Local anesthesia combined with intra-articular ropivacaine can provide satisfactory pain control in ankle arthroscopic surgery: A retrospective cohort study.
J Orthop Surg (Hong Kong)
; 28(2): 2309499020938122, 2020.
Article
em En
| MEDLINE
| ID: mdl-32700623
ABSTRACT
BACKGROUND:
Local anesthesia (LA) is widely used in knee arthroscopic surgery but not in ankle arthroscopy.OBJECTIVE:
To understand the effectiveness and safety of LA combined with ropivacaine in pain control for ankle arthroscopy. STUDYDESIGN:
Retrospective cohort.METHODS:
We retrospectively collected data for patients who underwent ankle arthroscopy from April 2012 to April 2017. Patients were grouped by anesthesiamethod:
LA, LA with ropivacaine (LA+R), spinal anesthesia (SA), and SA with ropivacaine (SA+R). Intra- and postoperative visual analog scale (VAS) scores, complications, doses of supplemental pain medication, hospitalization cost and duration, and satisfaction with pain control during hospitalization were analyzed.RESULTS:
The study included 276 patients (LA 93; LA+R 124; SA 31; SA+R 28). The LA and LA+R groups had significantly higher intraoperative VAS scores (LA vs. SA, p = 0.001; LA vs. SA+R, p = 0.002; LA+R vs. SA, p = 0.00; LA+R vs. SA+R, p = 0.00), but fewer complications, than the SA and SA+R groups. The LA+R and SA+R groups had significantly better outcomes for postoperative pain control (LA vs. LA+R, p = 0.01; LA vs. SA+R, p = 0.01; SA vs. SA+R, p = 0.01; SA vs. LA+R, p = 0.03) and required less supplemental pain medication. Hospitalization cost was lower and duration shorter in the LA and LA+R groups than in the SA and SA+R groups. There was no significant difference in satisfaction among the four groups.LIMITATIONS:
This was a single-center retrospective and relatively short-term study.CONCLUSIONS:
LA+R which could be safely applied in ankle arthroscopy provided satisfactory pain control, reduced postoperative pain intensity, fewer complications, shorter hospital stay, and good cost-effectiveness. It can be safely applied in ankle arthroscopy for the specific patients with ankle osteoarthritis.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Dor Pós-Operatória
/
Artroscopia
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Ropivacaina
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Artropatias
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Anestesia Local
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
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Incidence_studies
/
Observational_studies
/
Risk_factors_studies
Idioma:
En
Revista:
J Orthop Surg (Hong Kong)
Ano de publicação:
2020
Tipo de documento:
Article