Broome Charles B, Burnikel Brian
El Paso Orthopaedic Surgery Group, 1700 Murchison Drive, El Paso, TX, 79902, USA,
Int Orthop. 2014 Oct;38(10):2087-9. doi: 10.1007/s00264-014-2392-0. Epub 2014 Jun 18.
The incidence of total joint arthroplasty is rapidly increasing. As costs are rising as well, orthopaedic surgeons are now being called on to demonstrate the value of our procedures. We recently evaluated a new technique of local injection in total knee arthroplasty (TKA) as a potential means to improve quality and decrease costs.
A case-control study was performed. One hundred patients were prospectively studied receiving a novel local injection using liposomal bupivicaine in TKA. These were compared to a historical cohort of 100 patients receiving a femoral nerve catheter.
We found that patients receiving liposomal bupivicaine had improved pain scores, shorter lengths of stay, slightly less opioid intake, and large decreases in costs.
Local injection in TKA with liposomal bupivicaine appears to be a useful tool in adding value to patient care. This technique was shown to improve patient outcomes while simultaneously decreasing costs.
全关节置换术的发病率正在迅速上升。由于成本也在增加，现在要求骨科医生证明我们手术的价值。我们最近评估了一种全膝关节置换术（TKA）局部注射的新技术，作为提高质量和降低成本的一种潜在方法。
进行了一项病例对照研究。前瞻性研究了100例在TKA中接受使用脂质体布比卡因进行新型局部注射的患者。将这些患者与100例接受股神经导管置入的历史队列患者进行比较。
我们发现接受脂质体布比卡因的患者疼痛评分改善、住院时间缩短、阿片类药物摄入量略少且成本大幅降低。
在TKA中使用脂质体布比卡因进行局部注射似乎是为患者护理增加价值的有用工具。该技术被证明可改善患者预后，同时降低成本。
