Tourniquet inflation during arthroscopic knee ligament surgery does not increase postoperative pain

Abstract Objective We aimed to evaluate the safety and efficacy of intra-articular (IA) magnesium (Mg) for postoperative pain relief after arthroscopic knee surgery. Methods We searched PubMed, Embase, Medline, Cochrane library, and Web of Science to identify randomized controlled trials that compared postoperative pain outcomes with or without IA Mg after knee arthroscopy. The primary outcomes were pain intensity at rest and with movement at different postoperative time points and cumulative opioid consumption within 24 h after surgery. Secondary outcomes included the time to first analgesic request and side effects. Results In total, 11 studies involving 677 participants met the eligibility criteria. Pain scores at rest and with movement 2, 4, 12, and 24 h after surgery were significantly lower, doses of supplementary opioid consumption were smaller, and the time to first analgesic requirement was longer in the IA Mg group compared with the control group. No significant difference was detected regarding adverse reactions between the groups. Conclusions Intra-articular magnesium is an effective and safe coadjuvant treatment for relieving postoperative pain intensity after arthroscopic knee surgery. Protocol registration at PROSPERO: CRD42020156403.

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In TKA, Lower Versus Higher Tourniquet Inflation Pressures Reduced Postoperative Pain at the Tourniquet Inflation Site and Surgical Site at 24 and 48 Hours and 2 Weeks

The Journal of Bone and Joint Surgery (American) ◽

10.2106/jbjs.21.01008 ◽

2021 ◽

Vol Publish Ahead of Print ◽

Author(s):

David Figueroa

Keyword(s):

Postoperative Pain ◽

Tourniquet Inflation

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Preadministration of flurbiprofen suppresses prostaglandin production and postoperative pain in orthopedic patients undergoing tourniquet inflation

Journal of Clinical Anesthesia ◽

10.1016/j.jclinane.2006.05.028 ◽

2007 ◽

Vol 19 (2) ◽

pp. 97-100 ◽

Cited By ~ 19

Author(s):

Masafumi Takada ◽

Makoto Fukusaki ◽

Yoshiaki Terao ◽

Kazunori Yamashita ◽

Chiaki Inadomi ◽

...

Keyword(s):

Postoperative Pain ◽

Prostaglandin Production ◽

Orthopedic Patients ◽

Tourniquet Inflation

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Analgesic Effect of Dexamethasone after Arthroscopic Knee Surgery: A Randomized Controlled Trial

Pain Research and Management ◽

10.1155/2016/4216469 ◽

2016 ◽

Vol 2016 ◽

pp. 1-6

Author(s):

Jairo Moyano ◽

Maria García ◽

Maria Caicedo

Keyword(s):

Postoperative Pain ◽

Pain Intensity ◽

Knee Surgery ◽

Controlled Study ◽

Opioid Use ◽

Arthroscopic Knee Surgery ◽

Randomized Controlled ◽

Significant Difference ◽

Intraoperative Period ◽

Arthroscopic Knee

Background.Dexamethasone is sometimes used as a coanalgesic because of its anti-inflammatory properties.Objective. To evaluate opioid use, postoperative pain intensity, and side effects after a single dose of dexamethasone in patients undergoing arthroscopic knee surgery.Methods. In this randomized controlled study patients were randomized to receive either 10 mg of intravenous dexamethasone (DM group) or 0.9% normal saline (NS group) during the intraoperative period. Primary outcomes were pain intensity and total morphine and codeine use after surgery.Results. Seventy-eight patients were included in the study. The DM group showed statistically significant higher pain intensity at the fourth postoperative hour (DM: 3.96/10, standard deviation [SD] 0.54; NS: 2.46/10, SD 0.45;p=0.036). No statistically significant difference in total opioid use (morphine plus codeine) was identified with 15.9 (SD 1.97) codeine tablets used in DM group and 20 (SD 2.14) in NS group (p=0.25).Discussion. Pain intensity tended to decrease in both groups suggesting morphine as the main source of analgesia.Conclusions. Intravenous dexamethasone during the intraoperative period has no clinical impact on postoperative pain intensity during the first 48 h after arthroscopic knee surgery. This trial is registered withR000020892.

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Rehabilitation after knee ligament surgery

The American Journal of Sports Medicine ◽

10.1177/036354658000800418 ◽

1980 ◽

Vol 8 (4) ◽

pp. 294-296 ◽

Cited By ~ 9

Author(s):

J.R. Steadman

Keyword(s):

Knee Ligament ◽

Knee Ligament Surgery

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Quality of Life and Functional Outcomes after Multiligament Knee Reconstruction

The Journal of Knee Surgery ◽

10.1055/s-0038-1626737 ◽

2018 ◽

Vol 31 (10) ◽

pp. 970-978 ◽

Cited By ~ 3

Author(s):

George Hatch ◽

Diego Villacis ◽

Dhanur Damodar ◽

Michael Dacey ◽

Anthony Yi

Keyword(s):

Quality Of Life ◽

Linear Regression Analysis ◽

Previous History ◽

Life Questionnaire ◽

Knee Ligament ◽

Management Protocol ◽

Knee Ligament Surgery ◽

History Of

AbstractWe aimed to determine factors that affect the quality of life of patients undergoing a standardized surgical and postoperative management protocol for knee dislocations. A total of 31 patients (33 knees) were included in this study. We contacted patients at a minimum of 12 months postoperatively (mean: 38 months; range, 12–111 months) and administered the previously validated Multiligament Quality of Life questionnaire (ML-QOL), 2000 International Knee Documentation Committee Subjective Knee Form (IKDC), and Lysholm Knee Scoring Scale. We performed independent two-sample t-tests and age-adjusted multivariable linear regression analysis to examine the difference in these scores. Patients who underwent previous knee ligament surgery had significantly worse mean ML-QOL scores relative to patients who did not undergo previous knee ligament surgery (114.3 versus 80.4; p = 0.004) (higher score indicates worse quality of life). All other differences in the ML-QOL scores were not statistically significant. IKDC and Lysholm scores did not differ significantly with regards to the studied variables. Among patients with no previous knee ligament surgery, patients undergoing surgery within 3 weeks of injury had significantly worse mean ML-QOL scores relative to patients undergoing surgery greater than 3 weeks after their injury (98.7 versus 74.7; p = 0.042) and patients with Schenck classification of III or IV had significantly worse mean ML-QOL scores relative to patient with a Schenck classification of I or II (88.7 versus 62.9; p = 0.015). We found that patients with a previous history of knee ligament surgery had a significantly worse quality of life relative to those with no history of knee ligament surgery. This is a level III, retrospective cohort study.

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