Combined Intraarticular and Portal Infiltration with 0.25% Bupivacaine in Arthroscopic Partial Medial Meniscectomy

A.H. Tiutiunnik


Objective of the study: to evaluate the efficacy of combined intraarticular and portal infiltration with 0.25% bupivacaine at arthroscopic partial medial meniscectomy.
Materials and Methods. Patients were divided into 2 groups of 30 people. In the first group we used intraarticular anesthesia with 0.25% bupivacaine. In the second group we applied combined intraarticular and portal infiltration with 0.25% bupivacaine. The level of pain on movement, the time to first analgesic requirement, analgesic consumption, patient satisfaction with postoperative analgesia were assessed for 24 hours after surgery.
Results. We revealed an increase in the time to first analgesic requirement in the second group (p < 0.05). During the first 12 hours, there was a decrease of pain severity in the second group (p < 0.05). Patient satisfaction with postoperative analgesia was higher in the second group. Consumption of analgesics did not differ between the groups.
Conclusions. Combined intraarticular and portal infiltration with 0.25% bupivacaine enables to reduce pain on movement more effectively compared with intraarticular administration of anesthetic during the first 12 hours.


anesthesia; knee joint; arthroscopy


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