Pain Following Total Knee Arthroplasty – A Systematic Approach

Abstract

Total knee arthroplasty (TKA) is known to be a successful procedure. The aging of the population and the growing demand for quality of life have greatly increased the indications for the procedure. Nonetheless, TKA presents some complications that still lack definitive resolution. Pain after TKA is caused by a myriad of reasons that need to be systematically studied in order to reach the correct diagnosis and treatment. History, physical examination, laboratory tests and imaging examinations must all be included in the workup and repeated until a plausible reason has been identified, since if pain is the only indication for TKA revision, the results may be catastrophic.

Effectiveness of ultrasonographic skeletal muscle assessment in patients after total knee arthroplasty

“…Postoperative pain and flexion ROM were not associated with any of the skeletal muscle parameters assessed using ultrasound in TKA patients. This is probably because, as reported in previous studies, joint structure has a strong effect on postoperative pain and flexion ROM [34,35]. Therefore, evaluating such associations in TKA patients might be less important.…”

Pes anserine syndrome in post knee arthroplasty. A rare case report

“…Non-joint causes of post-operative knee pain included neurological or vascular diseases, reflex sympathetic dystrophy and inflammation of the surrounding soft tissue (tendinitis or bursitis). 2 A full history, thorough clinical examinations, relevant laboratory blood investigation, and radiological imaging must be included in the work up as well.…”

“…Even after all these investigations have been performed, it may still be a challenge to make an accurate diagnosis underpinning the origin of pain. 2 In this paper, we present an uncommon case report of pes anserine syndrome (PAS) in the knee of a patient 13 years after joint replacement surgery with normal radiological findings. This report aims to highlight the importance of a systematic approach to investigate the possible causes of knee pain following knee replacement surgery.…”

Comparison of Rebound Pain and Postoperative Tramadol Requirement in Patients Who Had Femoral Nerve Block or Adductor Canal Block for Pain After Total Knee Arthroplasty

“…kontrollü analjezi gibi farklı analjezi tekniklerinin ve farklı analjezik ilaçların kombine kullanımı olarak tanımlanmıştır. Bu şekilde kombine kullanılan analjezi rejimleri ile analjezi yöntemlerinin etkinlikleri artarken yan etkileri azalmaktadır (10) . Çalışmamızda iki farklı periferik sinir bloğu ile hasta kontrollü analjezi birlikte kullanılmıştır.…”