Table 1

Characteristics of the included studies

StudyYearn (B/C)Method of administrationConcentration (%)DoseEpinephrineIntra-articular injection timeType of surgeryType of anaesthesia
Chen et al13201496 (48/48)Single-dose injection0.5060 mLNoAfter closure of the joint capsuleTotal hip arthroplastyGeneral anaesthesia
Weston-Simons et al14201242 (22/20)Single-dose injection0.5020 mLNo24 hours postoperativelyUnicompartmental knee replacementGeneral anaesthesia
Shen et al10201536 (20/16)Single-dose injection0.5060 mLNoAfter closure of the surgical woundTotal knee arthroplastyGeneral anaesthesia
Ritter et al201999211 (114/97)Single-dose injection0.2510 mLNoAfter closure of the surgical woundTotal knee arthroplastyGeneral anaesthesia or spinal anaesthesia
Mauerhan et al21199751 (24/27)Single-dose injection0.1730 mLNoAfter closure of the surgical woundTotal knee arthroplastySpinal anaesthesia
Browne et al22200460 (30/30)Single-dose injection0.5020 mLYesAfter closure of the joint capsuleTotal knee arthroplastyNot mentioned
Badner et al25199654 (27/27)Single-dose injection0.5030 mLYesAfter closure of the surgical woundTotal knee arthroplastyGeneral anaesthesia
Williams et al17201345 (21/24)Continuous injection0.502 mL/hourNoContinuous infection 48 hours postoperativelyTotal knee arthroplastySpinal anaesthesia
Chen et al13201091 (45/46)Single-dose+continuous injection0.502 mL/hourNoContinuous infection 48 hours postoperativelyTotal hip arthroplastyGeneral anaesthesia
Nechleba et al19200530 (14/16)Continuous injection0.254.16 mL/hourNoContinuous infection 24 hours postoperativelyTotal knee arthroplastyNot mentioned
Goyal et al152013150 (75/75)Continuous injection0.505 mL/hourContinuous infection 48 hours postoperativelyTotal knee arthroplastySpinal anaesthesia
  • B, bupivacaine; C, control; n, number of patients per group.