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J Bone Joint Surg Br · Dec 2006
Randomized Controlled TrialThe efficacy of intra-articular bupivacaine for relief of pain following arthroscopy of the ankle.
- F Middleton, J Coakes, S Umarji, S Palmer, R Venn, and S Panayiotou.
- Worthing and Southlands NHS Trust, Worthing, West Sussex, UK. fionamiddleton@doctors.org.uk
- J Bone Joint Surg Br. 2006 Dec 1;88(12):1603-5.
AbstractThe intra-articular injection of local anaesthetic is frequently used for pain relief after arthroscopy. There is, however, no published evidence of the analgesic effect of bupivacaine in the ankle. In a randomised, double-blind study, 35 patients undergoing arthroscopy of the ankle were allocated to receive intra-articular saline or bupivacaine. Pain was assessed using pain scores and additional analgesic requirements. Intra-articular bupivacaine had a significant analgesic effect in the immediate post-operative period, reducing pain scores and the need for additional analgesics. We recommend the use of intra-articular bupivacaine for post-operative analgesia in ankle surgery.
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