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Bupivacaine chondrotoxicity
Sussex, UK
* E-mail: stuart.white@bsuh.nhs.uk
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Editor—We commend Webb and Ghosh1 for their editorial reviewing the growing evidence for the chondrotoxicity of intra-articular bupivacaine. We would like to add three further points for your readers' consideration. First, neither magnesium nor bupivacaine is licensed for intra-articular use, although bupivacaine has a good safety record given by this route.
Toronto, Canada
* E-mail: andrew.mcnaught@gmail.com
Cambridge, UK
* E-mail: stephen.webb@papworth.nhs.uk