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Clin Shoulder Elbow > Volume 19(4); 2016 > Article
Clinics in Shoulder and Elbow 2016;19(4):192-196.
DOI: https://doi.org/10.5397/cise.2016.19.4.192    Published online December 31, 2016.
Efficacy and Safety of Combined Subacromial and Intravenous Patient-controlled Analgesia after Arthroscopic Rotator Cuff Repair
Joong Bae Seo, Jae Sung Yoo, Jee Won Ryu, Yong Eun Shin
Department of Orthopedic Surgery, Dankook University Medical College, Cheonan, Korea. ssjb1990@dku.edu
Received: 2 January 2016   • Revised: 31 January 2016   • Accepted: 10 February 2016
Abstract
BACKGROUND: This study investigated the efficacy and safety of combined subacromial and intravenous patient-controlled analgesia for control of postoperative pain after arthroscopic rotator cuff repair.
METHODS
Between May 2012 and August 2014, 60 patients who underwent arthroscopic rotator cuff repair with acromioplasty and received patient-controlled analgesia were studied prospectively. Cases were divided into 2 groups: combined subacromial and intravenous infusion group (group A, 30 cases) and solitary intravenous infusion group (group B, 30 cases). The visual analogue scale was used to record the patient's level of pain every 12 hours during postoperative 72 hours and the following 48 hours after the suspension of patient-controlled analgesia.
RESULTS
The mean preoperative visual analogue scale score was 7.8 in group A and 7.6 in group B, and the immediate postoperative visual analogue scale score was 7.9 and 8.1 for each group. At postoperative time (From 12 hours to 72 hours after operation), the scores of combined subacromial and intravenous infusion were significantly lower than those of solitary intravenous infusion. Significant difference in the frequency of supplemental analgesic injections was observed between group A and group B (p=0.008). However, no significant difference in complication rate was observed between the two groups (p=0.562).
CONCLUSIONS
Combined subacromial and intravenous patient-controlled analgesia after arthroscopic rotator cuff repair is more effective than solitary intravenous infusion without significantly increasing complications. Therefore, combined subacromial and intravenous patient-controlled analgesia could be a effective pain control method.
Key Words: Rotator cuff tear; Rotator cuff repair; Patient-controlled analgesia; Postoperative pain control


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