Higher Total Testosterone Levels Linked to Less Pain in Severe Knee OA
Higher serum testosterone levels were associated with less WOMAC pain in the operated knee in both men and women, and less WOMAC disability in women.
Arthroplasty
Oral Acetaminophen Superior to IV Acetaminophen for Reducing Opioid Use After THA, TKA
Intravenous administration of acetaminophen (APAP) may be less effective than oral administration of APAP for reducing opioid use after total hip or knee arthroplasty.
Higher PainDETECT Scores, Neuropathic Pain Preoperatively May Increase Risk for Chronic Pain Post-TKR
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
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 is associated with a lower opioid consumption in both knee and hip replacement surgeries, compared to general anesthesia.
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
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
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 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
Fewer respiratory, GI issues; reductions also seen in opioid prescriptions and hospital length of stay
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