Department of Orthopedic Surgery, Dokuz Eylül University, Izmir, Turkey.
J Orthop Traumatol. 2020 Sep 2;21(1):17. doi: 10.1186/s10195-020-00556-6.
Postoperative pain and edema are the most common problems associated with arthroscopic rotator cuff repair. The purpose of the present study was to compare ice wrap and subacromial injection (SI) as treatments for early postop pain and edema control and to contrast them with a control group.
59 patients treated with arthroscopic rotator cuff repair were randomized into three groups: 23 patients who received an ice wrap, 20 patients who received a SI, and a control group of 16 patients.
Patient demographics, comorbidities, tear retraction, degree of fatty muscle degeneration, surgical procedures, and amount of irrigation fluid were similar for the three groups, which also showed similar results regarding postoperative pain and edema control as well as analgesic consumption.
The present study failed to show any difference in effectiveness between the two most common pain management modalities, or between those modalities and the control group.
IV, prospective observational study.
关节镜肩袖修复术后疼痛和水肿是最常见的问题。本研究的目的是比较冰袋包扎和肩峰下注射（SI）作为治疗早期术后疼痛和控制水肿的方法，并将其与对照组进行对比。
59 例接受关节镜肩袖修复的患者随机分为三组：23 例接受冰袋包扎，20 例接受 SI，16 例为对照组。
三组患者的人口统计学特征、合并症、撕裂回缩、脂肪肌肉变性程度、手术程序和灌洗液量相似，三组在术后疼痛和水肿控制以及镇痛药物消耗方面也具有相似的结果。
本研究未能显示两种最常见的疼痛管理方法之间、或这些方法与对照组之间在疗效上有任何差异。
IV，前瞻性观察研究。
