Comparing the Effectiveness of Intra-Articular Injection of Bupivacaine, Dexmedetomidine Vs. 0.9% Saline on Pain Control after Arthroscopic Anterior Cruciate Ligament Reconstruction

In different ways, drugs are administered to reduce postoperative analgesia after arthroscopic anterior cruciate ligament (ACL) reconstruction. The purpose of this study is to compare the dexmedetomidine (DEX) intra - articular injection with bupivacaine hydroc hloride and sterile 0 . 9 % saline administration following arthroscopic ACL reconstruction .

Sixty cases who underwent ACL reconstruction were randomly divided into three groups. The first group received intra - articular DEX; the second group recei ved intra - articular bupivacaine, and the final group received intra - articular 0.9% saline. Post operative pain was measured by Visual Analogue Scale (VAS) .

The mean VAS scores at 6 and 24 hours after surgery were lower in the bupivacaine group, c ompared to the other groups. Pain was more severe in the control group ( 0 . 9 % saline), with higher VAS scores reported at 1, 6, and 24 hours after surgery .

Bupivacaine has more significant effects than DEX in postoperative pain management after arthroscopic ACL reconstruction .