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Knee Surgery, Sports Traumatology, Arthroscopy

Published in:

01-08-2014 | Knee

Pain after knee arthroplasty: an unresolved issue

Authors: Irina Grosu, Patricia Lavand’homme, Emmanuel Thienpont

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 8/2014

Abstract

Purpose

Despite the recent advances in the understanding of pain mechanisms and the introduction of new drugs and new techniques in the postoperative management, pain after total knee arthroplasty (TKA) is still an unresolved issue. It affects the quality of life and rehabilitation of an important percentage of patients undergoing TKA. The aim of this narrative review was to give an overview on pain mechanisms and multimodal pain management.

Methods

A review of all peer-reviewed articles on pain after knee arthroplasty was performed by two reviewers. Recent articles on incisional pain mechanisms were included because of their importance in the understanding of postsurgical pain. Search was performed in Pubmed, Cochrane and Google Scholar data bases.

Results

Postsurgical pain mechanisms are based on both local and systemic inflammatory reactions. Peri-operative pain management starts with the anaesthetic technique and resides on a multimodal analgesia regimen. New concepts, drugs and techniques have shown their efficacy in reducing the severity of acute postoperative pain and the risk of developing chronic pain after TKA.

Conclusion

This narrative review offers a clear overview of pain mechanism after knee arthroplasty and an understanding on how multimodal pain management can reduce the intensity and duration of pain after knee arthroplasty.

Level of evidence

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Title: Pain after knee arthroplasty: an unresolved issue
Authors: Irina Grosu
Patricia Lavand’homme
Emmanuel Thienpont
Publication date: 01-08-2014
Publisher: Springer Berlin Heidelberg
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 8/2014
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-013-2750-2

At a glance: The STEP trials

Springer Medicine

Pain after knee arthroplasty: an unresolved issue

Abstract

Purpose

Methods

Results

Conclusion

Level of evidence

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

Level of evidence

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