Document Detail


Novel strategies to improve early outcomes following total knee arthroplasty: a case control study of intra articular injection versus femoral nerve block.
MedLine Citation:
PMID:  24938586     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
PURPOSE: The incidence of total joint arthroplasty is rapidly increasing. As costs are rising as well, orthopaedic surgeons are now being called on to demonstrate the value of our procedures. We recently evaluated a new technique of local injection in total knee arthroplasty (TKA) as a potential means to improve quality and decrease costs.
METHODS: A case-control study was performed. One hundred patients were prospectively studied receiving a novel local injection using liposomal bupivicaine in TKA. These were compared to a historical cohort of 100 patients receiving a femoral nerve catheter.
RESULTS: We found that patients receiving liposomal bupivicaine had improved pain scores, shorter lengths of stay, slightly less opioid intake, and large decreases in costs.
CONCLUSION: Local injection in TKA with liposomal bupivicaine appears to be a useful tool in adding value to patient care. This technique was shown to improve patient outcomes while simultaneously decreasing costs.
Authors:
Charles B Broome; Brian Burnikel
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-6-18
Journal Detail:
Title:  International orthopaedics     Volume:  -     ISSN:  1432-5195     ISO Abbreviation:  Int Orthop     Publication Date:  2014 Jun 
Date Detail:
Created Date:  2014-6-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7705431     Medline TA:  Int Orthop     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
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