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Juan Farina2 Author
Research Article Open Access
Author(s): Adrian Lescano1,2, Juan Farina2, Nicolas Carusso3, Guillermina Sorassio2, Hernan Cohen Arazi2, Guillermo Bortman3
Objective: After knee surgeries, the intra-articular administration of a solution mixing bupivacaine and epinephrine is a common regimen. It is logic to expect the potential in blood conservation using this regimen in total knee arthroplasty (TKA); however, there is inconsistent literature. The study was to explore the hemostatic
efficacy of this regimen in our primary TKAs without drains.
Methods: A retrospective, case controlled review of our primary TKAs between 2009 and 2010 was conducted. After closure of arthrotomy, a solution containing a 40 ml vial of 0.5% bupivacaine with epinephrine 1: 200000 was given prior to the deflation of tourniquet, and two groups were simply divided according to the intra-articular injection or not. Bl... view moreĀ»