지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2014.1
- 수록면
- 493 - 498 (6page)
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Purpose: Although the analgesic effects of corticosteroids have been well documented,little information is available on periarticular injection (PI) containing corticosteroidsfor early postoperative pain management after total knee arthroplasty (TKA). We performed a prospective double-blind randomized trial to evaluate the efficacy and safety of an intraoperative corticosteroid PI in patients undergoing TKA. Materials and Methods: Seventy-six consecutive female patients undergoingbilateral staged TKA were randomized to receive steroid or non-steroid PI, with 3 months separating the procedures. The steroid group received PI with a mixture containing triamcinolone acetonide (40 mg). The non-steroid group receivedthe same injection mixture without corticosteroid. During the postoperative period, nighttime pain, functional recovery [straight leg raising (SLR) ability and maximal flexion], patient satisfaction, and complications were recorded. Short-term postoperative clinical scores and patient satisfaction were evaluated at 6 months. Results: The pain level was significantly lower in the PI steroid than the non-steroid group on the night of the operation (VAS, 1.2 vs. 2.3; p=0.021). Reboundpain was observed in both groups at POD1 (VAS, 3.2 vs. 3.8; p=0.248), but pain remained at a low level thereafter. No significant differences were seen in maximal flexion, frequency of acute rescuer, clinical scores, and patient satisfaction. The steroid group was able to perform SLR earlier than the non-steroid group (p=0.013). The incidence of complications was similar between the groups. Conclusion:PI containing a corticosteroid provided an additional pain-relieving effect on the night of the operation. In addition, corticosteroid PI did not increase the perioperative complications of TKA.
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참고문헌 (18)
참고문헌 신청
Armstrong RW / 1992 / Septic arthritis following arthroscopy: clinical syndromes and analysis of risk factors / Arthroscopy 8 : 213 ~ 223
Busch CA / 2006 / Efficacy of periarticular multimodal drug injection in total knee arthroplasty. A randomized trial / J Bone Joint Surg Am 88 : 959 ~ 963
Christensen CP / 2009 / Effect of periarticular corticosteroid injections during total knee arthroplasty. A double-blind randomized trial / J Bone Joint Surg Am 91 : 2550 ~
DeLeo JA / 2006 / Basic science of pain / J Bone Joint Surg Am 88 (Suppl 2) : 58 ~ 62
Gilron I / 2004 / Corticosteroids in postoperative pain management: future research directions for a multifaceted therapy / Acta Anaesthesiol Scand 48 : 1221 ~ 1222
Busch CA / 2006 / Efficacy of periarticular multimodal drug injection in total knee arthroplasty. A randomized trial / J Bone Joint Surg Am 88 : 959 ~ 963
Christensen CP / 2009 / Effect of periarticular corticosteroid injections during total knee arthroplasty. A double-blind randomized trial / J Bone Joint Surg Am 91 : 2550 ~
DeLeo JA / 2006 / Basic science of pain / J Bone Joint Surg Am 88 (Suppl 2) : 58 ~ 62
Gilron I / 2004 / Corticosteroids in postoperative pain management: future research directions for a multifaceted therapy / Acta Anaesthesiol Scand 48 : 1221 ~ 1222
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