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Pain After Knee Arthroplasty: An Ongoing Battle

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Perioperative Medical Management for Total Joint Arthroplasty

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Abstract

Despite recent advances in the understanding of pain mechanisms and the introduction of new drugs and techniques in the postoperative management, pain after knee arthroplasty is still an ongoing battle. It affects the quality of life and rehabilitation of an important percentage of patients undergoing knee arthroplasty. Understanding the postsurgical pain mechanisms and applying the basic principles of multimodal pain management are essential when managing pain after knee arthroplasty. Postsurgical pain mechanisms are based on the local and systemic inflammatory reaction. The incidence of acute and persistent pain after knee arthroplasty has diminished in the last 20 years, but it is still an important issue. The perioperative pain management starts with the anaesthetic technique and resides on a multimodal regimen of analgesia. New concepts, drugs and techniques have shown their efficacy in reducing the severity of acute postoperative pain and the risk of developing chronic pain after knee arthroplasty.

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  1. Department of Anesthesiology, Cliniques Universitaires St Luc, Avenue Hippocrate, Brussels, 1200, Belgium

    Irina Grosu, Patricia Lavand’homme & Emmanuel Thienpont

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  2. Patricia Lavand’homme
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    Andrea Baldini

  2. San Donato Hospital, Arezzo, Italy

    Patrizio Caldora

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Grosu, I., Lavand’homme, P., Thienpont, E. (2015). Pain After Knee Arthroplasty: An Ongoing Battle. In: Baldini, A., Caldora, P. (eds) Perioperative Medical Management for Total Joint Arthroplasty. Springer, Cham. https://doi.org/10.1007/978-3-319-07203-6_13

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