Arthroplasty

Higher PainDETECT Scores, Neuropathic Pain Preoperatively May Increase Risk for Chronic Pain Post-TKR

Higher PainDETECT Scores, Neuropathic Pain Preoperatively May Increase Risk for Chronic Pain Post-TKR

By

Individuals with knee osteoarthritis who have indicators of high vs low/no levels of neuropathic pain may be at elevated risk for chronic pain after total knee replacement surgery.

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

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

By

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

By

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

Multimodal Analgesia After Knee, Hip Arthroplasty and Perioperative Outcomes

Multimodal Analgesia After Knee, Hip Arthroplasty and Perioperative Outcomes

By

Multimodal analgesia after hip or knee arthroplasty may be associated with fewer complications and reduced opioid prescriptions and hospital length of stay, compared with unimodal analgesia.

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 Predicting Pain Outcomes After TKR for Knee Osteoarthritis

Factors Predicting Pain Outcomes After TKR for Knee Osteoarthritis

By

In patients with knee osteoarthritis, high pain levels and low pressure pain thresholds at baseline predicted worse pain outcomes after total knee replacement surgery, but did not predict outcomes after nonsurgical interventions.

Factors Influencing Plasma Ropivacaine Concentrations After Local Infiltration Analgesia

Factors Influencing Plasma Ropivacaine Concentrations After Local Infiltration Analgesia

By

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

By

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.

No Added Benefit for Acupuncture in Routine Rehabilitation After Total Knee Replacement

No Added Benefit for Acupuncture in Routine Rehabilitation After Total Knee Replacement

By

The addition of adjunctive acupuncture to routine rehabilitation therapy after total knee replacement may not provide a significant benefit over exercise only for relieving postoperative pain.

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

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

By

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.

Systematic Review Does Not Identify Patient-Related Risk Factors for Chronic Pain After Total Knee Replacement Surgery

Systematic Review Does Not Identify Patient-Related Risk Factors for Chronic Pain After Total Knee Replacement Surgery

By

There is little evidence to suggest that postoperative knee pain, knee function, or various psychosocial factors influence long-term chronic pain following total knee replacement.

Multimodal Pain Management Increasingly Used for Patients Undergoing TKA and THA

Multimodal Pain Management Increasingly Used for Patients Undergoing TKA and THA

By

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

By

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

By

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

Risk of Hip Arthoplasty in Men Increased with Dairy Product Consumption

Risk of Hip Arthoplasty in Men Increased with Dairy Product Consumption

By

Consuming more dairy product may raise the risk for total hip arthroplasty for osteoarthritis in men.

Optimal Pain Management After Total Knee Arthroplasty

Optimal Pain Management After Total Knee Arthroplasty

By

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?

By

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

By

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.

Total Knee Replacement for Osteoarthritis has Little Effect on Quality of Life

Total Knee Replacement for Osteoarthritis has Little Effect on Quality of Life

The current practice of total knee replacement that is performed in the US has minimal effects on quality of life among patients.

Joint Replacement Surgery Outcomes Improved With SSRIs

Joint Replacement Surgery Outcomes Improved With SSRIs

By

Selective serotonin reuptake inhibitor use was associated with a reduced risk of revision surgery following total hip or total knee replacement surgery.

Hip, Knee Replacements Overcharged by Hospitals?

Hip, Knee Replacements Overcharged by Hospitals?

Some US hospitals might be charging private insurers twice as much for knee and hip replacements as the implants typically cost.

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.

Benchmarking to Address Total Hip Arthroplasty-Related Pain?

Benchmarking to Address Total Hip Arthroplasty-Related Pain?

By

A standardized process for data analysis and internal benchmarking facilitated a reduction in pain following hip arthroplasty.

Increasing The Rate of Knee Replacement Surgery With Decision Aid

Increasing The Rate of Knee Replacement Surgery With Decision Aid

A decision aid can increase the rate of total knee replacement surgery among black patients with knee OA.

Reduced Opioid Requirements When Comorbid OA, Hypertension Treated With Beta-Blockers

Reduced Opioid Requirements When Comorbid OA, Hypertension Treated With Beta-Blockers

By

The anti-nociceptive effect of beta-adrenergic blockade is associated with decreased joint pain and reduced opioid requirements in patients with symptomatic large joint osteoarthritis and hypertension.

Artificial Disc Replacement in 2-Level Cervical Disease: Long Term Outcomes

Artificial Disc Replacement in 2-Level Cervical Disease: Long Term Outcomes

Preservation of motion in the cervical spine

Sign Up for Free e-Newsletters