Open AccessINTRAARTICULAR MORPHINE FOR POST OPERATIVE KNEE ARTHROSCOPY ANALGESIA
Author(s) -
Deepak Prakash Mahara,
Arjun Lamichhane
Publication year - 2004
Publication title -
journal of nepal medical association
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.176
H-Index - 19
eISSN - 1815-672X
pISSN - 0028-2715
DOI - 10.31729/jnma.561
Subject(s) - medicine , arthroscopy , morphine , opioid , surgery , knee arthroscopy , orthopedic surgery , osteoarthritis , anesthesia , knee pain , knee joint , pain relief , receptor , alternative medicine , pathology
Key Words: Knee arthroscopy, Morphine, Opioid receptors, Post-operative pain.The Arthroscopy has dramatically changed the orthopedic surgeon's approach to the diagnosis and treatmentof variety of joint ailments. A degree of clinical accuracy, combined with low morbidity has encouraged theuse of arthroscopy to assist in diagnosis to determine prognosis and often to provide treatment. Recentwork has described peripheral opioid receptors in skin and synovium. The later may respond to the use ofintra-articular morphine for analgesia following knee arthroscopy.Two hundred and twenty five patients who had undergone different arthroscopic procedures for the last 3and half years were prospectively evaluated. Of the total arthroscopic procedures evaluated, meniscalpathology was found in 154 patients, synovial pathology in 14 patients, Anterior CruciateLigament (ACL)and Posterior Cruciate Ligament (PCL) insufficiency in 18 patients, chondral lesions in 25 patients, tightlateral structures in 6 patients and loose bodies in 8 patients. All the patients were operated on outpatientbasis. Routine intra-articular morphine (2 mg.) was used for postoperative pain relief. Drain was not putfollowing the procedures. All the patients were seen on the 5th postoperative day. Most patients were satisfiedwith the pain relief modality and needed analgesics in few patients. Postoperative low dose intra-articularmorphine injection has been found to be good alternative to other pain management modalities.