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2015, Number 2

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Revista Cubana de Ortopedia y Traumatología 2015; 29 (2)

Postoperative pain in patients undergoing hip arthroscopy with inside-out technique compared with the outside-in technique

Márquez AJJ, Márquez AWH, Gómez HJC, Gallo VJA

Language: Spanish
References: 28
Page: 94-104
PDF size: 147.50 Kb.


ABSTRACT

Objective: compare postoperative pain in patients undergoing hip arthroscopy with the inside-out technique compared to outside-in technique.
Methods: a prospective study was conducted on postoperative pain in a group of patients (n = 31) who underwent hip arthroscopy by outside-in technique, which were compared with patients (n = 31) who received the inside-out technique. Both groups of patients received the same multimodal analgesia. The main parameters were measured: visual analogue scale at different times up to 24 hours after surgery and opioid need. Categorical variables were compared using Chi-square, and quantitative variables using Student t or Mann-Whitney. OR and CI 95% were calculated. SPSS version 21.0 was used for data analysis program and an alpha error of 5% was considered.
Results: postoperative visual analogue scale was lower in patients with outside-in technique after 1 hour (mean difference 1.9, 95% CI 0.5 to 3.2, p = 0.01) after 2 hours (mean difference 1.29, 95% CI 0.3 to 2.2, p = 0.01) and at discharge (mean difference 0.77, 95% CI 0.16 to 1.18; p = 0.01). However, 24 hours after the procedure, the difference was not significant (mean difference 0.4, 95% CI 0.02 to 0.84; p = 0.08). Opioid requirements postoperatively were significantly lower in patients with the outside-in technique ─6,5% vs. 41.9%─ (crude OR 0.09 95% CI 0.02 to 0.47; p = 0.004), even after adjusting age, sex and BMI (adjusted OR 0.09, 95% CI: 0.016 to 0.51, p = 0.006).
Conclusions: patients who underwent hip arthroscopy with outside-in technique have less postoperative pain and opioid requirements that those who undergo the insideout technique.


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