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Pain in arthroscopic knee surgery under local anesthesia
Toshiaki Takahashi1, Masanobu Tanaka, Masahiko Ikeuchi
1Department of Orthopaedics, Kochi Medical School, Oko-cho, Nankoku, Kochi 783-8505, Japan. takahast@kochi-ms.ac.jp
Acta Orthopaedica Scandinavica
|October 30, 2004
Summary
Pain during arthroscopic knee surgery under local anesthesia was most severe during anesthetic injection. However, patients were generally satisfied with pain management during procedures like meniscus resection and chondroplasty.
Area of Science:
- Orthopedic Surgery
- Pain Management
- Anesthesiology
Background:
- Evaluating patient-reported pain during arthroscopic knee surgery under local anesthesia.
- Assessing pain in relation to specific lesion types and surgical procedures.
Purpose of the Study:
- To assess pain levels experienced by patients during arthroscopic knee surgery performed with local anesthesia.
- To compare pain during anesthetic injection versus the surgical procedure itself.
Main Methods:
- Arthroscopic surgery was conducted on 63 knees in 61 patients (median age 49).
- Patients used a visual analog scale (VAS) to report pain at each procedural step.
- Pain during injection was compared to pain during the operation.
Main Results:
- Local anesthetic injection was consistently reported as more painful than the surgical procedure.
- Good pain control was achieved with local anesthesia for meniscus resection, chondroplasty, and loose body removal.
- Increased pain was sometimes noted during procedures involving the suprapatellar pouch, plica, and anterior cruciate ligament.
Conclusions:
- The most painful phase of arthroscopic knee surgery under local anesthesia is typically the anesthetic injection.
- Overall patient satisfaction with pain management during the procedure was high.