Post-operative pain control following arthroscopic rotator cuff repair: peri-articular injection versus interscalene brachial plexus block.

Abstract:

PURPOSE:To compare post-operative pain relief with peri-articular injection (PI) versus interscalene brachial plexus block (IBPB) after arthroscopic rotator cuff repair (ARCR) surgery. METHODS:We retrospectively reviewed 121 consecutive patients undergoing ARCR surgery divided into two groups: the PI group and the IBPB group. We compared complications and self-reported pain score measured using a Numerical Rating Scale (NRS) during the initial 24 hours after surgery. RESULTS:The NRS scores recorded in the recovery room (0), 0.5, and four hours post-operatively were higher in the PI group (n = 38) than the IBPB group (n = 52) (2.1 vs. 0.8, p = 0.014; 1.4 vs. 0.5, p = 0.0069; and 1.3 vs. 0.5, p = 0.012, respectively). However, the NRS scores recorded at 16, 20, and 24 hours post-operatively were lower in the PI group than in the IBPB group (1.4 vs. 3.1, p < 0.0001; 1.4 vs. 3.2, p < 0.0001; and 1.7 vs. 3.2, p = 0.00046, respectively). The incidences of post-operative nausea and temporary numbness in the upper arm were significantly lower in the PI group than in the IBPB group (7.9% vs. 33%, p = 0.0052; and 13% vs. 85%, p < 0.0001, respectively). CONCLUSIONS:Although IBPB provided superior pain control during the initial few hours after ARCR surgery, PI was superior from 16 to 24 hours post-operatively. The rates of side effects, such as nausea and temporary arm numbness, were also lower in the PI group than in the IBPB group.

journal_name

Int Orthop

authors

Saito M,Tsukada S,Fujita N,Rahman M,Morita W,Kitamura N,Tasaki A

doi

10.1007/s00264-018-4096-3

subject

Has Abstract

pub_date

2019-06-01 00:00:00

pages

1435-1441

issue

6

eissn

0341-2695

issn

1432-5195

pii

10.1007/s00264-018-4096-3

journal_volume

43

pub_type

杂志文章
  • Does stem design influence component positioning in total hip arthroplasty using a minimal invasive posterolateral approach?

    abstract:PURPOSE:Limited data exist for the reconstructive potential of short bone-preserving stems in THA using a minimal invasive posterolateral approach. Our study aim was to assess the effect of stem design on the reconstruction of hip offset and leg length in MIS posterolateral THA. METHODS:This retrospective consecutive ...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-014-2299-9

    authors: Waldstein W,Merle C,Schmidt-Braekling T,Boettner F

    更新日期:2014-07-01 00:00:00

  • Diagnosis of periprosthetic joint infection using alpha-defensin test or multiplex-PCR: ideal diagnostic test still not found.

    abstract:PURPOSE:Diagnosing periprosthetic infection remains a challenge. Multiplex-PCR and biomarkers such as alpha-defensin are potentially useful and fast methods for detecting periprosthetic infection. This study compared these new methods with clinical assessment, conventional microbiological methods and histo-pathological...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-017-3412-7

    authors: Suda AJ,Tinelli M,Beisemann ND,Weil Y,Khoury A,Bischel OE

    更新日期:2017-07-01 00:00:00

  • The use of postoperative suction drainage in total knee arthroplasty: a systematic review.

    abstract:PURPOSE:The purpose of this systematic review and meta-analysis of randomised controlled trials is to assess the effectiveness of no drainage when compared to drainage in total knee arthroplasty, in terms of recovery of knee flexion, reduction in swelling, length of hospital stay and haemoglobin levels following TKA. ...

    journal_title:International orthopaedics

    pub_type: 杂志文章,meta分析,评审

    doi:10.1007/s00264-014-2455-2

    authors: Quinn M,Bowe A,Galvin R,Dawson P,O'Byrne J

    更新日期:2015-04-01 00:00:00

  • Obese patients may have more soft tissue impingement following primary total hip arthroplasty.

    abstract:PURPOSE:Several studies have reported a risk of dislocation in obese patients after total hip arthroplasty. In this study, we evaluated the interaction between obesity and dislocation by kinematic analysis using a navigation system. METHODS:The intraoperative range of motion (ROM) and postoperative impingement-free RO...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-012-1701-8

    authors: Hayashi S,Nishiyama T,Fujishiro T,Hashimoto S,Kanzaki N,Nishida K,Kurosaka M

    更新日期:2012-12-01 00:00:00

  • Stenosis of the lumbar spinal canal in Forestier's disease.

    abstract::Hyperostosis of the spine, Forestier's disease, is a rare, but well defined entity which results from silent, extensive paraspinal calcification. It has been regarded as an asymptomatic ankylosis requiring no medical or surgical treatment. Two patients with Forestier's disease are presented who show severe stenosis of...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/BF00267561

    authors: Weisz GM

    更新日期:1983-01-01 00:00:00

  • Outcomes of lumbar facet syndrome treated with oral diclofenac or methylprednisolone facet injection: a randomized trial.

    abstract:PURPOSE:This prospective randomized trial is to determine the effectiveness of treating lumbar facet syndrome with oral diclofenac, methylprednisolone facet joint injection or both. METHODS:We enrolled lumbar facet syndrome patients treated at Srinagarind Hospital. Enrolled patients were randomly assigned to receive 1...

    journal_title:International orthopaedics

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00264-016-3154-y

    authors: Sae-Jung S,Jirarattanaphochai K

    更新日期:2016-06-01 00:00:00

  • Randomized controlled trial of conventional versus modern surgical dressings following primary total hip and knee replacement.

    abstract:PURPOSE:We prospectively compared two types of dressing (conventional gauze-based versus absorbing hydrofibre) after primary total hip (THA) or knee (TKA) arthroplasties. METHODS:Eighty candidates for THA (n = 40) or TKA (s = 40) were randomized: gauze-based versus hydrofibre absorbing (Aquacel®, ConvaTec). The two gr...

    journal_title:International orthopaedics

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00264-015-2726-6

    authors: Langlois J,Zaoui A,Ozil C,Courpied JP,Anract P,Hamadouche M

    更新日期:2015-07-01 00:00:00

  • Fibula-pro-tibia in plating tibial non-unions.

    abstract:PURPOSE:Plating non-unions of the tibial diaphysis often presents the technical problem of poor purchase of screws due to osteoporosis. To improve the stabilization, insertion of one or more screws through the plate across the tibio-fibular space to the fibula (fibula-pro-tibia plating) has been practiced. The aim of t...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-011-1211-0

    authors: Said GZ,El-Sharkawi MM,Said HG,Refai OA

    更新日期:2011-11-01 00:00:00

  • Use of intramedullary fibular strut graft: a novel adjunct to plating in the treatment of osteoporotic humeral shaft nonunion.

    abstract::Humeral shaft fractures respond well to conservative treatment and unite without much problem. Since it is uncommon, there is not much discussion regarding the management of nonunion in the literature, and hence this is a challenge to the treating orthopaedic surgeon. Osteoporosis of the fractured bone and stiffness o...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-008-0596-x

    authors: Vidyadhara S,Vamsi K,Rao SK,Gnanadoss JJ,Pandian S

    更新日期:2009-08-01 00:00:00

  • Biochemical markers of bone turnover in aseptic loosening in hip arthroplasty.

    abstract::The aim of this study was to determine the diagnostic value of systemic biochemical markers of bone turnover in aseptic loosening in hip arthroplasty, namely the urine levels of three bone resorption peptides - crosslinked n-telopeptides (NTX), c-telopeptides (CTX I) and deoxypyridinoline (DPD). We compared 52 patient...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-007-0477-8

    authors: Streich NA,Gotterbarm T,Jung M,Schneider U,Heisel C

    更新日期:2009-02-01 00:00:00

  • Pectoralis major transfer for the treatment of irreparable anterosuperior rotator cuff tears.

    abstract::The purpose of this study was to evaluate the outcome of subcoracoid pectoralis major transfer for the treatment of irreparable anterosuperior rotator cuff tears. This type of tear involves complete rupture of the subscapularis in combination with either the supraspinatus alone or the supraspinatus and infraspinatus. ...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-009-0799-9

    authors: Gavriilidis I,Kircher J,Magosch P,Lichtenberg S,Habermeyer P

    更新日期:2010-06-01 00:00:00

  • Accuracy of the correction obtained after tibial valgus osteotomy. Comparison of the use of the Hernigou table and the so-called classical method.

    abstract:INTRODUCTION:Medial valgus-producing tibial osteotomy (MVTO) is classically used to treat early medial femorotibial osteoarthritis. Long-term results depend on the mechanical femorotibial angle (HKA) obtained at the end of the procedure. A correction goal between 3 and 6° valgus is commonly accepted. Several planning m...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-020-04777-6

    authors: Nicolau X,Bonnomet F,Micicoi G,Eichler D,Ollivier M,Favreau H,Ehlinger M

    更新日期:2020-12-01 00:00:00

  • Current strategies of chemotherapy in osteosarcoma.

    abstract::Osteosarcoma, the most common type of primary malignant tumour that develops in bone, can be classified into several different sub-types. While the majority of osteosarcomas are highly malignant, there are some low-grade variants. Since the introduction of chemotherapy into the multi-modal treatment regimen of high-gr...

    journal_title:International orthopaedics

    pub_type: 杂志文章,评审

    doi:10.1007/s00264-006-0192-x

    authors: Carrle D,Bielack SS

    更新日期:2006-12-01 00:00:00

  • Bifurcated popliteus tendon: a descriptive arthroscopic study.

    abstract::The objective of this study was to confirm the presence and frequency of a bifurcation of the popliteus tendon. The popliteus tendon has received attention due to its important function as a knee stabiliser. Several anatomical variants have recently been reported, one of them being a bifurcated tendon. However, the ac...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-008-0685-x

    authors: Leal-Blanquet J,Ginés-Cespedosa A,Monllau JC

    更新日期:2009-12-01 00:00:00

  • Femoral prosthetic heads and their significance in polyethylene wear.

    abstract::We used scanning electron microscopy to perform an ultrastructural analysis and two optical interferometric profilers to measure roughness on 40 prosthetic femoral heads. We expressed roughness as Ra (roughness average) value and Rsk (roughness skewness) value. Our results show that in order to obtain an ideal surface...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s002640000129

    authors: Falez F,La Cava F,Panegrossi G

    更新日期:2000-01-01 00:00:00

  • Isolated acetabular revision after total hip arthroplasty: results at 5-9 years of follow-up.

    abstract::The purpose of the study was to determine whether isolated revision of the acetabular component can be successfully performed without disturbing the femoral stem and to determine the fate of the unrevised femoral stem following revision. Fifty-seven hips in 55 patients underwent isolated acetabular revision without re...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-005-0674-2

    authors: Chen XD,Waddell JP,Morton J,Schemitsch EH

    更新日期:2005-10-01 00:00:00

  • Occult injuries of the contralateral sacroiliac joint in operatively treated pelvis fractures: incidence, root cause analysis, and proposal of treatment algorithm.

    abstract:PURPOSE:To determine the most common injury patterns, root cause, and the frequency with which unrecognized contralateral posterior ring injury occurs in patients presenting with surgically treated pelvic fractures. METHODS:The medical records of 73 patients presenting to our level I trauma center (52 male and 21 fema...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-018-4268-1

    authors: Maertens AS,Martin MP 3rd,Dean CS,Rojas D,Parry JA,Maher M,Mauffrey CP

    更新日期:2019-10-01 00:00:00

  • Preliminary results of managing large medial tibial defects in primary total knee arthroplasty: autogenous morcellised bone graft.

    abstract:PURPOSE:This study reports a case series of 44 primary total knee arthroplasties (TKAs) using autogenous morcellised bone grafting for large (≥10-mm-deep) medial tibial defects, which are generally repaired using metal augmentation. The bone-grafting technique is described in detail and the radiological outcomes are pr...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-016-3339-4

    authors: Sugita T,Aizawa T,Miyatake N,Sasaki A,Kamimura M,Takahashi A

    更新日期:2017-05-01 00:00:00

  • Analysis of failure and clinical outcome after unsuccessful medial patellofemoral ligament reconstruction in young patients.

    abstract:PURPOSE:Reconstruction of the medial patellofemoral ligament (MPFL) has become a popular procedure for patients with patellofemoral instability. Nevertheless, complication rates of up to 26 % have been reported. This study presents the analysis of failure and clinical outcome of subsequent revision surgery in young pat...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-014-2437-4

    authors: Nelitz M,Williams RS,Lippacher S,Reichel H,Dornacher D

    更新日期:2014-11-01 00:00:00

  • Reduction and internal fixation of displaced intra-articular calcaneal fractures with a locking nail: a prospective study of sixty nine cases.

    abstract:PURPOSE:The best treatment for intra-articular fractures of the calcaneus is still debated. The aims of this study were to determine whether intrafocal reduction of thalamic fractures is effective, to evaluate whether a locking nail is able to maintain reduction of the articular surface and to analyse the functional re...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-015-2816-5

    authors: Simon P,Goldzak M,Eschler A,Mittlmeier T

    更新日期:2015-10-01 00:00:00

  • Cortical and trabecular osteopenia after immobilization. A quantitative histological study of the rat knee.

    abstract::The aim of this investigation was to examine the effect of short-term immobilization on subchondral cortical and trabecular bone tissue in the rat tibia and to determine whether there was any difference when the knee was immobilized in extension or flexion. Thirty-six male rats were used in this study, and in 18 the k...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/BF00266984

    authors: Józsa L,Réffy A,Järvinen M,Kannus P,Lehto M,Kvist M

    更新日期:1988-01-01 00:00:00

  • Function of the hip after femoral neck fractures treated by fixation or secondary total hip replacement.

    abstract::Two matched groups of 28 patients each, with femoral neck fractures treated by primary internal fixation or by secondary total hip replacement after a complication of primary treatment, were evaluated and compared five years or more after primary pin fixation or secondary total hip replacement. The Nottingham Health P...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/BF00186868

    authors: Nilsson LT,Franzén H,Strömqvist B,Wiklund I

    更新日期:1991-01-01 00:00:00

  • Effect of antibiotic loading on the shear strength at the stem-cement interface (Shear strength of antibiotic loaded cement).

    abstract::The purpose of this study was to investigate the effects of addition of antibiotics into cement powder on the shear properties of the cement-metal interface. The approach involved adding 800 mg of teicoplanin to 40 g bone cement powder in the t-800 group, 1,600 mg teicoplanin in the t-1,600 group, and no antibiotic in...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-007-0347-4

    authors: Kilicoglu O,Koyuncu LO,Ozden VE,Bozdag E,Sunbuloglu E,Yazicioglu O

    更新日期:2008-08-01 00:00:00

  • YouTube provides irrelevant information for the diagnosis and treatment of hip arthritis.

    abstract:PURPOSE:YouTube is increasingly becoming a key source for people to satisfy the need for additional information concerning their medical condition. This study analyses the completeness of accurate information found on YouTube pertaining to hip arthritis. METHODS:The present study analyzed 133 YouTube videos using the ...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-016-3174-7

    authors: Koller U,Waldstein W,Schatz KD,Windhager R

    更新日期:2016-10-01 00:00:00

  • Management of unstable thoracolumbar spinal injuries by posterior short segment spinal fixation.

    abstract::Fifty patients with thoracolumbar fractures were treated operatively between July 2000 and December 2001. The average age of the patients was 33.6 years (range: 20-50 years), 36 were males and 14 were females and the follow-up averaged 59 months (range: 49-68 months). A fall from a height, usually a tree, was the most...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-006-0161-4

    authors: Butt MF,Farooq M,Mir B,Dhar AS,Hussain A,Mumtaz M

    更新日期:2007-04-01 00:00:00

  • Decompressive surgery for degenerative lumbar spinal stenosis: long-term results.

    abstract::We report the outcome of 50 patients with degenerative lumbar spinal stenosis who were treated surgically by spinal decompression between 1984 and 1995. Their mean age at the time of surgery was 59.9 (45-77) years and the mean follow-up was 11.6 (6.1-17.2) years. Five patients had a concomitant spinal fusion. The preo...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-005-0030-6

    authors: Gelalis ID,Stafilas KS,Korompilias AV,Zacharis KC,Beris AE,Xenakis TA

    更新日期:2006-02-01 00:00:00

  • Inter-observer reliability in the assessment of heterotopic ossification: proposal of a combined classification.

    abstract::We applied four published classifications for assessment of heterotopic ossification after total hip arthroplasty (Arcq, Brooker, DeLee and Della Valle [1, 2, 5, 6]. The average incidence of heterotopic ossification varied from 19.8% to 27.7%. The inter-observer reliability of the various classifications was determine...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-004-0603-9

    authors: Toom A,Fischer K,Märtson A,Rips L,Haviko T

    更新日期:2005-06-01 00:00:00

  • Distraction osteogenesis with conventional external fixator for tibial bone loss.

    abstract::Between 1991 and 2002, we treated 21 patients with tibial bone loss using a conventional external fixator. Nine patients had an infected open fracture and 12 patients an infected nonunion. After corticotomy, the bone was distracted at the rate of 1 mm (1 mm/step) on alternate days or every 48 h. The mean follow-up per...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-004-0553-2

    authors: Sangkaew C

    更新日期:2004-06-01 00:00:00

  • The effect of a manufacturer recall on the threshold to revise a metal-on-metal hip.

    abstract:PURPOSE:Management of the unexplained, painful large diameter metal-on-metal (MOM) hip replacement is difficult. Although there are guidelines for surgeons, there is no clear documented evidence describing the overall threshold for revision surgery. The 2010 product recall of the DePuy Articular Surface Replacement (AS...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-014-2369-z

    authors: Tibrewal S,Sabah S,Henckel J,Hart A

    更新日期:2014-10-01 00:00:00

  • Bone mineral assessment by dual-energy X-ray absorptiometry in patients with coxarthrosis.

    abstract::Forty patients with unilateral osteoarthritis of the hip were studied with dual energy X-ray absorptiometry to quantify disuse osteopenia in their affected leg by examining the proximal femur and tibia. Bone loss was assessed as a percentage of the contralateral value which compares bone mineral density of the affecte...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/BF00188325

    authors: Masuhara K,Kato Y,Ejima Y,Fuji T,Hamada H

    更新日期:1994-01-01 00:00:00