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

被引：56

作者：

Chia, Samuel K. ^{[1
]}

Wernecke, Gregory C. ^{[1
]}

Harris, Ian A. ^{[2
]}

Bohm, Martin T. ^{[1
]}

Chen, Darren B. ^{[1
]}

MacDessi, Samuel J. ^{[1
]}

机构：

[1] Edgecliff NSW, Sydney, NSW, Australia

[2] Univ New S Wales, South Western Sydney Clin Sch, Sydney, NSW 2052, Australia

来源：

JOURNAL OF ARTHROPLASTY | 2013年 / 28卷 / 04期

关键词：

knee; arthroplasty; injection; corticosteroids; pain; MULTIMODAL DRUG INJECTION; CORTICOSTEROID INJECTIONS; INTRAARTICULAR INJECTION; PAIN MANAGEMENT; ANALGESIA; INFILTRATION; HIP; BUPIVACAINE; EFFICACY; PROTOCOL;

D O I：

10.1016/j.arth.2012.07.034

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

100224 [整形外科学];

摘要：

Total knee arthroplasty is a painful operation. Peri-articular local anesthetic injections reduce post-operative pain and assist recovery. It is inconclusive whether intra-operative injections of peri-articular corticosteroids are of benefit. Therefore our clinical question was: in patients with osteoarthritis who are undergoing TKA, does the addition of high or low dose corticosteroid to peri-articular injections of local anesthetic and adrenaline improve post-operative pain and range of motion? We performed a prospective, double-blinded, randomized controlled trial of two different doses of triamcinolone acetate (N = 42 in each group) added to local anesthetic in TKA for osteoarthritis. There were no significant differences in pain scores or ROM between the control and corticosteroid groups. Differences in secondary outcomes were also non-significant. Peri-articular corticosteroids do not appear to be of benefit in TKA. (C) 2013 Elsevier Inc. All rights reserved.

引用

页码：620 / 623

页数：4

共 22 条

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[2]

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 [J].