Open AccessEfficacy of Periarticular Cocktail Injection in Rheumatoid Patients Undergoing Total Knee Replacement
Author(s) -
Nikhil Joseph Martin,
Vinod Padmanabhan,
Johny Joseph Pindis
Publication year - 2020
Publication title -
indian journal of orthopaedics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.434
H-Index - 33
eISSN - 1998-3727
pISSN - 0019-5413
DOI - 10.1007/s43465-020-00230-3
Subject(s) - medicine , ropivacaine , analgesic , perioperative , anesthesia , rheumatoid arthritis , range of motion , adverse effect , surgery , knee replacement , arthroplasty , fentanyl
Pain control after total knee replacement (TKR) is of primary importance to joint replacement surgeons to achieve good functional outcome post-surgery. This becomes even more challenging when these major procedures are done in immunocompromised patients like rheumatoid arthritis. Good peri-operative analgesia facilitates early rehabilitation, improves patient satisfaction, and reduces the hospital stay. The adverse effects caused by epidural analgesia or parenteral opioids can be avoided by replacing it with an analgesic cocktail locally. Our prospective study was to evaluate the benefits of a periarticular cocktail injection which was given in rheumatoid patients undergoing bilateral TKR in single sitting with respect to pain and knee motion recovery.