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Comprehensive Analysis of Pain Management after Total Knee Arthroplasty

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대한슬관절학회 (Korean Knee Society)|2017.06|Knee Surgery and Related Research|제29권 제2호|pp. 80-86

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키워드

ManagementpainKneearthroplasty

초록

Total knee arthroplasty (TKA) has been much improved recently and it is regarded as one of the most common and successful surgical procedures that provides pain relief and improves function in patients with severe knee arthritis. However, recent studies have reported that 15%–20% of patients are not satisfied after TKA without evident clinical or radiological findings and the most common causes of patient dissatisfaction include residual pain and limited function. The evaluation and treatment of painful TKA relies on a thorough understanding of the origin by careful evaluation, and a systematic approach is essential to efficiently and effectively resolve the pain. Periarticular injections (PAIs) and nerve blocks are gaining popularity because they are associated with less side effects than systemic regimens. The analgesic efficacy and safety of PAI compared with nerve blocks for postoperative pain management still remain controversial. Therefore, more study is needed to determine if any changes in the regimen of the injection or technique could provide added benefit to long­term functional improvement beyond the perioperative period.

Abstract

Total knee arthroplasty (TKA) has been much improved recently and it is regarded as one of the most common and successful surgical procedures that provides pain relief and improves function in patients with severe knee arthritis. However, recent studies have reported that 15%–20% of patients are not satisfied after TKA without evident clinical or radiological findings and the most common causes of patient dissatisfaction include residual pain and limited function. The evaluation and treatment of painful TKA relies on a thorough understanding of the origin by careful evaluation, and a systematic approach is essential to efficiently and effectively resolve the pain. Periarticular injections (PAIs) and nerve blocks are gaining popularity because they are associated with less side effects than systemic regimens. The analgesic efficacy and safety of PAI compared with nerve blocks for postoperative pain management still remain controversial. Therefore, more study is needed to determine if any changes in the regimen of the injection or technique could provide added benefit to long­term functional improvement beyond the perioperative period.

참고문헌 (58)

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관련 논문AI추천

A meta-analysis on advantages of peripheral nerve block post-total knee arthroplastyDi Li, Di You, Guoqing Zhao, Kai Li, Longyun Li, Lu Qin대한통증학회 · The Korean Journal of Pain2021 · 제34권 제3호Comparative Effects of Periarticular Multimodal Drug Injection and Single-Shot Femoral Nerve Block on Pain Following Total Knee Arthroplasty and Factors Influencing Their EffectivenessFumimasa Amaya, Hiroaki Inoue, Hiroyoshi Fujiwara, Hiroyuki Kan, Kazuya Ikoma, Manabu Hino, Shohei Ichimaru, Shuji Nakagawa, Teiji Sawa, Toshikazu Kubo, Yuji Arai대한슬관절학회 · Knee Surgery and Related Research2016 · 제28권 제3호Genicular nerve radiofrequency ablation: a systematic review of application for perioperative pain control in total knee arthroplasty and as treatment for chronic pain in well‑appearing total knee arthroplastyAlexander L. Neuwirth, Chidebelum O. Nnake, H. John Cooper, Jeffrey A. Geller, Mouhanad M. El‑Othmani, Roshan P. Shah대한슬관절학회 · Knee Surgery and Related Research2024 · 제36권 Femoral Nerve Block versus Adductor Canal Block for Analgesia after Total Knee Arthroplasty인용, 강민성, 고인준, 고현정, 김만수, 최영준대한슬관절학회 · Knee Surgery and Related Research2017 · 제29권 제2호Comparison of the postoperative analgesic effect for infiltration between the popliteal artery and the capsule of the posterior knee and that of periarticular multimodal drug injection in total knee arthroplasty: retrospective study in the immediate postoperative period손원용, Dae-Won Jung, In Seung Lee, Ok-Gul Kim, Seung-Suk Seo대한슬관절학회 · Knee Surgery and Related Research2020 · 제32권 Does Adductor Canal Block Have a Synergistic Effect with Local Infiltration Analgesia for Enhancing Ambulation and Improving Analgesia after Total Knee Arthroplasty?Aree Tanavalee, Chavarin Amarase, Pannika Vorapalux, Rawiwan Apihansakorn, Srihatach Ngarmukos, Wirinaree Kampitak대한슬관절학회 · Knee Surgery and Related Research2018 · 제30권 제2호

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