The role of cyclooxygenase-2 inhibition in foot and ankle arthrodesis.

Abstract:

:Cyclooxygenase-2 (COX-2) inhibitors are an important adjunct in controlling postoperative pain. Concerns exist regarding the use of NSAIDs for postoperative pain management because of the possible deleterious impact on bone healing in patients undergoing hindfoot arthrodesis. Orthopedic surgeons are concerned with: (1) a multimodal approach for postoperative pain control, and (2) bone healing following arthrodesis, fracture repair with rigid internal fixation, and cementless implants. The use of COX-2 inhibitors has been shown to be an important component of a pain control strategy but questions about their effects on bone healing have inhibited their use. This article discusses the laboratory and clinical data available on the use of COX-2 inhibitors on bone healing and their effects on foot and ankle arthrodesis procedures.

journal_name

Foot Ankle Clin

journal_title

Foot and ankle clinics

authors

Hill K,Berlet GC,Philbin TM,Lee TH

doi

10.1016/j.fcl.2005.06.001

subject

Has Abstract

pub_date

2005-12-01 00:00:00

pages

729-42, x

issue

4

eissn

1083-7515

issn

1558-1934

pii

S1083-7515(05)00072-0

journal_volume

10

pub_type

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