knee arthroplasty in patients with rheumatoid arthritis and in patients with osteoarthritis. J Arthroplasty 2001, 3:306.
18. Kerr D.R., 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, 2:174.
19. 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 Relat Res 2004, 428:125.
20. 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 Am 2006, 2:282.
21. 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 Am 1996, 5:734.
22. Ng Y.C., Lo N.N., Yang K.Y., et al. Effects of periarticular steroid injection on knee function and the inflammatory response following unicondylar knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 2011, 1:60.