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A prospective randomised double blind study comparing the efficacy of peri-articular injection with bupivacaine and levobupivacaine for postoperative pain control in total knee arthroplasty

Author(s)
Rohit Kumar Varshney Department of Anesthesiology, Teerthankar Mahaveer Medical College, Moradabad, U.P, (India)
Najamul Huda Department of Orthopedics, Teerthanker Mahaveer Medical College, Moradabad, U.P, (India)
Abstract
Objective: Adequate control of postoperative pain management after total knee arthroplasty (TKA) remains a big challenge for the clinicians, as if left unrelieved, it might cause a delayed recovery of the patient and a prolonged hospital stay. Not much literature is found regarding the peri-articular use of levobupivacaine in patients undergoing TKA. So, we aimed to compare the efficacy of peri-articular infiltration of bupivacaine and levobupivacaine for postoperative pain control in TKA. Methodology: We organised a randomised, prospective, double blind study and enrolled sixty patients undergoing TKA by a single surgeon. Group L (Levobupivacaine) received peri-articular injections with 0.20% levobupivacaine before wound closure and Group B (Bupivacaine) patients received a 0.25% bupivacaine injection. All the cases were performed by a standardized anesthetic technique, postoperative pain control and rehabilitation protocol. Results: Postoperative morphine consumption within first twelve hours was observed to be significantly reduced in Group L (P < 0.05). However, no significant difference was observed in the two groups on comparing postoperative morphine consumption between 12-96 hours. VAS scores were also found to be comparable between the groups. Conclusion: Administration of peri-articular injection with levobupivacaine before the wound closure was shown to be an effective method for postoperative analgesia after TKA with minimal side effects.
Publication Details
Page(s) 315-319
DOI DOI not available
Published Journal: Anaesthesia, Pain and Intensive Care, Volume: 20, Issue: 3, Year: 2016

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Keywords
Bupivacaine, Total knee arthroplasty, Levobupivacaine, Peri-articular injection
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