Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association
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Randomized Controlled Trial Comparative Study Clinical Trial
Patient-controlled ropivacaine analgesia after arthroscopic subacromial decompression.
To evaluate the efficacy of a subacromial patient-controlled analgesia (PCA) infusion of 0.2% ropivacaine versus saline for postoperative pain control following arthroscopic shoulder surgery. ⋯ Level I.
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Randomized Controlled Trial Comparative Study Clinical Trial
Arthroscopic versus open treatment of Bankart lesion of the shoulder: a prospective randomized study.
The purpose of this study was to compare the results of arthroscopic and open repair of isolated Bankart lesions of the shoulder using metallic suture anchors. ⋯ Level I.
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Randomized Controlled Trial Comparative Study Clinical Trial
The efficacy of intra-articular ketamine for postoperative analgesia in outpatient arthroscopic surgery.
The purpose of this study was to compare the postoperative analgesic effects of intra-articularly administered ketamine, neostigmine, and bupivacaine after outpatient arthroscopic surgery. ⋯ Our basic finding was reduction in postoperative pain and consumption of adequate analgesic drugs with intra-articular ketamine, bupivacaine, or neostigmine use. We have not seen any psychomimetic side effects, particularly as seen with higher doses or systemic use. This study may conclude that intra-articular administration of ketamine provides long-lasting and effective analgesia, similar to neostigmine but less effective than bupivacaine after knee arthroscopy without any adverse effects. LEVEL OF EVEIDENCE: Level I.
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Randomized Controlled Trial Comparative Study Clinical Trial
Evaluation of postoperative bupivacaine infusion for pain management after anterior cruciate ligament reconstruction.
Postoperative pain control has received increasing attention by health care providers in the new millennium. In fact, pain was called the "sixth vital sign" by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) in 2001. The continued challenge of effective, safe analgesia in the outpatient setting has promoted the use of various devices designed to deliver local anesthetic directly to the surgical site. We endeavored to evaluate the efficacy of one such device currently in use. ⋯ The data suggest some element of placebo benefit at median pain ratings but a protective effect of the bupivacaine at maximum pain levels.
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Randomized Controlled Trial Clinical Trial
Accelerated rehabilitation after arthroscopic Bankart repair for selected cases: a prospective randomized clinical study.
Increased stress within a certain limit enhances ligament healing and improves joint function. In this prospective randomized clinical trial, we compared the clinical results of early motion versus conventional immobilization after arthroscopic Bankart repair in a selected patient population. ⋯ Early mobilization of the operated shoulder after arthroscopic Bankart repair does not increase the recurrence rate in a selected group of patients. Although the final outcomes are approximately the same for both groups, the accelerated rehabilitation program promotes functional recovery and reduces postoperative pain, which allows patients an early return to desired activities.