A compression bandage improves local infiltration analgesia in total knee arthroplasty

被引：82

作者：

Andersen, Lasse O. ^{[1
]}

Husted, Henrik ^{[2
]}

Otte, Kristian S. ^{[2
]}

Kristensen, Billy B. ^{[1
]}

Kehlet, Henrik ^{[3
]}

机构：

[1] Hvidovre Univ Hosp, Dept Anesthesiol, Copenhagen, Denmark

[2] Hvidovre Univ Hosp, Dept Orthoped Surg, Copenhagen, Denmark

[3] Univ Copenhagen, Rigshosp, Juliane Marie Ctr, Sect Surg Pathophysiol 4074, DK-1168 Copenhagen, Denmark

来源：

ACTA ORTHOPAEDICA | 2008年 / 79卷 / 06期

关键词：

D O I：

10.1080/17453670810016894

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：

摘要：

Background High-volume local infiltration analgesia has been shown to be an effective pain treatment after knee replacement, but the role of bandaging to prolong analgesia has not been evaluated. Methods 48 patients undergoing fast-track total knee replacement with high-volume (170 mL) 0.2% ropivacaine infiltration analgesia were randomized to receive a compression or a non-compression bandage, and pain was assessed at rest and with mobilization at regular intervals for 24 h postoperatively. Results Pain at rest, during flexion, or on straight leg lift was lower for the first 8 h in patients with compression bandage than in those with non-compression bandage and with a similar low use of oxycodone. Mean hospital stay was similar (2.8 days and 3.3 days, respectively). Interpretation A compression bandage is recommended to improve analgesia after high-volume local infiltration analgesia in total knee arthroplasty.

引用

页码：806 / 811

页数：6

共 15 条

[1] 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].

Andersen, Karen V. ;

Pfeiffer-Jensen, Mogens ;

Haraldsted, Viggo ;

Soballe, Kjeld .

ACTA ORTHOPAEDICA, 2007, 78 (02) :180-186

[2] Postoperative analgesia in total hip arthroplasty - A randomized double-blinded, placebo-controlled study on peroperative and postoperative ropivacaine, ketorolac, and adrenaline wound infiltration [J].

Andersen, Lasse Juel ;

Poulsen, Thomas ;

Krogh, Bo ;

Nielsen, Tommy .

ACTA ORTHOPAEDICA, 2007, 78 (02) :187-192

[3] Perineural infusion of local anesthetics [J].

Boezaart, AP .

ANESTHESIOLOGY, 2006, 104 (04) :872-880

[4] Efficacy of periarticular multimodal drug injection in total knee arthroplasty - A randomized trial [J].

Busch, CA ;

Shore, BJ ;

Bhandari, R ;

Ganapathy, S ;

MacDonald, SJ ;

Bourne, RB ;

Rorabeck, CH ;

McCalden, RW .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2006, 88A (05) :959-963

[5] Bandaging technique after knee replacement [J].

Charalambides, C ;

Beer, M ;

Melhuish, J ;

Williams, RJ ;

Cobb, AG .

ACTA ORTHOPAEDICA, 2005, 76 (01) :89-94

[6]

Choi P T, 2003, Cochrane Database Syst Rev, pCD003071, DOI 10.1002/14651858.CD003071

[7] Epidural infusion or combined femoral and sciatic nerve blocks as perioperative analgesia for knee arthroplasty [J].

Davies, AF ;

Segar, EP ;

Murdoch, J ;

Wright, DE ;

Wilson, IH .

BRITISH JOURNAL OF ANAESTHESIA, 2004, 93 (03) :368-374

[8] Liberal versus restrictive fluid management in knee arthroplasty: A randomized, double-blind study [J].

Holte, Kathrine ;

Kristensen, Billy B. ;

Valentiner, Lotte ;

Foss, Nicolai B. ;

Husted, Henrik ;

Kehlet, Henrik .

ANESTHESIA AND ANALGESIA, 2007, 105 (02) :465-474

[9] Fast track in total hip and knee arthroplasty - experiences from Hvidovre University Hospital, Denmark [J].

Husted, Henrik ;

Holm, Gitte .

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2006, 37 :S31-S35

[10] Local infiltration analgesia: a technique for the control of acute postoperative pain following knee and hip surgery - A case study of 325 patients [J].

Kerr, Dennis R. ;

Kohan, Lawrence .

ACTA ORTHOPAEDICA, 2008, 79 (02) :174-183

← 1 2 →