• Der Orthopäde · May 2009

    Comparative Study Controlled Clinical Trial

    [Implementation of standardized postoperative pain therapy for orthopaedic patients. Comparison between unsystematic and standardized pain therapy].

    • S Goebel, N Wollmerstedt, A Lobmüller, M Walther, S Kirschner, and J Eulert.
    • Orthopädische Klinik, König-Ludwig-Haus, Brettreichstrasse 11, 97074 Würzburg. s-goebel.klh@mail.uni-wuerzburg.de
    • Orthopade. 2009 May 1; 38 (5): 444-54.

    BackgroundThe painless clinic and postoperative pain therapy are currently major issues in the management of surgical procedures. The aim of this study was to evaluate the benefit of a standardized pain therapy on the postoperative pain level after orthopaedic procedures.Patients And MethodsWe investigated two different groups of patients who underwent an orthopaedic surgical procedure. Group 1 (n = 249) received a pain therapy which was based on an individual and surgery-dependent concept whereas group 2 (n = 243) was treated with a standardized pain therapy concept. The effect of the treatment was monitored with a VAS-based protocol.ResultsUp to day 9 after surgery there was a significant difference between the two groups in regard to the postoperative pain. The patients of group 2 had less pain but had more unwanted side effects caused by the pain therapy during the first 3 days after surgery. Mobility and mental disposition were positively affected.ConclusionThe implementation of a standardized pain therapy is successful in reducing postoperative pain. Mobility and mental disposition are also influenced positively. As a consequence the incidence of unwanted side effects is rising.

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