Postoperative pain comparison between steroids anesthetic infiltration, and pure anestheticinfiltration after arthoscopic knee menisectomy

摘要

Objective: To evaluate the effectiveness of postoperative local anesthetic infiltration alone and combined with corticosteroid for the treatment of pain and inflammation in the early postoperative period in patients undergoing arthroscopic meniscal pathology. Material and method: A prospective randomized clinical study, 60 patients who underwent arthroscopic meniscectomy. After surgery, patients were randomly assigned to one of two study groups and infiltrated a group 10 ml of bupivacaine hydrochloride 0.5% and on the other the same anesthetic, associated with triamcinolone acetonide (solution of 40 mg). Pain perception was objectively measured by the Visual Analog Scale (VAS), postoperative pain recorded at 2, 4 and 24 hours and 15 days and a month after the intervention. Results: No significant differences were found between the different groups. Conclusion: Postoperative anesthetic infiltration single dose is a very useful procedure for the management of postoperative pain in patients requiring arthroscopic meniscectomy performing. Key words: Postoperative analgesia, knee arthroscopy. Correspondencia: A álvarez Castro Servicio de Cirugía Ortopédica y Traumatología del Complejo AsistencialUniversitario de León. Altos de Nava s. 24071 León, Espa?a. e-mail: due_marfan@hotmail.com