Saphenous nerve block is an effective regional technique for post-menisectomy pain

In this study we have evaluated the post menisectomy pain relief offered by Saphenous nerve block. This study was planned on 40 patients with a pre-operative and post operative diagnosis of medial meniscus lesion undergoing partial menisectomy arthroscopically. Patients were randomized into 2 groups...

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Bibliographic Details
Published in:Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2008-09, Vol.16 (9), p.855-858
Main Authors: Akkaya, Taylan, Ersan, Onder, Ozkan, Derya, Sahiner, Yeliz, Akin, Mine, Gümüş, Haluk, Ateş, Yalim
Format: Article
Language:English
Subjects:
Adult
Airway management
Analgesics - administration & dosage
Anesthesia
Anesthetics, Local - administration & dosage
Arthroscopy - adverse effects
Bupivacaine - administration & dosage
Bupivacaine - analogs & derivatives
Female
Humans
Knee
Male
Medicine
Medicine & Public Health
Menisci, Tibial - innervation
Menisci, Tibial - surgery
Middle Aged
Movement time
Narcotics
Nerve Block - methods
Observation
Orthopedics
Pain
Pain Measurement
Pain, Postoperative - etiology
Pain, Postoperative - prevention & control
Patients
Recovery of Function
Rest
scoring
Statistics
Surgery
Treatment Outcome
Walking
Weight-Bearing
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Summary:In this study we have evaluated the post menisectomy pain relief offered by Saphenous nerve block. This study was planned on 40 patients with a pre-operative and post operative diagnosis of medial meniscus lesion undergoing partial menisectomy arthroscopically. Patients were randomized into 2 groups where Group I received a preoperative Saphenous block while group 2 did not receive a peripheral block, but received 1 ml of saline as placebo injection. After blocks both groups received general anesthesia and IV patient controlled analgesia (PCA) with tramadol for post operative pain relief. Patients rest and activity pain scores were evaluated on post operative 0, 2, 4, 6, 12 and 24 h using visual analog scale (VAS). Total tramadol consumption as well as pain at rest, when weight bearing and the need for external support while walking were recorded. Group I VAS scores were statistically lower then group II during the time of observation periods at rest as well as active movement periods. Tramadol consumption through IV PCA was statistically significantly lower in group I than in group II ( P  
ISSN:0942-2056
1433-7347
DOI:10.1007/s00167-008-0572-4