Forskning ved Københavns Universitet - Københavns Universitet

Forside

A compression bandage improves local infiltration analgesia in total knee arthroplasty

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

  • Lasse Andersen
  • Henrik Husted
  • Niels Kristian Stahl Kri Otte
  • Billy Bjarne Kristensen
  • Kehlet, Henrik
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
Udgivelsesdato: 2008/12
OriginalsprogEngelsk
TidsskriftActa Orthopaedica (Print Edition)
Vol/bind79
Udgave nummer6
Sider (fra-til)806-811
Antal sider5
ISSN1745-3674
DOI
StatusUdgivet - 2008

ID: 10905644