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Overview of Total Knee Arthroplasty and Modern Pain Control Strategies

  • Other Pain (N Vadivelu and A Kaye, Section Editors)
  • Published:
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Abstract

Perioperative pain management of total knee arthroplasty (TKA) remains a challenge for physicians and anesthesiologists. Reducing postoperative pain is an essential component of patient satisfaction, functional outcomes, and hospital length of stay. Multimodal pain management regimens have been demonstrated to be superior to monotherapy in achieving adequate pain control, as well as an effective method of limiting side effects of analgesics. In the present investigation, we present literature published over the last year relating to new advancements in perioperative pain management for TKA. While it is widely accepted that methods including peripheral nerve blocks and local anesthetic injections are essential to pain protocols, there is still conflicting evidence over what modalities provide superior relief. The incorporation of cryoneurolysis preoperatively is a new modality which has been incorporated and has been shown to improve pain control in patients undergoing TKA.

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References

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Acknowledgements

The authors thank Arthur Mora for his help with manuscript preparation.

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Authors and Affiliations

  1. LSUHSC School of Medicine, 433 Bolivar Street, New Orleans, LA, 70112, USA

    Lacey Giambelluca Lavie

  2. Department of Orthopaedic Surgery, LSUHSC School of Medicine, 1542 Tulane Avenue, Box T6-7, New Orleans, LA, 70112, USA

    M. Patricia Fox & Vinod Dasa

Authors
  1. Lacey Giambelluca Lavie
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  2. M. Patricia Fox
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  3. Vinod Dasa
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Corresponding author

Correspondence to Vinod Dasa.

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Conflict of Interest

Lacey Giambelluca Lavie and M. Patricia Fox declare that they have no conflict of interest.

Vinod Dasa declares consultancy fees from Myoscience.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Other Pain

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Lavie, L.G., Fox, M.P. & Dasa, V. Overview of Total Knee Arthroplasty and Modern Pain Control Strategies. Curr Pain Headache Rep 20, 59 (2016). https://doi.org/10.1007/s11916-016-0592-6

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  • DOI: https://doi.org/10.1007/s11916-016-0592-6

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