Efficacy of local infiltration analgesia in post-operative pain management following total knee replacement

Authors

  • Avinash TP Senior Resident, Department of Orthopaedics, Government Medical College, Kannur, Kerala
  • Mithun Shetty Associate Professor, Department of Orthopaedics, AJ Institute of Medical Sciences, Mangaluru, Karnataka, India https://orcid.org/0000-0002-7483-2198
  • Shamana Shetty Assistant Professor, Department of Anaesthesia, Father Muller College of Medical Sciences, Mangaluru, Karnataka, India

DOI:

https://doi.org/10.3126/ajms.v14i3.49999

Keywords:

Local infiltrative anesthesia; Pain; Arthroplasty; Rehabilitation; Infection

Abstract

Background: Post-operative pain and prosthetic joint infections are two crucial impediments in providing a good quality of life after surgery.

Aims and Objectives: In this study, we evaluated the efficacy of local infiltrative anesthesia (LIA) in total knee arthroplasty (TKA) and to study associated complications.

Materials and Methods: The present study was conducted over 2 years. All patients who underwent total knee replacement for degenerative arthritis of the knee were considered for the study. Questionnaire consisted of three sections, first section: Demographic profile, second one: Laterality of knee, duration of surgery, final section: Consisted of pain evaluation by visual analog score. Pain assessment in post-operative period was done for 3 days (72 h) and was estimated using visual analogue score (0–10). Assessment was done at 6 h, 24 h, 48 h, and 72 h after surgery during rest and movement. Data collected were entered and analyzed using SPSS. Association between different variables was done using Chi-square test/Fishers exact test.

Results: Visual analog score was 3.4±1.31 in first 6 h. Visual analog scale scoring was significantly less 48 h of post-surgery. There were no postoperative surgical wound problems in any of the cases and no clinical signs of infection were identified at the end of 3-month post-surgery.

Conclusion: LIA can be considered a safe and effective modality for pain control in knee arthroplasties.

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Published

2023-03-01

How to Cite

Avinash TP, Mithun Shetty, & Shamana Shetty. (2023). Efficacy of local infiltration analgesia in post-operative pain management following total knee replacement. Asian Journal of Medical Sciences, 14(3), 66–70. https://doi.org/10.3126/ajms.v14i3.49999

Issue

Vol. 14 No. 3 (2023)

Section

Original Articles

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Copyright (c) 2023 Asian Journal of Medical Sciences

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