Abstract
It is general consensus among orthopedic surgeons that revision surgery should be performed only if the cause of the patient’s problems is unambiguously identified. Only if the mechanical failure mechanism is understood by the treating orthopedic surgeon revision surgery will lead to a significant relief of the patient’s pain. Therefore, a standardized diagnostic algorithm should be followed in each of those patients. However, even after following such an extensive algorithm, there remains a group of patients, in which no clear cause of the pain and problems after TKR is identified. It is recommended to treat patients with unexplained pain nonsurgically. Patients who still want to undergo revision arthroplasty for unexplained pain must be advised that their outcome may not be improved.
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Walmsley, P., Hirschmann, M.T., Becker, R., Brenckel, I.J. (2015). 37 Pain After TKR: When Is a Conservative Treatment Beneficial?. In: Hirschmann, M., Becker, R. (eds) The Unhappy Total Knee Replacement. Springer, Cham. https://doi.org/10.1007/978-3-319-08099-4_44
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DOI: https://doi.org/10.1007/978-3-319-08099-4_44
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