Total Knee Arthroplasty

No Added Value With Liposomal Bupivacaine Following TKA With Peripheral Nerve Block

No Added Value With Liposomal Bupivacaine Following TKA With Peripheral Nerve Block

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The use of liposomal bupivacaine after total knee arthroplasty with a peripheral nerve block may not result in reductions in inpatient intake of opioids, hospital length of stay, or opioid-related complications.

Regional Anesthesia Tied to Lower Opioid Use in TKA, THA

Regional Anesthesia Tied to Lower Opioid Use in TKA, THA

Regional anesthesia is associated with a lower opioid consumption in both knee and hip replacement surgeries, compared to general anesthesia.

Phantom Knee Pain

Phantom Knee Pain

Suspecting that this phenomenon might be the source of my nighttime pain, causing significant REM sleep deprivation, I reasoned that a neuromodulator such as a gabapentinoid might be helpful.

Less Pain Post TKA With Addition of Peripheral Nerve Blocks

Less Pain Post TKA With Addition of Peripheral Nerve Blocks

Addition of an interspace between the popliteal artery and capsule of the posterior knee block and adductor canal block to periarticular injection is associated with less pain after total knee arthroplasty.

Femoral Nerve Block Alone or in Combination With Sciatic Nerve Block for TKA: A Meta-Analysis

Femoral Nerve Block Alone or in Combination With Sciatic Nerve Block for TKA: A Meta-Analysis

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Sciatic nerve block may represent an effective complement to femoral nerve block for total knee arthroplasty.

Multimodal Analgesia Cuts Complications Post Arthroplasty

Multimodal Analgesia Cuts Complications Post Arthroplasty

Fewer respiratory, GI issues; reductions also seen in opioid prescriptions and hospital length of stay

Factors Influencing Plasma Ropivacaine Concentrations After Local Infiltration Analgesia

Factors Influencing Plasma Ropivacaine Concentrations After Local Infiltration Analgesia

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Factors influencing peak plasma total ropivacaine concentration after local infiltration analgesia in patients undergoing total knee arthroscopy included age, weight, creatinine, and female sex.

Updated Criteria for CRPS Diagnosis May Reveal Presence of Neuropathic Pain After TKA

Updated Criteria for CRPS Diagnosis May Reveal Presence of Neuropathic Pain After TKA

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Use of the 2006 vs 2007 criteria for the diagnosis of complex regional pain syndrome may lead to the misdiagnosis of patients experiencing unexplained excessive pain after total knee arthroplasty.

Nerve Blockade Combination Effective in Bilateral Total Knee Arthroplasty-Related Pain

Nerve Blockade Combination Effective in Bilateral Total Knee Arthroplasty-Related Pain

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The use of staged bilateral continuous femoral nerve blockade and single-injection sciatic nerve blockade with single-injection subarachnoid block may effectively control pain following bilateral total knee arthroplasty.

Multimodal Pain Management Increasingly Used for Patients Undergoing TKA and THA

Multimodal Pain Management Increasingly Used for Patients Undergoing TKA and THA

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Patients undergoing total hip and total knee arthroplasties in small- and medium-sized hospitals have been receiving increasingly greater multimodal approaches for postoperative pain management.

Corticosteroids Effective in Total Knee or Hip Arthroplasty-Associated Pain

Corticosteroids Effective in Total Knee or Hip Arthroplasty-Associated Pain

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The use of perioperative intravenous corticosteroids provides effective pain relief, has a favorable safety profile, and is associated with a reduction in opioid use in patients undergoing total knee or hip arthroplasty.

Electrotherapy, Acupuncture May Decrease Pain Following Total Knee Arthroplasty

Electrotherapy, Acupuncture May Decrease Pain Following Total Knee Arthroplasty

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Electrotherapy and acupuncture were both found to reduce and delay opioid consumption after total knee arthroplasty.

Optimal Pain Management After Total Knee Arthroplasty

Optimal Pain Management After Total Knee Arthroplasty

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In patients undergoing total knee arthroplasty, sciatic nerve block plus femoral nerve block was more effective for pain relief than local infiltration analgesia plus femoral nerve block.

Inpatient Rehabilitation Effective After Total Knee Arthroplasty?

Inpatient Rehabilitation Effective After Total Knee Arthroplasty?

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Inpatient rehabilitation did not improve mobility among adult patients undergoing uncomplicated total knee arthroplasty at 26 weeks after surgery compared with a home-based monitoring program

Opioid Use Before TKA Associated With Worse Pain After Surgery

Opioid Use Before TKA Associated With Worse Pain After Surgery

Patients taking opioids before total knee arthroplasty may have greater pain after the procedure.

Sciatic Nerve Block Plus Femoral Nerve Block May Provide Superior Pain Relief After Total Knee Arthroplasty

Sciatic Nerve Block Plus Femoral Nerve Block May Provide Superior Pain Relief After Total Knee Arthroplasty

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The meta-analysis indicated that sciatic plus femoral nerve blocks provide analgesia superior to local infiltration combined with femoral nerve block at 24 and 48 hours following TKA.

Modifiable Psychological Factors Driving Decision to Undergo TKA

Modifiable Psychological Factors Driving Decision to Undergo TKA

More people in the US would undergo total knee arthroplasty if it were not for its elective nature and the psychological factors behind the decision to undergo the procedure.

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