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  • Title: The efficacy of intra-articular bupivacaine for relief of pain following arthroscopy of the ankle.
    Author: Middleton F, Coakes J, Umarji S, Palmer S, Venn R, Panayiotou S.
    Journal: J Bone Joint Surg Br; 2006 Dec; 88(12):1603-5. PubMed ID: 17159171.
    Abstract:
    The intra-articular injection of local anaesthetic is frequently used for pain relief after arthroscopy. There is, however, no published evidence of the analgesic effect of bupivacaine in the ankle. In a randomised, double-blind study, 35 patients undergoing arthroscopy of the ankle were allocated to receive intra-articular saline or bupivacaine. Pain was assessed using pain scores and additional analgesic requirements. Intra-articular bupivacaine had a significant analgesic effect in the immediate post-operative period, reducing pain scores and the need for additional analgesics. We recommend the use of intra-articular bupivacaine for post-operative analgesia in ankle surgery.
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