Perioperative Pain Management Protocols for Robotic-Assisted Knee and Hip Arthroplasty

  • Richard Southgate
  • Derek Ward


There have been significant advances in perioperative pain management in total and partial joint arthroplasty focused on multimodal pain control regimens. The primary goal of total joint arthroplasty (TJA) and partial knee arthroplasty (PKA) is to alleviate pain to maximize functionality and improve quality of life. However, surgery is associated with significant short-term pain. Failure to control postoperative pain results in decreased patient satisfaction, prolonged hospital stays, and increased healthcare costs. This chapter will review recent developments in perioperative pain management for hip and knee replacement including medications, preemptive analgesia, regional anesthesia, intra-articular injections, and postoperative protocols. In most circumstances, there are no significant alterations in perioperative pain management protocols, whether or not robotic assistance is utilized.


Total knee arthroplasty Total hip arthroplasty Multimodal analgesia Regional anesthesia Spinal anesthesia Epidural anesthesia Periarticular injection 


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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Richard Southgate
    • 1
  • Derek Ward
    • 2
  1. 1.Department of Orthopaedic Surgery, Division of Adult ReconstructionUniversity of CaliforniaSan FranciscoUSA
  2. 2.Department of Orthopaedic SurgeryUniversity of CaliforniaSan FranciscoUSA

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