Collin LaPorte*, Michael D. Rahl, Olufemi R. Ayeni and Travis J. Menge
Volume2-Issue3
Dates: Received: 2021-02-19 | Accepted: 2021-03-01 | Published: 2021-03-02
Pages: 097-099
Abstract
Foot & Ankle arthroscopy is an increasingly rapid field in the treatment of multiple hip conditions, owing to its important diagnostic and therapeutic benefit. As these patients lack a consistent pain relief plan, effective post-operative pain control appears to be a concern. Several methods were used to identify a method that decreases post-operative pain, narcotic intake and hospital and treatment system costs. This article aims to study and report the relevant findings of the previous paper “Post-operative pain management strategies in hip arthroscopy.”
Latest research encourages the use of a multimodal approach to the treatment of postoperative pain in hip arthroscopic patients. In tandem with peripheral nerve blocks or intraoperative anesthetic injection a pre- and after-operative analgesic regimen is used, patients experience lower discomfort and post-operative narcotic use. Different methods are similar in post-operative pain and opioid use. However, of those undergoing Intraarticular (IA) or Local Anesthetic Infiltration (LAI), postoperative risks relative to peripheral nervous blocks are smaller.
Latest trials have demonstrated that the best and most reliable, multi-modal treatment for the reduction of postoperative pain in these patients may be intraoperative techniques such as IA injection or LAI in combination with a pre and postoperative analgesy. Furthermore, failure to use the peripheral nerve block can result in lower anesthesia procedural fees and operating room turnover, thereby lowering patients’ costs and increasing facility effectiveness.
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DOI: 10.37871/jbres1196
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© 2021 LaPorte C, et al. Distributed under Creative Commons CC-BY 4.0 
How to cite this article
LaPorte C, Rahl MD, Ayeni OR, Menge TJ. Pain Management Strategies Postoperatively in Arthroscopy of Foot & Ankle: A Review Article. J Biomed Res Environ Sci. 2021 Mar 02; 2(3): 097-099. doi: 10.37871/jbres1196, Article ID: jbres1196
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References
- LaPorte C, Rahl MD, Ayeni OR, Menge TJ. Postoperative Pain Management Strategies in Hip Arthroscopy. Curr Rev Musculoskelet Med. 2019 Dec;12(4):479-485. doi: 10.1007/s12178-019-09579-x. PMID: 31650392; PMCID: PMC6942092.
- Schug SA, Sidebotham DA, McGuinnety M, Thomas J, Fox L. Acetaminophen as an adjunct to morphine by patient-controlled analgesia in the management of acute postoperative pain. Anesth Analg. 1998 Aug;87(2):368-72. doi: 10.1097/00000539-199808000-00024. PMID: 9706932.
- Han C, Li XD, Jiang HQ, Ma JX, Ma XL. The use of gabapentin in the management of postoperative pain after total hip arthroplasty: a meta-analysis of randomised controlled trials. J Orthop Surg Res. 2016 Jul 12;11(1):79. doi: 10.1186/s13018-016-0412-z. PMID: 27405805; PMCID: PMC4941035.
- Witenko C, Moorman-Li R, Motycka C, Duane K, Hincapie-Castillo J, Leonard P, Valaer C. Considerations for the appropriate use of skeletal muscle relaxants for the management of acute low back pain. P T. 2014 Jun;39(6):427-435. PMID: 25050056; PMCID: PMC4103716.
- Kahlenberg CA, Patel RM, Knesek M, Tjong VK, Sonn K, Terry MA. Efficacy of Celecoxib for Early Postoperative Pain Management in Hip Arthroscopy: A Prospective Randomized Placebo-Controlled Study. Arthroscopy. 2017 Jun;33(6):1180-1185. doi: 10.1016/j.arthro.2017.01.016. Epub 2017 Mar 1. PMID: 28258773.
- Zhang Z, Zhu W, Zhu L, Du Y. Efficacy of celecoxib for pain management after arthroscopic surgery of hip: a prospective randomized placebo-controlled study. Eur J Orthop Surg Traumatol. 2014 Aug;24(6):919-23. doi: 10.1007/s00590-013-1359-y. Epub 2013 Nov 13. PMID: 24220749.
- Schroeder KM, Donnelly MJ, Anderson BM, Ford MP, Keene JS. The analgesic impact of preoperative lumbar plexus blocks for hip arthroscopy. A retrospective review. Hip Int. 2013 Jan-Feb;23(1):93-8. doi: 10.5301/HIP.2013.10613. PMID: 23397203.
- YaDeau JT, Tedore T, Goytizolo EA, Kim DH, Green DS, Westrick A, Fan R, Rade MC, Ranawat AS, Coleman SH, Kelly BT. Lumbar plexus blockade reduces pain after hip arthroscopy: a prospective randomized controlled trial. Anesth Analg. 2012 Oct;115(4):968-72. doi: 10.1213/ANE.0b013e318265bacd. Epub 2012 Jul 19. PMID: 22822195.
- Dold AP, Murnaghan L, Xing J, Abdallah FW, Brull R, Whelan DB. Preoperative femoral nerve block in hip arthroscopic surgery: a retrospective review of 108 consecutive cases. Am J Sports Med. 2014 Jan;42(1):144-9. doi: 10.1177/0363546513510392. Epub 2013 Nov 27. PMID: 24284048.
- Xing JG, Abdallah FW, Brull R, Oldfield S, Dold A, Murnaghan ML, Whelan DB. Preoperative Femoral Nerve Block for Hip Arthroscopy: A Randomized, Triple-Masked Controlled Trial. Am J Sports Med. 2015 Nov;43(11):2680-7. doi: 10.1177/0363546515602468. Epub 2015 Sep 24. PMID: 26403206.
- Ward JP, Albert DB, Altman R, Goldstein RY, Cuff G, Youm T. Are femoral nerve blocks effective for early postoperative pain management after hip arthroscopy? Arthroscopy. 2012 Aug;28(8):1064-9. doi: 10.1016/j.arthro.2012.01.003. Epub 2012 Apr 11. PMID: 22498045.
- Purcell RL, Nappo KE, Griffin DW, McCabe M, Anderson T, Kent M. Fascia iliaca blockade with the addition of liposomal bupivacaine vs. plain bupivacaine for perioperative pain management following hip arthroscopy. Knee Surg Sports Traumatol Arthrosc. 2018 Aug;26(8):2536-2541. doi: 10.1007/s00167-018-4874-x. Epub 2018 Feb 16. PMID: 29453489.
- Stein BE, Srikumaran U, Tan EW, Freehill MT, Wilckens JH. Lower-extremity peripheral nerve blocks in the perioperative pain management of orthopaedic patients: AAOS exhibit selection. J Bone Joint Surg Am. 2012 Nov 21;94(22):e167. doi: 10.2106/JBJS.K.01706. PMID: 23172334.
- Childs S, Pyne S, Nandra K, Bakhsh W, Mustafa SA, Giordano BD. The Effect of Intra-articular Cocktail Versus Femoral Nerve Block for Patients Undergoing Hip Arthroscopy. Arthroscopy. 2017 Dec;33(12):2170-2176. doi: 10.1016/j.arthro.2017.06.036. Epub 2017 Aug 31. PMID: 28866348.
- Louw A, Diener I, Butler DS, Puentedura EJ. Preoperative education addressing postoperative pain in total joint arthroplasty: review of content and educational delivery methods. Physiother Theory Pract. 2013 Apr;29(3):175-94. doi: 10.3109/09593985.2012.727527. Epub 2012 Oct 4. PMID: 23035767.
- Cogan CJ, Knesek M, Tjong VK, Nair R, Kahlenberg C, Dunne KF, Kendall MC, Terry MA. Assessment of Intraoperative Intra-articular Morphine and Clonidine Injection in the Acute Postoperative Period After Hip Arthroscopy. Orthop J Sports Med. 2016 Feb 26;4(2):2325967116631335. doi: 10.1177/2325967116631335. PMID: 26977421; PMCID: PMC4772345.
- Philippi MT, Kahn TL, Adeyemi TF, Maak TG, Aoki SK. Extracapsular local infiltration analgesia in hip arthroscopy: a retrospective study. J Hip Preserv Surg. 2018 Jan 22;5(1):60-65. doi: 10.1093/jhps/hnx050. PMID: 29423252; PMCID: PMC5798012.
- Garner M, Alshameeri Z, Sardesai A, Khanduja V. A Prospective Randomized Controlled Trial Comparing the Efficacy of Fascia Iliaca Compartment Block Versus Local Anesthetic Infiltration After Hip Arthroscopic Surgery. Arthroscopy. 2017 Jan;33(1):125-132. doi: 10.1016/j.arthro.2016.10.010. Erratum in: Arthroscopy. 2018 Jan;34(1):348. PMID: 28003068.
