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.
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收藏
页码：806 / 811
页数：6
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