Volume 20 No 9 (2022)
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Particulate vs Non-Particulate Steroid as an Adjuvant of Periarticular Injection for Postoperative TKR Pain Management: Systematic Review
Cery Tarise Hajali , Kukuh Dwiputra Hernugrahanto , Dwikora Novembri Utomo
Abstract
Total knee replacement (TKR) is a common procedure in treating severe knee pathology.
Pain after TKR commonly occurs. Periarticular Injection (PAI) using steroid is one of the methods for pain
management after TKR but there is still no evidence on which steroid to use. Particulate and non-particulate
steroid are commonly differentiated when choosing which steroid to use for injection. Case : Studies
assessing the effect of periarticular steroid as an adjuvant for postoperative TKR analgesics from PubMed,
Cochrane library, and Embase from 2011-2021. From the 300 identified paper through database searching,
seven studies were finally included for the qualitative synthesis. In terms of VAS difference, studies in the
particulate group showed bigger VAS reduction in the early postoperative days (POD) compared to later
PODs
Keywords
Steroid, Periarticular Injection, Total Knee Replacement, Pain
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