A Comparative Study between Local Infiltration of Ropivacaine Cocktail and Post-operative Epidural Bupivacaine in Post-operative Analgesia in Primary Total Knee Arthroplasty
Randomized trial compares pain relief techniques in total knee arthroplasty, suggesting local infiltration may improve recovery.
Key Points
This study aims to compare the effectiveness of local infiltration of ropivacaine and epidural bupivacaine in post-operative pain management after total knee arthroplasty.
Prospective randomized comparative study with 50 patients undergoing total knee arthroplasty.
Group A received a ropivacaine cocktail, while Group B received epidural bupivacaine post-operatively.
Pain was assessed using the Visual Analog Scale at specified intervals, and functional outcomes were measured.
Group A had significantly lower VAS scores at all time points, indicating better pain control.
Only 32% of Group A required rescue analgesia compared to 84% in Group B.
Group B showed higher rates of complications, including motor block and hypotension, adversely affecting mobilization.