Local Ketorolac Infiltration for Postoperative Pain in Open Trigger Finger Surgery: A Randomized Controlled Trial
Practical Solutions and Value Highlights:
Multimodal analgesia is essential for managing postoperative pain effectively in minor hand surgeries, improving patient satisfaction.
Local wound infiltration with Ketorolac is suggested as a strategy to manage pain in open trigger finger release surgery.
The study compared pain scores and functional outcomes between local Ketorolac infiltration and oral non-steroidal anti-inflammatory drugs.
Key Findings:
NRS pain scores were significantly lower at 6 hours post-surgery in the groups receiving local Ketorolac alone or with oral Ibuprofen compared to the oral Ibuprofen alone group.
No significant differences were observed between the groups in postoperative DASH scores, grip strength, mobility of PIP joints, and complications.
Conclusions:
Local Ketorolac infiltration provides better pain relief during finger movement within the first 6 hours after trigger finger surgery compared to oral NSAIDs.
Clinical Trial Registration:
Thaiclinicaltrials.org identifier: TCTR20210825002. Registered on 25/08/2021. Link to Trial
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