title: [Local infiltration analgesia in total joint replacement].
abstract: BACKGROUND
  Total hip and knee replacment surgeries are characterized by severe postoperative pain. Local infiltration analgesia is proved to be very effective. However this method has not been widely used in Hungary.
  
  
  OBJECTIVE
  To evaluate the efficacy of the local infiltration analgesia with modified components in patients underwent total hip or knee replacement surgery.
  
  
  METHODS
  Data of 99 consecutive patients underwent primary total hip or knee replacement surgery were evaluated prospectively. In all the 99 surgeries modified local infiltration analgesia was applied. Postoperative pain reported on a visual analog scale was recorded as well as the need for further analgetics during the first 18 hours after surgery. The cost of the analgetic drugs was calculated. The control group comprised 97 consecutive patients underwent total hip or knee replacement, where local infiltration analgesia was not applied. Statistical analysis was done.
  
  
  RESULTS
  Patients received local infiltration analgesia reported significantly less pain (p<0.001). The need for postoperatively given analgetics was almost 50% less, and the cost of all postoperative analgetics was 47% less than in the control group.
  
  
  CONCLUSIONS
  In total hip and knee replacement surgeries the modified local infiltration analgesia decreases postoperative pain effectively and contribute to the early mobilization of the patients. Orv. Hetil., 2017, 158(9), 352-357.
authors.affiliation: Ortopédiai Sebészeti Osztály, Markusovszky Egyetemi Oktatókórház Szombathely, Markusovszky u. 5., 9700.
authors.forename: Tamás
authors.initials: T
authors.lastname: de Jonge
authors.affiliation: Ortopédiai Sebészeti Osztály, Markusovszky Egyetemi Oktatókórház Szombathely, Markusovszky u. 5., 9700.
authors.forename: Szabolcs
authors.initials: S
authors.lastname: Görgényi
authors.affiliation: Ortopédiai Sebészeti Osztály, Markusovszky Egyetemi Oktatókórház Szombathely, Markusovszky u. 5., 9700.
authors.forename: Gabriella
authors.initials: G
authors.lastname: Szabó
authors.affiliation: Ortopédiai Sebészeti Osztály, Markusovszky Egyetemi Oktatókórház Szombathely, Markusovszky u. 5., 9700.
authors.forename: Miklós Bulcsú
authors.initials: MB
authors.lastname: Torkos
mesh_terms: D000701:Analgesics, Opioid / Q000008:administration & dosage* / Q000191:economics; D000779:Anesthetics, Local / Q000008:administration & dosage* / Q000191:economics; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000008:administration & dosage; D019644:Arthroplasty, Replacement, Hip / Q000706:statistics & numerical data; D019645:Arthroplasty, Replacement, Knee / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D006814:Hungary; D008297:Male; D059408:Pain Management / Q000191:economics / Q000379:methods*; D010149:Postoperative Pain / Q000191:economics* / Q000209:etiology / Q000517:prevention & control*; D011446:Prospective Studies; D016896:Treatment Outcome
chemical_list: D000701:Analgesics, Opioid; D000779:Anesthetics, Local; D000894:Anti-Inflammatory Agents, Non-Steroidal
keywords: csípőprotézis; hip replacement; knee replacement; modified local infiltration analgesia; módosított helyi infiltrációs fájdalomcsillapítás; postoperative pain; posztoperatív fájdalom; prosthesis; térdprotézis