Preoperative and postoperative intraarticular analgesia with tenoxicam after knee arthroscopy; [Diz artroskopisinde preoperatif ve postoperatif intraartiküler tenoksikam uygulamalarinin deǧerlendirilmesi]

Akinci I.Ö.; Akseki D.; Özcan P.E.; Tuǧrul S.; Köknel Talu G.; Akpir K.

Preoperative and postoperative intraarticular analgesia with tenoxicam after knee arthroscopy; [Diz artroskopisinde preoperatif ve postoperatif intraartiküler tenoksikam uygulamalarinin deǧerlendirilmesi]

Date

2001

Authors

Abstract

The efficacy of preemptive analgesia is accepted and it is widely used in numerous surgical procedure except arthroscopy. In this study we compared preoperative and postoperative intraarticular tenoxicam for analgesia after knee arthroscopy. 30 patients were allocated randomly into three groups. Group 1 (n=10) recieved 20 mg intraarticular tenoxicam after the induction of anesthesia, 20 minutes before the surgical procedure. Group 2 (n=10) recieved 20 mg tenoxicam and Group 3 (n=10) recieved only intraarticular serum physiologic solution after the arthroscopy. Pain was assessed at postoperative 1., 2., 3., 4., 6., 12., 24. and 48. hours by the Visual Analog Scale. Supplemental analgesia was required by 8 patients in Group 3, 6 patients in Group 2 and only 1 patient in Group 1. Mean analgesic requirement time was 108. 3 (± 50.7) minutes in Group 3, 350 (± 125.3) minutes in Group 2 and 280 minutes in Group 1. We conclude that preemptive intraarticular tenoxicam produces more effective analgesia than other groups.