The Efficacy of Periarticular Multimodal Drug Injection for Postoperative Pain Management in Total Knee or Hip Arthroplasty

被引：120

作者：

Jiang, Jin ^{[1
]}

Teng, Yuanjun ^{[1
]}

Fan, Zhenzhen ^{[2
]}

Khan, Md Shahidur ^{[1
]}

Cui, Zhaohui ^{[1
]}

Xia, Yayi ^{[1
]}

机构：

[1] Lanzhou Univ, Hosp 2, Dept Orthopaed, Orthopaed Key Lab Gansu Prov, Lanzhou 730030, Gansu, Peoples R China

[2] Lanzhou Univ, Hosp 2, Dept Neurol, Lanzhou 730030, Gansu, Peoples R China

来源：

JOURNAL OF ARTHROPLASTY | 2013年 / 28卷 / 10期

关键词：

periarticular multimodal drug injection; knee arthroplasty; hip arthroplasty; LOCAL INFILTRATION ANALGESIA; CONSENSUS RECOMMENDATIONS; CONTROLLED-TRIAL; REHABILITATION; PROTOCOL; CONSUMPTION; PLACEBO; TKA;

D O I：

10.1016/j.arth.2013.06.031

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：

The efficacy of periarticular multimodal drug injection (PMDI) to reduce pain after total knee or hip arthroplasty (TKA or THA) still remains controversial. Our study aimed at evaluating the efficacy of PMDI after TKA or THA. A fully recursive literature search was conducted to identify relevant randomized controlled trials. Ultimately, 21 studies were included in the analysis. Pooled results showed that the PMDI group had better pain relief, less opioid consumption, larger range of motion, and lower rates of nausea and vomiting than the placebo group. No significant difference was seen in regard to the length of hospital stay between the two groups. In conclusion, PMDI should be recommended for the pain management after TKA or THA. Crown Copyright (C) 2013 Published by Elsevier Inc. All rights reserved.

引用

页码：1882 / 1887

页数：6

共 38 条

[1]

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