Modern Perioperative Pain Management Strategies to Minimize Opioids after Total Knee Arthroplasty.

Orthop Clin North Am

Department of Orthopaedic Surgery, Louisiana State University, Health Sciences Center, 1542 Tulane Avenue, Box T6-7, New Orleans, LA 70112, USA.

Published: October 2023

AI Article Synopsis

  • Total Knee Arthroplasty often leads to significant pain after surgery, which can negatively impact recovery and patient satisfaction.
  • Current pain management practices are shifting away from opioids and now focus on a combination of different medications and techniques, known as multimodal analgesia.
  • New treatments like cryoneurolysis show potential, but more research is necessary to find the best strategies for pain control without relying on opioids.

Article Abstract

Total Knee Arthroplasty is associated with significant postoperative pain that can limit functional outcomes and patient satisfaction. In recent years, the standard of care for postoperative pain management has reduced reliance on opioids in favor of multimodal analgesia. These regimens consist of systemic medications such as COX-2 inhibitors, acetaminophen, corticosteroids, and gabapentinoids, as well as regional and local approaches such as peripheral nerve blocks and local infiltrative analgesics. Newer therapies, such as cryoneurolysis, are still being studied but have shown promising results. Additional studies are needed to determine the ideal pain regimen that will optimize pain control and eliminate the need for postoperative opioids.

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Source
http://dx.doi.org/10.1016/j.ocl.2023.05.002DOI Listing

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