Rheumatologie: Aktuelle Forschung
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Study of Efficacy of Extraosseous Local Infiltration of Multimodal Drug Cocktail for Pain Management after Total Joint Arthroplasty in Lower Limb

Ankur Salwan*, Gajanan Pisulkar

Background: Postoperative pain, through diminished patient satisfaction and prolonged rehabilitation, may have a significant impact on patient recovery. While pain is inevitable part of post-operative period, it is relevant common to have insufficient pain control which can have profound consequences. Post-operative pain has been a continuous struggle for health care, despite guidance and recommendations from pain management societies. Total joint arthroplasty is currently a potential treatment for severe arthritis, although post-operative pain control remains a concern. This study will compare two analgesic techniques (epidural infiltration and extraosseous infiltration) in terms of analgesic impact (as measured by the VAS score), early motor activities, and pain relief period duration after total joint arthroplasty, as well as drug safety.

Aim: Study the effect of extraosseous local infiltration of multimodal drug for post-operative pain management after total joint arthroplasty in lower limb.

Objective: To compare the effect of epidural analgesia versus multimodal drug cocktail for pain relief in post-operative period and also to study comfort of patients in terms of walking distance, hip and knee range of movements in postoperative period.

Material and methods: Adults coming to Department of orthopedics with advanced osteoarthritis of hip, knee and who will undergo arthroplasty surgery will be divided into 2 groups. Out of these 2 groups one group will be given multimodal cocktail infiltration locally and epidural analgesia with no infiltration in the other group of individuals.

Expected results: The pain control and relief in extra osseous cocktail injection group will be slightly better compared to epidural infiltration group post-operatively. The Post-operative period will be of longer duration in the patients receiving cocktail infiltration without any additional dosages to be received.