Archives of Orthopaedic and Trauma Surgery

, Volume 127, Issue 4, pp 241–244

Pre- versus postoperative intraarticular application of local anesthetics and opioids versus femoral nerve block in anterior cruciate ligament repair

  • Hermann O. Mayr
  • Elmar Entholzner
  • Robert Hube
  • Werner Hein
  • Thomas G. Weig
Original Article

DOI: 10.1007/s00402-006-0147-0

Cite this article as:
Mayr, H.O., Entholzner, E., Hube, R. et al. Arch Orthop Trauma Surg (2007) 127: 241. doi:10.1007/s00402-006-0147-0

Abstract

Background: Often anterior cruciate ligament (ACL) reconstruction is performed as outpatient surgery. This requires a patient friendly postoperative pain management. Three common procedures were compared in this trial. Methods: In a prospective, randomized study the effect of postoperative pain management using preoperative intraarticular anesthesia (0.1 mg Fentanyl + 8 ml Bupivacain 0.5%) was compared with postoperative intraarticular anesthesia (0.1 mg Fentanyl + 8 ml Bupivacain 0.5%) and the femoralis 3-in-1 nerve block (20 ml Prilocain 1% + 20 ml Bupivacain 0.5%) in 157 patients who underwent arthroscopic ACL-plasty. Results: Preoperative intraarticular anesthesia and the femoralis 3-in-1 nerve block showed the same postoperative analgesia and satisfactory pain scores in most cases. Postoperative intraarticular anesthesia was less effective. Conclusion: Our data show that in anterior cruciate ligament reconstruction preoperative intraarticular analgesia with Bupivacain/Fentanyl is satisfactory and equal to the femoralis 3-in-1 nerve block with Bupivacain.

Keywords

Postoperative analgesia Intraarticular analgesics Knee arthroscopy Preoperative intraarticular analgesia Anterior cruciate ligament repair 

Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • Hermann O. Mayr
    • 1
  • Elmar Entholzner
    • 1
  • Robert Hube
    • 1
  • Werner Hein
    • 3
  • Thomas G. Weig
    • 2
  1. 1.Department of Orthopedic SurgeryOCM-ClinicMunichGermany
  2. 2.Clinic for AnesthesiologyLudwig-Maximilians-University MunichMunichGermany
  3. 3.Clinic for Orthopedic SurgeryMartin-Luther-University Halle-WittenbergHalle (Saale)Germany

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