The clinical effect of ketoprofen after arthroscopic subacromial decompression: a randomized double-blind prospective study. |
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Authors: | C Hoe-Hansen R Norlin |
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Institution: | 1. Department of Orthopedic Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Gyeonggi-do, Republic of Korea;2. Department of Orthopedic Surgery, Myongji Hospital, Seonam University College of Medicine, Goyang, Gyeonggi-do, Republic of Korea;3. Kerlan-Jobe Orthopaedic Clinic, Los Angeles, CA, USA;4. Orthopaedic Biomechanics Laboratory, Long Beach Veterans Affairs Healthcare System, Long Beach, CA, USA;5. Department of Orthopaedic Surgery, University of California, Irvine, CA, USA |
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Abstract: | The purpose of the study was to evaluate the clinical effect of ketoprofen after arthroscopic subacromial decompression (ASD). The design was randomized, prospective, and double-blind, with a placebo control group. Forty-one consecutive patients with subacromial impingement syndrome, were randomized to treatment with ketoprofen 200 mg once daily or placebo for 6 weeks following ASD. For additional analgesia, patients used paracetamol if necessary. Clinical follow-up was performed at 6 weeks and at 2 years postoperatively. At the 6-week follow-up, the patients treated with ketoprofen had a statistically significant increase in UCLA total score (P<.05), range of movement (P<.05), and satisfaction (P<.05), and they had significantly less pain (P<.05). There was no statistical difference between the ketoprofen and placebo groups regarding strength. Patients receiving ketoprofen had significantly less need for additional analgesia (P<.05). At the 2-year follow-up, there were no differences in the scores between the ketoprofen and placebo group. |
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