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Hyperosmolar irrigation solution seen as safe, effective for arthroscopic rotator cuff repair
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BOSTON — Use of a hyperosmolar irrigation solution during arthroscopic rotator cuff repair safely and effectively decreased periarticular fluid retention and minimized immediate postoperative pain, according to results presented here.
“In the case of this hyperosmolar solution, we found that it was safe for the joint and we think it is important to try and protect the joint,” Nicholas M. Capito, MD, said in his presentation.
Capito and colleagues randomly assigned 50 patients undergoing arthroscopic rotator cuff repair to receive either isotonic or hyperosmolar irrigation solutions. Researchers compared net weight gain, change in shoulder girth and immediate postoperative pain scores between the two groups. Both patients and surgeons were blinded to group allocation.
Nicholas Capito
“In our analysis of the quantitative variables, we found that there were no statistically significant differences between the two groups that we evaluated, as well as the surgeons who performed the study,” Capito said.
Results showed patients in the hyperosmolar group had significantly less weight gain vs. patients in the isotonic group (3.5 lbs. vs. 5 lbs.). Capito noted a significantly less increase in the shoulder nerve in the hyperosmolar group, as well as significantly lower reported immediate postoperative pain. – by Casey Tingle
Reference:
Capito NM, et al. Paper #SS-38. Presented at: Arthroscopy Association of North America Annual Meeting; April 14-16, 2016; Boston.
Disclosure: Capito reports no relevant financial disclosures.