Journal of the Medical Association of Thailand = Chotmaihet thangphaet
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Randomized Controlled Trial
Post-op pain and blood loss in total knee arthroplasty: an RCT using periarticular injection with diclofenac-based multimodal drugs.
To study post-operative pain and blood loss after intraoperative periarticular injection with the multimodal drugs diclofenac, adrenaline, marcaine (bupivacaine) and morphine in total knee arthroplasty. ⋯ Multimodal drugs, periarticular injections consisting of diclofenac, adrenaline, Marcaine plus a patient controled anesthetic machine (PCA) with morphine can significantly reduce post-operative pain and blood loss in total knee arthroplasty without significant adverse effects.
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Knee osteoarthritis (OA) with pain, stiffness and functional limitations is associated with risk of falls. Total knee arthroplasty (TKA) is an effective treatment for OA knee and affords significant improvements in pain, function and proprioception. Many studies have shown proprioceptive/balance deficits and decreases in knee extension strength following TKA, which could increase risk of falls. ⋯ The prevalence rate offalls for this group of TKA patients was about 42%. Limited motion and pain of the knee joint were associated with falls in this study group.