Clinics (Sao Paulo). 2017 December; 72(12): 729-736.

Copyright © 2017 CLINICS

Effects of periarticular injection on analgesic effects and NSAID use in total knee arthroplasty and total hip arthroplasty

Wen-rui Ban , Ery-ang Zhang , Lei-feng Lv , Xiao-qian Dang * , Chen Zhang *

The First Department of Orthopedics, the Second Affiliated Hospital of Medical College, Xi’an Jiaotong University, Xi’an Shaanxi, 710004, P. R China

*Corresponding author. E-mail: /

received June 29, 2017; revised August 24, 2017; accepted October 3, 2017.



This study examined periarticular multimodal drug injection and the use of nonsteroidal anti-inflammatory drugs for an early analgesic effect after total knee arthroplasty and total hip arthroplasty. Patient satisfaction and benefits from the treatment were also assessed.


A total of 110 patients who were scheduled to undergo total knee arthroplasty and 86 patients who were scheduled to undergo total hip arthroplasty were divided into two groups, the study group and the control group. The study group received a periarticular multimodal drug injection during surgery. The control group received an equal volume of normal saline. All patients received an analgesia pump and a moderate dose of nonsteroidal anti-inflammatory drugs. Resting and motion Numeric Rating Scale scores, the Western Ontario and McMaster Universities Arthritis Index, knee or hip joint range of motion, length of postoperative hospital stay, patient satisfaction, total nonsteroidal anti-inflammatory drug consumption and side effects were recorded.


Both study groups exhibited significant improvement in pain Numeric Rating Scale scores during rest and exercise several days after the surgery. The range of joint motion was greater in the study group, and the length of postoperative hospital stay was shorter than that in the control group. Patients in the study group consumed fewer nonsteroidal anti-inflammatory drugs and reported greater satisfaction with surgery.


Intraoperative periarticular multimodal drug injection significantly relieved pain after surgery and reduced nonsteroidal anti-inflammatory drug consumption. These patient had a better postoperative experience, including satisfaction and rehabilitation.

Keywords: Arthroplasty, Pain, Knee, Hip, Analgesia, Nonsteroidal Anti-Inflammatory Drugs

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