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The Journal of Bone and Joint Surgery 79:1752-3 (1997)
© 1997 The Journal of Bone and Joint Surgery, Inc.

Correspondence

Correspondence

F. Kayser Enneking, M.D., Timothy E. Morey, M.D., Michael S. Pinzur, M.D., Prabhakar Gupta N. Garla, M.D., Teresa Pluth, R.N. and Lori Vrbos, R.N., M.S.

TO THE EDITOR:

We applaud the attempt of Pinzur et al. to address the difficult issue of relief of postoperative and phantom-limb pain after amputation of the lower extremity in "Continuous Postoperative Infusion of a Regional Anesthetic after an Amputation of the Lower Extremity. A Randomized Clinical Trial" (78-A: 1501–1505, Oct. 1996). The technique of infusing local anesthetic through a catheter placed in an amputated nerve sheath is relatively new and is not yet fully understood. We agree that a blinded, randomized, placebo-controlled study is needed to delineate the benefits and risks of this technique as conflicting data have been published2,3,6 about its efficacy since its introduction in 1991. Unfortunately, we do not believe that Pinzur et al. provided this information.

There are several methodological problems in this study that may leave the reader with the impression that this technique adds little to therapies that are currently available. First, Pinzur . . . [Full Text of this Article]


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