Intraarticular glucocorticoid, morphine and bupivacaine reduces pain and convalescence after arthroscopic ankle surgery - A randomized study of 36 patients

被引：17

作者：

Rasmussen, S ^{[1
]}

Kehlet, H

机构：

[1] Univ Copenhagen, Hvidovre Hosp, Dept Orthoped Surg, DK-2650 Hvidovre, Denmark

[2] Univ Copenhagen, Hvidovre Hosp, Dept Surg Gastroenterol, DK-2650 Hvidovre, Denmark

来源：

ACTA ORTHOPAEDICA SCANDINAVICA | 2000年 / 71卷 / 03期

关键词：

D O I：

10.1080/000164700317411924

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：

In a double-blind randomized study, 36 patients undergoing arthroscopic removal of bony spurs and synovitis causing impingement of the ankle were allocated to intraarticular saline or bupivacaine 15 mg + morphine 5 mg + intraarticular methylprednisolone 40 mg. Combined methylprednisolone, bupivacaine and morphine reduced pain, joint swelling, time of immobilization, duration of sick leave and return to sports after the arthroscopic procedure. In the treatment group, 1 patient had transitory purulent arthritis requiring antibiotics and arthroscopic synovectomy occurred.

引用

页码：301 / 304

页数：4

共 19 条

[1]

BAXENDALE BR, 1993, ANAESTHESIA, V48, P961

[2] Arthroscopic treatment of soft-tissue impingement of the ankle in athletes [J].

DeBerardino, TM ;

Arciero, RA ;

Taylor, DC .

ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 1997, 13 (04) :492-498

[3] Neurological complications of ankle arthroscopy [J].

Ferkel, RD ;

Heath, DD ;

Guhl, JF .

ARTHROSCOPY, 1996, 12 (02) :200-208

[4] ANKLE ARTHROSCOPY IN INDUSTRIAL INJURIES OF THE ANKLE [J].

HALL, RL ;

SHEREFF, MJ ;

STONE, J ;

GUHL, JF .

ARTHROSCOPY, 1995, 11 (02) :127-133

[5] GLUCOCORTICOIDS SUPPRESS LEVELS OF IMMUNOREACTIVE BRADYKININ IN INFLAMED TISSUE AS EVALUATED BY MICRODIALYSIS PROBES [J].

HARGREAVES, KM ;

COSTELLO, A .

CLINICAL PHARMACOLOGY & THERAPEUTICS, 1990, 48 (02) :168-178

[6]

Jerosch J, 1994, Knee Surg Sports Traumatol Arthrosc, V2, P176, DOI 10.1007/BF01467922

[7] LOCAL CORTICOSTEROID APPLICATION BLOCKS TRANSMISSION IN NORMAL NOCICEPTIVE C-FIBERS [J].

JOHANSSON, A ;

HAO, J ;

SJOLUND, B .

ACTA ANAESTHESIOLOGICA SCANDINAVICA, 1990, 34 (05) :335-338

[8] Pain relief from intra-articular morphine after knee surgery: A qualitative systematic review [J].

Kalso, E ;

Tramer, MR ;

Carroll, D ;

McQuay, HJ ;

Moore, RA .

PAIN, 1997, 71 (02) :127-134

[9] ARTHROSCOPIC TREATMENT OF SYNOVIAL IMPINGEMENT OF THE ANKLE [J].

MEISLIN, RJ ;

ROSE, DJ ;

PARISIEN, JS ;

SPRINGER, S .

AMERICAN JOURNAL OF SPORTS MEDICINE, 1993, 21 (02) :186-189

[10] ANTERIOR IMPINGEMENT OF THE ANKLE TREATED BY ARTHROSCOPIC REMOVAL OF BONY SPURS [J].

OGILVIEHARRIS, DJ ;

MAHOMED, N ;

DEMAZIERE, A .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1993, 75 (03) :437-440

← 1 2 →