A compression bandage improves local infiltration analgesia in total knee arthroplasty

Lasse Andersen; Henrik Husted; Niels Kristian Stahl Kri Otte; Billy Bjarne Kristensen; Henrik Kehlet

doi:10.1080/17453670810016894

A compression bandage improves local infiltration analgesia in total knee arthroplasty

Lasse Andersen, Henrik Husted, Niels Kristian Stahl Kri Otte, Billy Bjarne Kristensen, Henrik Kehlet

Department of Clinical Medicine

82 Citations (Scopus)

Abstract

BACKGROUND: High-volume local infiltration analgesia has been shown to be an effective pain treatment after knee replacement, but the role of bandaging to prolong analgesia has not been evaluated. METHODS: 48 patients undergoing fast-track total knee replacement with high-volume (170 mL) 0.2% ropivacaine infiltration analgesia were randomized to receive a compression or a non-compression bandage, and pain was assessed at rest and with mobilization at regular intervals for 24 h postoperatively. RESULTS: Pain at rest, during flexion, or on straight leg lift was lower for the first 8 h in patients with compression bandage than in those with non-compression bandage and with a similar low use of oxycodone. Mean hospital stay was similar (2.8 days and 3.3 days, respectively). INTERPRETATION: A compression bandage is recommended to improve analgesia after high-volume local infiltration analgesia in total knee arthroplasty
Udgivelsesdato: 2008/12

Original language	English
Journal	Acta Orthopaedica (Print Edition)
Volume	79
Issue number	6
Pages (from-to)	806-811
Number of pages	5
ISSN	1745-3674
DOIs	https://doi.org/10.1080/17453670810016894
Publication status	Published - 2008

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10.1080/17453670810016894

Cite this

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title = "A compression bandage improves local infiltration analgesia in total knee arthroplasty",

abstract = "BACKGROUND: High-volume local infiltration analgesia has been shown to be an effective pain treatment after knee replacement, but the role of bandaging to prolong analgesia has not been evaluated. METHODS: 48 patients undergoing fast-track total knee replacement with high-volume (170 mL) 0.2% ropivacaine infiltration analgesia were randomized to receive a compression or a non-compression bandage, and pain was assessed at rest and with mobilization at regular intervals for 24 h postoperatively. RESULTS: Pain at rest, during flexion, or on straight leg lift was lower for the first 8 h in patients with compression bandage than in those with non-compression bandage and with a similar low use of oxycodone. Mean hospital stay was similar (2.8 days and 3.3 days, respectively). INTERPRETATION: A compression bandage is recommended to improve analgesia after high-volume local infiltration analgesia in total knee arthroplasty Udgivelsesdato: 2008/12",

author = "Lasse Andersen and Henrik Husted and Otte, {Niels Kristian Stahl Kri} and Kristensen, {Billy Bjarne} and Henrik Kehlet",

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T1 - A compression bandage improves local infiltration analgesia in total knee arthroplasty

AU - Andersen, Lasse

AU - Husted, Henrik

AU - Otte, Niels Kristian Stahl Kri

AU - Kristensen, Billy Bjarne

AU - Kehlet, Henrik

PY - 2008

Y1 - 2008

N2 - BACKGROUND: High-volume local infiltration analgesia has been shown to be an effective pain treatment after knee replacement, but the role of bandaging to prolong analgesia has not been evaluated. METHODS: 48 patients undergoing fast-track total knee replacement with high-volume (170 mL) 0.2% ropivacaine infiltration analgesia were randomized to receive a compression or a non-compression bandage, and pain was assessed at rest and with mobilization at regular intervals for 24 h postoperatively. RESULTS: Pain at rest, during flexion, or on straight leg lift was lower for the first 8 h in patients with compression bandage than in those with non-compression bandage and with a similar low use of oxycodone. Mean hospital stay was similar (2.8 days and 3.3 days, respectively). INTERPRETATION: A compression bandage is recommended to improve analgesia after high-volume local infiltration analgesia in total knee arthroplasty Udgivelsesdato: 2008/12

AB - BACKGROUND: High-volume local infiltration analgesia has been shown to be an effective pain treatment after knee replacement, but the role of bandaging to prolong analgesia has not been evaluated. METHODS: 48 patients undergoing fast-track total knee replacement with high-volume (170 mL) 0.2% ropivacaine infiltration analgesia were randomized to receive a compression or a non-compression bandage, and pain was assessed at rest and with mobilization at regular intervals for 24 h postoperatively. RESULTS: Pain at rest, during flexion, or on straight leg lift was lower for the first 8 h in patients with compression bandage than in those with non-compression bandage and with a similar low use of oxycodone. Mean hospital stay was similar (2.8 days and 3.3 days, respectively). INTERPRETATION: A compression bandage is recommended to improve analgesia after high-volume local infiltration analgesia in total knee arthroplasty Udgivelsesdato: 2008/12

U2 - 10.1080/17453670810016894

DO - 10.1080/17453670810016894

M3 - Journal article

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SN - 1745-3674

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EP - 811

JO - Acta Orthopaedica

JF - Acta Orthopaedica

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