Comparison of the Post-Total Knee Arthroplasty Analgesic Effect of Intraoperative Periarticular Injection of Different Analgesics

Liu, Moying; Zhang, Dongliang; Shi, Bingjie

doi:10.29271/jcpsp.2019.12.1169

Cited by 4 publications

(9 citation statements)

References 18 publications

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“…The higher the score, the more severe the pain. 16 Rehabilitation of knee joint function, as evaluated using the Queisen Functional Calculus Index (Lequesne Score), which includes the longest walking distance (1-8 points), pain or discomfort (0-8 points), and daily life dysfunction (0-8 points). The higher the score, the more severe the condition and the worse the functional condition.…”

Section: Methodsmentioning

confidence: 99%

The efficacy of extracorporeal shock wave combined with platelet rich plasma in the treatment of knee osteoarthritis with meniscus injury: A retrospective analysis

Li,

et al. 2023

Pak J Med Sci

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Objective: To determine the efficacy of extracorporeal shock wave (ESW) combined with autologous platelet-rich plasma (PRP) therapy on knee osteoarthritis (KOA) with meniscus injury in terms of pain relief, functional outcome and complications. Methods: This is a retrospective observational study. Clinical data of 144 patients with KOA accompanied by medial meniscus injury, who received treatment in Jilin Provincial People’s Hospital from March 2021 to December 2022, were retrospectively evaluated. A total of 128 patients (81 males and 47 females) were finally included in the study after screening. Of them, 45 patients received PRP treatment (PRP-group), 43 patients received ESW treatment (ESW-group), and 40 patients received ESW combined with PRP treatment (Combined-group). The relief of knee joint pain and functional improvement among three groups of patients were compared. Results: After treatment, visual analogue scale (VAS), Lequesne, and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores of patients in the Combined-group were significantly lower than those in the other two groups (p<0.05). Combined ESW-PRP treatment was associated with significantly greater joint range of motion of patients compared to ESW and PRP alone (p<0.05). The total incidence of related complications in the Combined-group was lower compared to the other two groups (p<0.05). Conclusions: Compared with PRP or ESW treatment alone, ESW combined with PRP for KOA with meniscus injury can better alleviate pain, achieve faster functional recovery, and significantly reduce complications. doi: https://doi.org/10.12669/pjms.40.3.8670 How to cite this: Li J, Li J, Li D, Jin X, Liu S, Zhang L. The efficacy of extracorporeal shock wave combined with platelet rich plasma in the treatment of knee osteoarthritis with meniscus injury: A retrospective analysis. Pak J Med Sci. 2024;40(3):---------. doi: https://doi.org/10.12669/pjms.40.3.8670 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: Methodsmentioning

confidence: 99%

The efficacy of extracorporeal shock wave combined with platelet rich plasma in the treatment of knee osteoarthritis with meniscus injury: A retrospective analysis

Li,

et al. 2023

Pak J Med Sci

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“…Total perioperative blood loss and hemoglobin change was increased in the ketorolac group but showed no difference in blood transfusion 1 × DVT in Ketorolac group, 1 × PJI in parecoxib group. No statistical difference in complications between groups Liu et al [ 44 ] RCT 134 patients receiving TKAs 1. (A) patients receiving PAI cocktail containing 400 mg ropivacaine, 30 mg ketorolac, 0.3 mg adrenaline, 5 mg morphine, diluted in normal saline 2.…”

Section: Ketorolac (Toradol)mentioning

confidence: 99%

“…Decreased opioid usage was reported by Nikhar [ 3 ], Tammachote [ 47 ] and Andersen [ 37 ], but opioid usage was otherwise not significantly reduced [ 38 – 40 ]. Improvements in postoperative function, including range of motion [ 39 , 40 , 42 , 44 – 46 ] and time to home readiness [ 37 ], were also investigated and were generally favorable, with some exceptions [ 39 , 45 ]. Complications in the studies with ketorolac infiltration were rare, with one episode of hematoma [ 37 ] and one episode of DVT [ 43 ] highlighted across the studies.…”

Section: Ketorolac (Toradol)mentioning

confidence: 99%

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Periarticular infiltration used in total joint replacements: an update and review article

King,

Le,

Nickol

et al. 2023

J Orthop Surg Res

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Periarticular infiltration following total knee and hip arthroplasty has been demonstrated to be equivalent to peripheral nerve blocks for postoperative pain management. The ideal cocktail has not been established yet. We have conducted a literature search on PubMed and Embase. Our search criteria included randomized controlled trials (RCTs) and systematic reviews (SRs). We tried to only include the most recent studies to keep the information current. The included research focused at Dexmedetomidine, Liposomal Bupivacaine, Ropivacaine, Epinephrine, Ketorolac, Morphine, Ketamine and Glucocorticosteroids. Each medication’s mode of action, duration, ideal dosage, contraindications, side effects and effectiveness have been summarized in the review article. This article will help the clinician to make an informed evidence-based decision about which medications to include in their ideal cocktail.

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“…Some centers have added other potentiating agents, such as corticosteroids, epinephrine, and clonidine, with mixed effects reported. Ultimately, a widely accepted standard for LIA composition remains to be established 58,59 . Early studies on liposomal bupivacaine (LB) highlighted the potential advantage of its prolonged anesthetic duration due to its favorable absorption profile, upwards of 72 hours.…”

Section: Pain Managementmentioning

confidence: 99%

Same-Day Outpatient Lower-Extremity Joint Replacement

et al. 2022

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The economics of transitioning total joint arthroplasty (TJA) to standalone ambulatory surgery centers (ASCs) should not be capitalized on at the expense of patient safety in the absence of established superior patient outcomes. » Proper patient selection is essential to maximizing safety and avoiding complications resulting in readmission. » Ambulatory TJA programs should focus on reducing complications frequently associated with delays in discharge. » The transition from hospital-based TJA to ASC-based TJA has substantial financial implications for the hospital, payer, patient, and surgeon.

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Comparison of the Post-Total Knee Arthroplasty Analgesic Effect of Intraoperative Periarticular Injection of Different Analgesics

Abstract: Objective: To compare post-TKA (total knee arthroplasty) analgesic effect of periarticular injection of different analgesics during surgery. Study Design: Experimental study.

Cited by 4 publications

References 18 publications

The efficacy of extracorporeal shock wave combined with platelet rich plasma in the treatment of knee osteoarthritis with meniscus injury: A retrospective analysis

The efficacy of extracorporeal shock wave combined with platelet rich plasma in the treatment of knee osteoarthritis with meniscus injury: A retrospective analysis

Periarticular infiltration used in total joint replacements: an update and review article

Same-Day Outpatient Lower-Extremity Joint Replacement

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