Analgesia in Total Knee Arthroplasty: Current Pain Control Modalities and Outcomes

Spencer Summers, Neil Mohile, Colin McNamara, Brian Osman, Ralf Gebhard, Victor Hugo Hernandez

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations

Abstract

»Implementation of multimodal pain management regimens after total knee arthroplasty has increased patient satisfaction, decreased pain scores, and facilitated faster recovery.»A variety of oral and intravenous analgesics, including nonsteroidal anti-inflammatory drugs, gabapentinoids, acetaminophen, and opioids, can be employed preoperatively and postoperatively.»Neuraxial anesthesia, peripheral nerve blocks, and periarticular injections are effective pain modulators that should be implemented in concert with the anesthesia teams.»There is no consensus on the optimal multimodal pain regimen, and substantial variability exists between institutions and providers.»The goals of minimizing pain and improving functional recovery in the postoperative period must be considered in light of evidence-based practice as well as the risk profile of the proposed analgesic treatment.

Original languageEnglish (US)
Pages (from-to)719-727
Number of pages9
JournalJournal of Bone and Joint Surgery - American Volume
Volume102
Issue number8
DOIs
StatePublished - Apr 15 2020

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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