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Operative arthroscopy under local anaesthetic.
Journal of the Royal College of Surgeons of Edinburgh
|April 1, 1989
Summary
Local anesthetic infiltration is effective for arthroscopic surgery in most patients. However, it may not be suitable for those with acutely locked knees or painful collateral ligaments.
Area of Science:
- Orthopedic Surgery
- Anesthesiology
Background:
- Arthroscopic surgery is a common orthopedic procedure.
- Local anesthetic infiltration is an alternative to general anesthesia for some surgical procedures.
Purpose of the Study:
- To evaluate the efficacy of local anesthetic infiltration for arthroscopic surgery.
- To identify patient factors that may predict failure of local anesthetic infiltration.
Main Methods:
- Forty-six patients undergoing arthroscopic surgery after diagnostic arthroscopy were administered local anesthetic infiltration.
- Conversion to general anesthesia was recorded if the procedure could not be completed under local anesthesia.
Main Results:
- Local anesthetic infiltration was successful for the majority of patients.
- Four patients (approximately 8.7%) required conversion to general anesthesia.
- Failure was associated with acutely locked knees or painful collateral ligaments.
Conclusions:
- Local anesthetic infiltration is a viable option for many patients undergoing arthroscopic surgery.
- Patient selection is important, as those with specific knee conditions may require general anesthesia.