Is early rehabilitation after total knee replacement better with Periarticular injection or Epidural Bupivaccaine?

Ajith, K (2015) Is early rehabilitation after total knee replacement better with Periarticular injection or Epidural Bupivaccaine? Masters thesis, Christian Medical College, Vellore.

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Abstract

OBJECTIVES: Assessment of efficacy of periarticular injection of a cocktail of analgesic drugs in pain reduction after total knee replacement and its comparison with the effectiveness of epidural infusion of bupivaccaine. METHODS: The study was a randomized control trial. Patients undergoing unilateral total knee replacement were included in the study. After preoperative assessment patients were randomized into two groups – one receiving periarticular injection of a cocktail of analgesic drugs, and the other receiving epidural bupivaccaine infusion for pain control. Post operative pain scores were noted on day1, day2, day3 and day10 along with the range of motion. Consumption of morphine and functional rehabilitation were also assessed and statistically analyzed using a repeated measure ANOVA. RESULTS: Patients who received the pericapsular injection of drugs had significantly better pain relief compared to epidural group in the immediate postoperative period. The functional rehabilitation was faster in those who received the pericapsular injection, but by the 10 post op day, there was no difference in the functional ability or pain relief. Range of motion was not significantly affected by the modality of pain control. There were less anaesthesia related side effects like nausea, pruritis, vomiting and urinary retention in those who received pericapsular injections.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Analgesic cocktail ; Post operative analgesia ; Epidural anaesthesia ; Total knee Replacement.
Subjects: MEDICAL > Orthopaedics
Depositing User: Subramani R
Date Deposited: 26 Sep 2017 01:06
Last Modified: 26 Sep 2017 01:06
URI: http://repository-tnmgrmu.ac.in/id/eprint/3343

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