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Published on: January 23, 2018
Daycase arthroscopic knee surgery performed under local anaesthesia with hyaluronidase: technical note
1Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK. tim.clough@btinternet.com
Summary
Local anaesthesia for daycase arthroscopic knee surgery is underutilized in the UK. Adding hyaluronidase to local anaesthetic portal infiltrates is a safe and effective technique for knee arthroscopy.
Area of Science:
- Orthopaedic Surgery
- Anaesthesiology
Background:
- Daycase arthroscopic knee surgery under local anaesthesia is not widely performed in the UK.
- Hyaluronidase is commonly used in ophthalmic and plastic surgery but rarely in orthopaedics.
Purpose of the Study:
- To report a technique for local anaesthesia in daycase arthroscopic knee surgery.
- To discuss the role of hyaluronidase as an adjunct to local anaesthetic infiltration.
Main Methods:
- The senior author's technique for arthroscopic knee surgery using local anaesthesia was employed.
- Hyaluronidase was added to the local anaesthetic portal infiltrate.
Main Results:
- The technique was successfully used in 121 patients over one year.
- The safety and efficacy of hyaluronidase as an adjunct were evaluated.
Conclusions:
- The reported technique offers a viable option for daycase arthroscopic knee surgery.
- Hyaluronidase may enhance the effectiveness of local anaesthetic infiltration in orthopaedic procedures.
