The Use of Gabapentin in the Management of Postoperative Pain After Total Hip Arthroplasty: a Meta-analysis of Randomised Controlled Trials

Overview

Journal J Orthop Surg Res

Publisher Biomed Central

Specialty Orthopedics

Date 2016 Jul 14

PMID 27405805

Citations 10

Authors

Chao Han

Xiao-Dan Li

Hong-Qiang Jiang

Jian-Xiong Ma

Xin-Long Ma

Affiliations

Soon will be listed here.

Abstract

Background: Pain management after total hip arthroplasty (THA) varies and has been widely studied in recent years. Gabapentin as a third-generation antiepileptic drug that selectively affects the nociceptive process has been used for pain relief after THA. This meta-analysis was conducted to examine the efficacy of gabapentin in THA.

Methods: An electronic-based search was conducted using the following databases: PubMed, EMBASE, Ovid MEDLINE, ClinicalTrials.gov, and Cochrane Central Register of Controlled Trials (CENTRAL). Randomised controlled trials (RCTs) involving gabapentin and a placebo for THA were included. The meta-analysis was performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement.

Results: Five trials met the inclusion criteria. The cumulative narcotic consumption and the visual analogue scale (VAS) scores at 24 and 48 h postoperatively were used for postoperative pain assessment. There was a significant decrease in morphine consumption at 24 h (P = 0.00). Compared with the control group, the VAS score (at rest) at 48 h was less in the gabapentin group (P = 0.00).

Conclusion: The administration of gabapentin is effective in decreasing postoperative narcotic consumption and the VAS score.

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