The efficacy of intra-articular bupivacaine for relief of pain following arthroscopy of the ankle

F. Middleton; J. Coakes; S. Umarji; S. Palmer; R. Venn; S. Panayiotou

doi:10.1302/0301-620X.88B12.17740

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The efficacy of intra-articular bupivacaine for relief of pain following arthroscopy of the ankle

F. Middleton
J. Coakes
S. Umarji
S. Palmer
R. Venn
S. Panayiotou

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The efficacy of intra-articular bupivacaine for relief of pain following arthroscopy of the ankle

Middleton F, Coakes J, Umarji S, Palmer S, Venn R, Panayiotou S. The efficacy of intra-articular bupivacaine for relief of pain following arthroscopy of the ankle. J Bone Joint Surg Br. 2006;88-B(12):1603-1605. doi:10.1302/0301-620X.88B12.17740

Middleton, F., et al. “The efficacy of intra-articular bupivacaine for relief of pain following arthroscopy of the ankle.” The Journal of Bone & Joint Surgery British Volume, vol. 88-B, no. 12, 2006, pp. 1603-1605., https://doi.org/10.1302/0301-620X.88B12.17740

Middleton, F., Coakes, J., Umarji, S., Palmer, S., Venn, R., & Panayiotou, S. (2006). The efficacy of intra-articular bupivacaine for relief of pain following arthroscopy of the ankle. The Journal of Bone & Joint Surgery British Volume, 88-B(12), 1603-1605. https://doi.org/10.1302/0301-620X.88B12.17740

Middleton, F., Coakes, J., Umarji, S., Palmer, S., Venn, R. and Panayiotou, S. (2006) “The efficacy of intra-articular bupivacaine for relief of pain following arthroscopy of the ankle.” The Journal of Bone & Joint Surgery British Volume, 88-B(12), pp. 1603-1605. Available at: https://doi.org/10.1302/0301-620X.88B12.17740

Middleton, F., J. Coakes, S. Umarji, S. Palmer, R. Venn, and S. Panayiotou. “The efficacy of intra-articular bupivacaine for relief of pain following arthroscopy of the ankle.” The Journal of Bone & Joint Surgery British Volume 88-B, no. 12 (2006): 1603-1605. https://doi.org/10.1302/0301-620X.88B12.17740

Middleton F, Coakes J, Umarji S, Palmer S, Venn R, Panayiotou S. The efficacy of intra-articular bupivacaine for relief of pain following arthroscopy of the ankle. J Bone Joint Surg Br. 2006 Dec 1;88-B(12):1603-1605. https://doi.org/10.1302/0301-620X.88B12.17740

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Abstract

The 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.

Correspondence should be sent to Miss F. Middleton at 18 Wodeland Avenue, Guildford GU2 4JX, UK; e-mail: fionamiddleton@doctors.org.uk

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