Logo of The Journal of Bone & Joint Surgery (Br)
Quick search:        
          Advanced Search
Guest Access | Sign In
Journal of Bone and Joint Surgery - British Volume, Vol 88-B, Issue 12, 1603-1605.
doi: 10.1302/0301-620X.88B12.17740  
Copyright © 2006 by British Editorial Society of Bone and Joint Surgery
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow My Folders
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Middleton, F.
Right arrow Articles by Panayiotou, S.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Middleton, F.
Right arrow Articles by Panayiotou, S.

The efficacy of intra-articular bupivacaine for relief of pain following arthroscopy of the ankle

F. Middleton, MBBS, FRCS(Tr & Orth), MA(Oxon), Specialist Registrar in Trauma and Orthopaedics1; J. Coakes, BM, MRCP, Specialist Registrar in Anaesthesia2; S. Umarji, BMBCh, MRCS, MA(Oxon), Specialist Registrar in Trauma and Orthopaedics3; S. Palmer, MBBS, MSc, FRCS(Tr & Orth), Consultant in Trauma and Orthopaedics4; R. Venn, MD, FRCA, Consultant in Anaesthesia and Intensive Care4; and S. Panayiotou, MBBS, FRCA, Consultant in Anaesthesia4

1 St Peter’s Hospital, Guilford Road, Chertsey KT16 0PZ, UK.
2 Southampton General Hospital, Tremona Road, Southampton SO16 6YD, United Kingdom.
3 St George’s Hospital, Blackshaw Road, Tooting, London SW17 0ST, UK.
4 Worthing and Southlands NHS Trust, Lyndhurst Road, Worthing, West Sussex, BN11 2DH, UK.

Correspondence should be sent to Miss F. Middleton at 18 Wodeland Avenue, Guildford GU2 4JX, UK; e-mail: fionamiddleton{at}doctors.org.uk

The intra-articular injection of local anaesthetic is frequently used for pain relief after arthroscopy. There is, however, no published evidence of the analgesic effect of bupivacaine in the ankle. In a randomised, double-blind study, 35 patients undergoing arthroscopy of the ankle were allocated to receive intra-articular saline or bupivacaine. Pain was assessed using pain scores and additional analgesic requirements. Intra-articular bupivacaine had a significant analgesic effect in the immediate post-operative period, reducing pain scores and the need for additional analgesics.

We recommend the use of intra-articular bupivacaine for post-operative analgesia in ankle surgery.






(c) British Editorial Society of Bone and Joint Surgery All Rights Reserved
Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General