The Efficacy of Intra-Articular Injections for Pain Control Following the Closed Reduction and Percutaneous Pinning of Pediatric Supracondylar Humeral.

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Presentation transcript:

The Efficacy of Intra-Articular Injections for Pain Control Following the Closed Reduction and Percutaneous Pinning of Pediatric Supracondylar Humeral Fractures by Gaia Georgopoulos, Patrick Carry, Zhaoxing Pan, Frank Chang, Travis Heare, Jason Rhodes, Mark Hotchkiss, Nancy H. Miller, and Mark Erickson J Bone Joint Surg Am Volume 94(18): September 19, 2012 ©2012 by The Journal of Bone and Joint Surgery, Inc.

Summary of enrollment. Gaia Georgopoulos et al. J Bone Joint Surg Am 2012;94: ©2012 by The Journal of Bone and Joint Surgery, Inc.

Intra-articular injection of local anesthesia was given once the joint had been successfully aspirated. Gaia Georgopoulos et al. J Bone Joint Surg Am 2012;94: ©2012 by The Journal of Bone and Joint Surgery, Inc.

Kaplan-Meier plot of opioid-free survival in the first 120 postoperative minutes after arrival in the post-anesthesia care unit (PACU). Gaia Georgopoulos et al. J Bone Joint Surg Am 2012;94: ©2012 by The Journal of Bone and Joint Surgery, Inc.

Bar graph summarizing opioid consumption during the study period. Gaia Georgopoulos et al. J Bone Joint Surg Am 2012;94: ©2012 by The Journal of Bone and Joint Surgery, Inc.

Line graph illustrating the total analgesic count during the first three days after surgery. *Significantly different from the control group (p < 0.05). Gaia Georgopoulos et al. J Bone Joint Surg Am 2012;94: ©2012 by The Journal of Bone and Joint Surgery, Inc.

Line graph illustrating self-reported pain severity. Gaia Georgopoulos et al. J Bone Joint Surg Am 2012;94: ©2012 by The Journal of Bone and Joint Surgery, Inc.

Bar graph illustrating parent-reported pain severity. Gaia Georgopoulos et al. J Bone Joint Surg Am 2012;94: ©2012 by The Journal of Bone and Joint Surgery, Inc.

Arthrograms of the elbow of a three-year-old child with a supracondylar humeral fracture. Gaia Georgopoulos et al. J Bone Joint Surg Am 2012;94: ©2012 by The Journal of Bone and Joint Surgery, Inc.