Page last updated: 2024-10-24

bupivacaine and Osteoarthritis, Knee

bupivacaine has been researched along with Osteoarthritis, Knee in 25 studies

Bupivacaine: A widely used local anesthetic agent.
1-butyl-N-(2,6-dimethylphenyl)piperidine-2-carboxamide : A piperidinecarboxamide obtained by formal condensation of the carboxy group of N-butylpipecolic acid with the amino group of 2,6-dimethylaniline.
bupivacaine : A racemate composed of equimolar amounts of dextrobupivacaine and levobupivacaine. Used (in the form of its hydrochloride hydrate) as a local anaesthetic.

Osteoarthritis, Knee: Noninflammatory degenerative disease of the knee joint consisting of three large categories: conditions that block normal synchronous movement, conditions that produce abnormal pathways of motion, and conditions that cause stress concentration resulting in changes to articular cartilage. (Crenshaw, Campbell's Operative Orthopaedics, 8th ed, p2019)

Research Excerpts

ExcerptRelevanceReference
"Pain is the main symptom of osteoarthritis (OA) with approximately 50% of patients reporting moderate-to-severe pain."7.30Is there a difference in the analgesic response to intra-articular bupivacaine injection in people with knee osteoarthritis pain with or without central sensitisation? Protocol of a feasibility randomised controlled trial. ( Auer, DP; Cooper, D; Knaggs, R; Kurien, T; Scammell, BE; Walsh, DA; Zedan, Y, 2023)
"Significant pain reduction was achieved one hour post-bupivacaine (mean difference as a percentage change 56."5.10Effect of pain reduction on postural sway, proprioception, and quadriceps strength in subjects with knee osteoarthritis. ( Doherty, M; Doherty, SA; Hassan, BS; Mockett, S, 2002)
"Pain is the main symptom of osteoarthritis (OA) with approximately 50% of patients reporting moderate-to-severe pain."3.30Is there a difference in the analgesic response to intra-articular bupivacaine injection in people with knee osteoarthritis pain with or without central sensitisation? Protocol of a feasibility randomised controlled trial. ( Auer, DP; Cooper, D; Knaggs, R; Kurien, T; Scammell, BE; Walsh, DA; Zedan, Y, 2023)
"The outcome parameters were postoperative pain assessed by using a visual analog scale (VAS), the maximal angle of knee flexion, and quadriceps function from day 1 to 6 weeks after surgery."2.90Timing of periarticular injection has no effect on postoperative pain and functional recovery in simultaneous bilateral total knee arthroplasty: a prospective randomized, double-blinded trial. ( Jarusriwanna, A; Laoruengthana, A; Pongpirul, K; Rasamimongkol, S; Rattanaprichavej, P; Varakornpipat, P, 2019)
"Postoperative pain is one of the issues that concern most patients after total knee arthroplasty (TKA)."2.87Periarticular multimodal drug injection is better than single anesthetic drug in controlling pain after total knee arthroplasty. ( Kanitnate, S; Manuwong, S; Panichkul, P; Tammachote, N, 2018)
" The dosage was 0."2.78Ropivacaine versus bupivacaine for 3-in-1 block during total knee arthroplasty. ( Chalidis, B; Goroszeniuk, T; Grosomanidis, V; Sachinis, N; Theodosiadis, P, 2013)
"Bupivacaine treatment led to an increase in Caspase 3 gene expression (P = 0."1.56Acetaminophen, bupivacaine, Duramorph, and Toradol: A comparison of chondrocyte viability and gene expression changes in osteoarthritic human chondrocytes. ( Chen, C; Cooke, C; Flynn, J; Jackson, N; Keating, P; Lemos, S; Markel, D; Osborne, J, 2020)

Research

Studies (25)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's7 (28.00)29.6817
2010's14 (56.00)24.3611
2020's4 (16.00)2.80

Authors

AuthorsStudies
Zedan, Y1
Knaggs, R1
Cooper, D1
Kurien, T1
Walsh, DA1
Auer, DP1
Scammell, BE1
Liu, M1
Zhang, D1
Shi, B1
Knight, R1
Poulton, L1
Strickland, LH1
Hamilton, TW1
Beard, D1
Cook, J1
Dutton, SJ1
Leal, J1
Lamb, S1
Cooper, C1
Barker, KL1
Murray, DW2
Pandit, HG1
Altay, N1
Sarıkaya, B1
Karahan, MA1
Büyükfırat, E1
Binici, O1
Ertürk, C1
Altay, MA1
Cooke, C1
Osborne, J1
Jackson, N1
Keating, P1
Flynn, J1
Markel, D1
Chen, C1
Lemos, S1
Çay, N1
Choi, JA1
Gonzalez, FM1
Markhardt, BK1
Sutter, R1
Tammachote, N1
Kanitnate, S1
Manuwong, S1
Panichkul, P1
Laoruengthana, A1
Jarusriwanna, A1
Rattanaprichavej, P1
Rasamimongkol, S1
Varakornpipat, P1
Pongpirul, K1
Theodosiadis, P1
Sachinis, N1
Goroszeniuk, T1
Grosomanidis, V1
Chalidis, B1
Jung, WH1
Takeuchi, R1
Chun, CW1
Lee, JS1
Ha, JH1
Kim, JH1
Jeong, JH1
Emerson, RH1
Barrington, JW1
Olugbode, O1
Lovald, S1
Watson, H1
Ong, K1
Iwasaki, K1
Sudo, H1
Kasahara, Y1
Yamada, K1
Ohnishi, T1
Tsujimoto, T1
Iwasaki, N1
Sarı, S1
Aydın, ON1
Turan, Y1
Özlülerden, P1
Efe, U1
Kurt Ömürlü, İ1
Gazi, MB1
Sakata, RK1
Issy, AM1
Fu, P1
Wu, Y1
Wu, H1
Li, X1
Qian, Q1
Zhu, Y1
Hay, DC1
Mayle, RE1
Goodman, SB1
Mullaji, A1
Kanna, R1
Shetty, GM1
Chavda, V1
Singh, DP1
Weston-Simons, JS1
Pandit, H1
Haliker, V1
Dodd, CA1
Popat, MT1
Joo, JH1
Park, JW1
Kim, JS1
Kim, YH1
Lareau, JM1
Robbins, CE1
Talmo, CT1
Mehio, AK1
Puri, L1
Bono, JV1
Xie, Z1
Hussain, W1
Cutter, TW1
Apfelbaum, JL1
Drum, ML1
Manning, DW1
Karamanlioğlu, B1
Alagöl, A1
Turan, FN1
Amin, N1
Brancaccio, R1
Cohen, D1
DeWeese, FT1
Akbari, Z1
Carline, E1
Hassan, BS1
Doherty, SA1
Mockett, S1
Doherty, M1

Clinical Trials (10)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Ultrasound Guided Sacroiliac Joint Injections With Ketorolac Versus Corticosteroid: A Prospective Non-inferiority Study[NCT06081101]Early Phase 180 participants (Anticipated)Interventional2024-01-31Not yet recruiting
Does Liposomal Bupivacaine Improve Postoperative Pain Control After One Level Posterior Spinal Fusion With Instrumentation[NCT03745040]Phase 460 participants (Anticipated)Interventional2019-01-26Recruiting
Comparative Feasibility and Efficacy of a Five Compartment Technique Using 0.25% Bupivacaine vs a Mixture of 0.25% Bupivacaine and 1.3 % Liposomal Bupivacaine in Patients Undergoing Tka; a Single Blinded Randomized Controlled Study[NCT03303794]Phase 325 participants (Actual)Interventional2017-10-25Terminated (stopped due to Interim Analysis showed no significance)
Comparison of the Effect of Intra-articular Administration of 2% Ropivacaine vs. 7.5% Ropivacaine as an Analgesic in the Immediate Postoperative Period of Knee Arthroscopy in Acute Injuries at the ABC Medical Center[NCT05807945]Phase 468 participants (Actual)Interventional2020-04-01Completed
Intra-Articular Morphine Versus Bupivacaine on Knee Motion in Patients With Osteoarthritis: Randomized and Double-Blind Clinical Trial[NCT00636415]30 participants (Actual)Interventional2004-06-30Completed
A Double Blind Randomized Control Trial on the Efficacy of Periarticular Levo Bupivicaine Injection Following Primary Hip Arthroplasty[NCT01106001]Phase 491 participants (Actual)Interventional2008-09-30Completed
A Double Blind, Randomized Clinical Trial Comparing Postoperative Narcotic Usage in Patients Receiving Periarticular Liposomal Bupivicaine vs. Those Patients Receiving Standard Periarticular Joint Injections[NCT02682498]Phase 438 participants (Actual)Interventional2013-10-31Completed
Effects of Pre-emptive Scalp Infiltration With Ropivacaine and Methylprednisolone- Ropivacaine on Pain After Craniotomy in Adults[NCT04078139]Phase 4188 participants (Anticipated)Interventional2021-03-05Not yet recruiting
Efficacy of Pain Management in Different Concentrations of Bupivacaine in Periarticular Injection and Plasma Concentrations of Bupivacaine in Patients Undergoing Bilateral Knee Arthroplasty[NCT03249662]60 participants (Actual)Interventional2017-09-27Completed
Is There a Difference in the Analgesic Response to Intra-articular Bupivacaine Injection in People With Knee Osteoarthritis Pain With or Without Central Sensitisation?: a Feasibility Randomised Controlled Trial[NCT05561010]50 participants (Anticipated)Interventional2022-10-31Not yet recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

AM-PAC Score to Measure Patients Fitness for Discharge

AM-PAC (activity measure for post-acute care) will be used to determine if a patient is fit to discharge based on mobility with 6 being unable to mobilize up to 24 being independent. Patients who scored above 20 were considered fit to discharge. (NCT03303794)
Timeframe: Post-Operation Day 1

Interventionscore on scale (Mean)
Bupivicaine23
Bupivicaine + Exparel23

Opioid Consumption During the First 48 Hours After TKA Surgery

Monitor how much opioid patient consumes (NCT03303794)
Timeframe: During the first 48 hours after surgery

Interventionmilligram (Mean)
Bupivicaine90
Bupivicaine + Exparel76

Pain Scores During 48 Hrs Postoperatively

Will use Numeric Pain Rating Scale (NPRS) to measure pain with 0 being no pain and 10 being the worst pain. (NCT03303794)
Timeframe: 48 hours postoperatively

Interventionscore on scale (Mean)
Bupivicaine4
Bupivicaine + Exparel4

48 Hour Post-surgical Opioid Use

A comparison of group means between the control group and study group with regards to 48 hour opioid use. (NCT02682498)
Timeframe: 48 hours

Interventionmorphine equivalents (Mean)
EXPAREL® Bupivacaine Liposome Suspension5.32
Standard Periarticular Joint Injection5.07

Average Daily Opioid Use During Admission

Opioid use will be monitored daily from the time of admission in comparison of standard knee injection post-operatively. (NCT02682498)
Timeframe: Up to 48 hours

InterventionTotal Morphine Equivalents (Mean)
EXPAREL® Bupivacaine Liposome Suspension100
Standard Periarticular Joint Injection103

Average Daily Patient Pain Score

Examining the average daily patient pain score in comparison of standard knee injection post-operatively. The measure is the Visual-Analog-Scale (VAS) for subjective pain reporting. The minimum 0 (no pain) and the maximum is 10 (worst pain imagineable). There is only one measure in the scale (i.e. there are no subscales). Lower scores on the VAS scale equate to less pain and are therefore desirable. (NCT02682498)
Timeframe: Up to 48 hours

InterventionVisual Analog Scale Rating (Mean)
EXPAREL® Bupivacaine Liposome Suspension4.75
Standard Periarticular Joint Injection5.75

Post-operative Complications

Examining the post-operative complication in comparison of standard knee injection post-operatively. (NCT02682498)
Timeframe: Up to 1 month

Interventioncomplications (Number)
EXPAREL® Bupivacaine Liposome Suspension0
Standard Periarticular Joint Injection0

Recovery Room Opioid Use

Post anesthesia care unit (recovery room) opioid use in total mg morphine IV equivalent in comparison of standard knee injection post-operatively. (NCT02682498)
Timeframe: Up to 48 hours

InterventionTotal morphine equivalents (Median)
EXPAREL® Bupivacaine Liposome Suspension5
Standard Periarticular Joint Injection5

Trials

17 trials available for bupivacaine and Osteoarthritis, Knee

ArticleYear
Is there a difference in the analgesic response to intra-articular bupivacaine injection in people with knee osteoarthritis pain with or without central sensitisation? Protocol of a feasibility randomised controlled trial.
    BMJ open, 2023, 07-11, Volume: 13, Issue:7

    Topics: Analgesics; Bupivacaine; Central Nervous System Sensitization; Feasibility Studies; Humans; Injectio

2023
Comparison of the Post-Total Knee Arthroplasty Analgesic Effect of Intraoperative Periarticular Injection of Different Analgesics.
    Journal of the College of Physicians and Surgeons--Pakistan : JCPSP, 2019, Volume: 29, Issue:12

    Topics: Aged; Analgesia, Patient-Controlled; Analgesics; Anti-Inflammatory Agents, Non-Steroidal; Arthroplas

2019
Study of Peri-Articular Anaesthetic for Replacement of the Knee (SPAARK): study protocol for a patient-blinded, randomised controlled superiority trial of liposomal bupivacaine.
    Trials, 2019, Dec-16, Volume: 20, Issue:1

    Topics: Anesthetics, Local; Arthroplasty, Replacement, Knee; Bupivacaine; Cost-Benefit Analysis; Drug Costs;

2019
Comparison of efficacy between combined periarticular and incisional injections versus periarticular injection alone of bupivacaine for pain control after total knee arthroplasty: A prospective randomized controlled trial.
    Acta orthopaedica et traumatologica turcica, 2020, Volume: 54, Issue:4

    Topics: Aged; Anesthetics, Local; Arthroplasty, Replacement, Knee; Bupivacaine; Double-Blind Method; Female;

2020
Periarticular multimodal drug injection is better than single anesthetic drug in controlling pain after total knee arthroplasty.
    European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2018, Volume: 28, Issue:4

    Topics: Aged; Aged, 80 and over; Analgesics, Opioid; Anesthetics, Combined; Arthroplasty, Replacement, Knee;

2018
Timing of periarticular injection has no effect on postoperative pain and functional recovery in simultaneous bilateral total knee arthroplasty: a prospective randomized, double-blinded trial.
    BMC musculoskeletal disorders, 2019, Apr-11, Volume: 20, Issue:1

    Topics: Aged; Arthroplasty, Replacement, Knee; Bupivacaine; Double-Blind Method; Drug Administration Schedul

2019
Ropivacaine versus bupivacaine for 3-in-1 block during total knee arthroplasty.
    Journal of orthopaedic surgery (Hong Kong), 2013, Volume: 21, Issue:3

    Topics: Aged; Amides; Anesthetics, Local; Arthroplasty, Replacement, Knee; Bupivacaine; Female; Femoral Nerv

2013
Efficacy of periarticular multimodal drug injection after medial opening-wedge high tibial osteotomy: a randomized, controlled study.
    Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association, 2014, Volume: 30, Issue:10

    Topics: Adult; Aged; Aged, 80 and over; Analgesics; Bupivacaine; Drug Combinations; Epinephrine; Female; Hum

2014
Which one is more effective for the clinical treatment of chronic pain in knee osteoarthritis: radiofrequency neurotomy of the genicular nerves or intra-articular injection?
    International journal of rheumatic diseases, 2018, Volume: 21, Issue:10

    Topics: Aged; Aged, 80 and over; Analgesics; Analgesics, Opioid; Anesthetics, Local; Arthralgia; Betamethaso

2018
Intra-articular morphine versus bupivacaine for knee motion among patients with osteoarthritis: randomized double-blind clinical trial.
    Sao Paulo medical journal = Revista paulista de medicina, 2008, Volume: 126, Issue:6

    Topics: Aged; Analgesics, Opioid; Analysis of Variance; Anesthetics, Local; Bupivacaine; Double-Blind Method

2008
Efficacy of intra-articular cocktail analgesic injection in total knee arthroplasty - a randomized controlled trial.
    The Knee, 2009, Volume: 16, Issue:4

    Topics: Aged; Analgesia, Patient-Controlled; Analgesics; Arthroplasty, Replacement, Knee; Betamethasone; Bup

2009
Efficacy of intra-articular cocktail analgesic injection in total knee arthroplasty - a randomized controlled trial.
    The Knee, 2009, Volume: 16, Issue:4

    Topics: Aged; Analgesia, Patient-Controlled; Analgesics; Arthroplasty, Replacement, Knee; Betamethasone; Bup

2009
Efficacy of intra-articular cocktail analgesic injection in total knee arthroplasty - a randomized controlled trial.
    The Knee, 2009, Volume: 16, Issue:4

    Topics: Aged; Analgesia, Patient-Controlled; Analgesics; Arthroplasty, Replacement, Knee; Betamethasone; Bup

2009
Efficacy of intra-articular cocktail analgesic injection in total knee arthroplasty - a randomized controlled trial.
    The Knee, 2009, Volume: 16, Issue:4

    Topics: Aged; Analgesia, Patient-Controlled; Analgesics; Arthroplasty, Replacement, Knee; Betamethasone; Bup

2009
Efficacy of periarticular injection of bupivacaine, fentanyl, and methylprednisolone in total knee arthroplasty:a prospective, randomized trial.
    The Journal of arthroplasty, 2010, Volume: 25, Issue:6

    Topics: Aged; Aged, 80 and over; Analgesics, Opioid; Anesthetics, Combined; Anesthetics, Local; Arthroplasty

2010
Efficacy of periarticular injection of bupivacaine, fentanyl, and methylprednisolone in total knee arthroplasty:a prospective, randomized trial.
    The Journal of arthroplasty, 2010, Volume: 25, Issue:6

    Topics: Aged; Aged, 80 and over; Analgesics, Opioid; Anesthetics, Combined; Anesthetics, Local; Arthroplasty

2010
Efficacy of periarticular injection of bupivacaine, fentanyl, and methylprednisolone in total knee arthroplasty:a prospective, randomized trial.
    The Journal of arthroplasty, 2010, Volume: 25, Issue:6

    Topics: Aged; Aged, 80 and over; Analgesics, Opioid; Anesthetics, Combined; Anesthetics, Local; Arthroplasty

2010
Efficacy of periarticular injection of bupivacaine, fentanyl, and methylprednisolone in total knee arthroplasty:a prospective, randomized trial.
    The Journal of arthroplasty, 2010, Volume: 25, Issue:6

    Topics: Aged; Aged, 80 and over; Analgesics, Opioid; Anesthetics, Combined; Anesthetics, Local; Arthroplasty

2010
Intra-articular local anaesthetic on the day after surgery improves pain and patient satisfaction after Unicompartmental Knee Replacement: a randomised controlled trial.
    The Knee, 2012, Volume: 19, Issue:4

    Topics: Anesthetics, Local; Arthroplasty, Replacement, Knee; Bupivacaine; Double-Blind Method; Humans; Injec

2012
Is intra-articular multimodal drug injection effective in pain management after total knee arthroplasty? A randomized, double-blinded, prospective study.
    The Journal of arthroplasty, 2011, Volume: 26, Issue:7

    Topics: Aged; Aged, 80 and over; Analgesia, Patient-Controlled; Analgesics, Opioid; Anesthetics, Local; Anti

2011
Three-in-one nerve block with different concentrations of bupivacaine in total knee arthroplasty: randomized, placebo-controlled, double-blind trial.
    The Journal of arthroplasty, 2012, Volume: 27, Issue:5

    Topics: Aged; Aged, 80 and over; Arthralgia; Arthroplasty, Replacement, Knee; Bupivacaine; Dose-Response Rel

2012
Preemptive oral rofecoxib plus postoperative intraarticular bupivacaine for pain relief after arthroscopic knee surgery.
    Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology, 2005, Volume: 17, Issue:2

    Topics: Administration, Oral; Adult; Anesthetics, Local; Anti-Inflammatory Agents, Non-Steroidal; Arthroscop

2005
Effect of pain reduction on postural sway, proprioception, and quadriceps strength in subjects with knee osteoarthritis.
    Annals of the rheumatic diseases, 2002, Volume: 61, Issue:5

    Topics: Adult; Aged; Aged, 80 and over; Analgesics; Bupivacaine; Cross-Over Studies; Double-Blind Method; El

2002

Other Studies

8 other studies available for bupivacaine and Osteoarthritis, Knee

ArticleYear
Acetaminophen, bupivacaine, Duramorph, and Toradol: A comparison of chondrocyte viability and gene expression changes in osteoarthritic human chondrocytes.
    The Knee, 2020, Volume: 27, Issue:6

    Topics: Acetaminophen; Analgesics, Non-Narcotic; Analgesics, Opioid; Anesthetics, Local; Apoptosis; Bupivaca

2020
The Global Reading Room: Intraarticular Steroid Injection of the Knee.
    AJR. American journal of roentgenology, 2021, Volume: 217, Issue:5

    Topics: Anesthetics, Local; Betamethasone; Bupivacaine; Female; Fluoroscopy; Glucocorticoids; Humans; Inject

2021
Femoral Nerve Block Versus Long-Acting Wound Infiltration in Total Knee Arthroplasty.
    Orthopedics, 2016, May-01, Volume: 39, Issue:3

    Topics: Aged; Analgesia; Anesthetics, Local; Arthroplasty, Replacement, Knee; Bupivacaine; Female; Femoral N

2016
Femoral Nerve Block Versus Long-Acting Wound Infiltration in Total Knee Arthroplasty.
    Orthopedics, 2016, May-01, Volume: 39, Issue:3

    Topics: Aged; Analgesia; Anesthetics, Local; Arthroplasty, Replacement, Knee; Bupivacaine; Female; Femoral N

2016
Femoral Nerve Block Versus Long-Acting Wound Infiltration in Total Knee Arthroplasty.
    Orthopedics, 2016, May-01, Volume: 39, Issue:3

    Topics: Aged; Analgesia; Anesthetics, Local; Arthroplasty, Replacement, Knee; Bupivacaine; Female; Femoral N

2016
Femoral Nerve Block Versus Long-Acting Wound Infiltration in Total Knee Arthroplasty.
    Orthopedics, 2016, May-01, Volume: 39, Issue:3

    Topics: Aged; Analgesia; Anesthetics, Local; Arthroplasty, Replacement, Knee; Bupivacaine; Female; Femoral N

2016
Effects of Multiple Intra-articular Injections of 0.5% Bupivacaine on Normal and Osteoarthritic Joints in Rats.
    Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association, 2016, Volume: 32, Issue:10

    Topics: Anesthetics, Local; Animals; Bupivacaine; Cartilage, Articular; Cell Count; Cell Survival; Chondrocy

2016
Third-degree heart block associated with bupivacaine infusion following total knee arthroplasty. A case report.
    The Journal of bone and joint surgery. American volume, 2009, Volume: 91, Issue:9

    Topics: Aged; Anesthetics, Local; Arthroplasty, Replacement, Knee; Bupivacaine; Female; Heart Block; Humans;

2009
Complications of femoral nerve blockade in total knee arthroplasty and strategies to reduce patient risk.
    The Journal of arthroplasty, 2012, Volume: 27, Issue:4

    Topics: Aged; Anesthetics, Local; Arthroplasty, Replacement, Knee; Bupivacaine; Catheters; Compartment Syndr

2012
Cutaneous reactions to injectable corticosteroids.
    Dermatitis : contact, atopic, occupational, drug, 2006, Volume: 17, Issue:3

    Topics: Aged; Anti-Inflammatory Agents; Bupivacaine; Diagnosis, Differential; Drug Eruptions; Female; Humans

2006
Pain control after knee arthroplasty: intraarticular versus epidural anesthesia.
    Clinical orthopaedics and related research, 2001, Issue:392

    Topics: Adult; Aged; Aged, 80 and over; Analgesia, Patient-Controlled; Anesthesia, Epidural; Anesthetics, Lo

2001