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Postoperative Management

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Knee Joint Arthroplasty

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Abstract

Postoperative management of TKA can greatly affect the prognosis of TKA. I have used the term “management” instead of “treatment” because I would like to describe all the relevant factors including the physical, psychological, and social factors.

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Bibliography

  • Amin A, Watson A, Mangwani J, et al. A prospective randomised controlled trial of autologous retransfusion in total knee replacement. J Bone Joint Surg Br. 2008;90-B:451–4.

    Article  Google Scholar 

  • Busch CA, Shore BJ, Bhandari R, et al. Efficacy of periarticular multimodal drug injection in total knee arthroplasty. A randomized trial. J Bone Joint Surg Am. 2006;88-A:959–63.

    Article  Google Scholar 

  • Charoencholvanich K, Siriwattanasakul P. Tranexamic acid reduces blood loss and blood transfusion after TKA: a prospective randomized controlled trial. Clin Orthop. 2011;469:2874–80.

    Article  PubMed  Google Scholar 

  • Cho WS, Kim JM, Ahn HS, et al. The effect of norepinephrine irrigation in primary total knee replacement arthroplasty. J Korean Orthop Assoc. 2004;39:247–51.

    Google Scholar 

  • Cho WS, Youm YS, Yoon YS, et al. The effect of intraoperative regional analgesic injection in total knee arthroplasty. J Korean Orthop Assoc. 2006;41:989–93.

    Google Scholar 

  • Clark CR, Spratt KF, Blondin M, et al. Perioperative autotransfusion in total hip and knee arthroplasty. J Arthroplasty. 2006;21:23–35.

    Article  PubMed  Google Scholar 

  • Colwell CW, Morris RN. The influence of continuous passive motion on the results of total knee arthroplasty. Clin Orthop. 1992;276:225–8.

    PubMed  Google Scholar 

  • Cushner FD. Preventing wound complication after total knee arthroplasty. In: Callaghan JJ, editor. The adult knee. 1st ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2003. p. 1341–9.

    Google Scholar 

  • Dalury DF, Lieberman JR, MacDonald SJ. Current and innovative pain management techniques in total knee arthroplasty. J Bone Joint Surg Am. 2011;93-A:1938–43.

    Article  Google Scholar 

  • Dalury DF, Tucker KK, Kelley TC. When can I drive?: brake response times after contemporary total knee arthroplasty. Clin Orthop. 2011;469:82–6.

    Article  PubMed  Google Scholar 

  • D'Lima DD, Steklov N, Patil S, et al. The Mark Coventry Award: in vivo knee forces during recreation and exercise after knee arthroplasty. Clin Orthop. 2008;466:2605–11.

    Article  PubMed  Google Scholar 

  • Denis M, Moffet H, Caron F, et al. Effectiveness of continuous passive motion and conventional physical therapy after total knee arthroplasty: a randomized clinical trial. Phys Ther. 2006;86:174–85.

    PubMed  Google Scholar 

  • Deutsch A, Spaulding J, Marcus RE. Preoperative epoetin alfa vs autologous blood donation in primary total knee arthroplasty. J Arthroplasty. 2006;21:628–35.

    Article  PubMed  Google Scholar 

  • Dorr LD, Raya J, Long WT, et al. Multimodal analgesia without parenteral narcotics for total knee arthroplasty. J Arthroplasty. 2008;23:502–8.

    Article  PubMed  Google Scholar 

  • Ecker M, Lotke PA. Postoperative care of the total knee patient. Orthop Clin North Am. 1989;20:55–62.

    PubMed  CAS  Google Scholar 

  • Fox JL, Poss R. The role of manipulation following total knee replacement. J Bone Joint Surg Am. 1981;63-A:357–62.

    Google Scholar 

  • Cushner F. Transfusion avoidance, blood loss, management, and total knee arthroplasty. In: Scott WN, editor. Surgery of the knee. 4th ed. Philadelphia, PA: Churchill Livingstone; 2006. p. 1828–36.

    Google Scholar 

  • Gotlin RS. Rehabilitation. In: Scuderi GR, editor. Surgical techniques in total knee arthroplasty. 1st ed. New York, NY: Springer; 2002. p. 651–79.

    Chapter  Google Scholar 

  • Hartrick CT, Martin G, Kantor G, et al. Evaluation of a single-dose, extended-release epidural morphine formulation for pain after knee arthroplasty. J Bone Joint Surg Am. 2006;88-A:273–81.

    Article  Google Scholar 

  • Hatzidakis AM, Mendick RM, McKillip T, et al. Preoperative autologous donation for total knee arthroplasty: an analysis of risk factors for allogenic transfusion. J Bone Joint Surg Am. 2000;82-A:89–100.

    Google Scholar 

  • Hunt KJ, Bourne MH, Mariani EM. Single-injection femoral and sciatic nerve blocks for pain control after total knee arthroplasty. J Arthroplasty. 2009;24:533–8.

    Article  PubMed  Google Scholar 

  • Jensen CM, Pilegaard R, Hviid K, et al. Quality of reinfused blood drainage after total knee arthroplasty. J Arthroplasty. 1999;14:312–8.

    Article  PubMed  CAS  Google Scholar 

  • Johnson DP. The effect of continuous passive motion on wound healing and joint mobility after knee arthroplasty. J Bone Joint Surg. 1990;72-A:421–6.

    Google Scholar 

  • Joo JH, Park JW, Kim JS, et al. Is intra-articular multimodal drug injection effective in pain management after total knee arthroplasty? A randomized, double-blinded, prospective study. J Arthroplasty. 2011;26:1095–9.

    Article  PubMed  Google Scholar 

  • Keating EM, Meding JB. Perioperative blood management practices in elective orthopedic surgery. J Am Acad Orthop Surg. 2002;10:393–400.

    PubMed  Google Scholar 

  • Keating EM, Ritter MA. Transfusion options in total joint arthroplasty. J Arthroplasty. 2002;17:125–8.

    Article  PubMed  Google Scholar 

  • Kourtzis N, Pafilas D, Kasimatis G. Blood saving protocol in elective total knee arthroplasty. Am J Surg. 2004;187:261–7.

    Article  PubMed  Google Scholar 

  • Lemos MJ, Healy WL. Blood transfusion in orthopaedic operations. J Bone Joint Surg Am. 1996;78-A:1260–70.

    Google Scholar 

  • Lin PC, Hsu CH, Huang CC, et al. The blood-saving effect of tranexamic acid in minimally invasive total knee arthroplasty: is an additional pre-operative injection effective? J Bone Joint Surg Br. 2012;94-B:932–6.

    Article  Google Scholar 

  • McInners J, Larson MG, Daltroy LH, et al. A controlled evaluation of continuous passive motion in patients undergoing total knee arthroplasty. JAMA. 1992;268:1423–8.

    Article  Google Scholar 

  • McNair PJ, Marshall RN, Maguire K. Swelling of the knee joint: effects of exercise on quadriceps muscle strength. Arch Phys Med Rehabil. 1996;77:896–9.

    Article  PubMed  CAS  Google Scholar 

  • Michelson JD, Lotke PA, Steinberg ME. Urinary-bladder management after total joint replacement surgery. N Engl J Med. 1988;319:321–6.

    Article  PubMed  CAS  Google Scholar 

  • Mizner RL, Petterson SC, Stevens JE, et al. Early quadriceps strength loss after total knee arthroplasty. The contributions of muscle atrophy and failure of voluntary muscle activation. J Bone Joint Surg Am. 2005;87-A:1047–53.

    Article  Google Scholar 

  • Mullaji A, Kanna R, Shetty GM, et al. Efficacy of periarticular injection of bupivacaine, fentanyl, and methylprednisolone in total knee arthroplasty: a prospective, randomized trial. J Arthroplasty. 2010;25:851–7.

    Article  PubMed  Google Scholar 

  • Pang HN, Lo NN, Yang KY, et al. Peri-articular steroid injection improves the outcome after unicondylar knee replacement: a prospective, randomised controlled trial with a two-year follow-up. J Bone Joint Surg Br. 2008;90-B:738–44.

    Article  Google Scholar 

  • Park KK, Kim TK, Chang CB, et al. Normative temporal values of CRP and ESR in unilateral and staged bilateral TKA. Clin Orthop. 2008;466:179–88.

    Article  PubMed  Google Scholar 

  • Parker MJ, Roberts CP, Hay D. Closed suction drainage for hip and knee arthroplasty. A metaanalysis. J Bone Joint Surg Am. 2004;86-A:1146–52.

    PubMed  Google Scholar 

  • Peters CL, Shirley B, Erickson J. The effect of a new multimodal perioperative anesthetic regimen on postoperative pain, side effects, rehabilitation, and length of hospital stay after total joint arthroplasty. J Arthroplasty. 2006;21 Suppl 2:132–8.

    Article  PubMed  Google Scholar 

  • Pope RO, Corcoran S, McCaul K, et al. Continuous passive motion after primary total knee arthroplasty. Does it offer any benefits? J Bone Joint Surg Br. 1997;79-B:914–7.

    Article  Google Scholar 

  • Ralley FE, Berta D, Binns V, et al. One intraoperative dose of tranexamic acid for patients having primary hip or knee arthroplasty. Clin Orthop. 2010;468:1905–11.

    Article  PubMed  Google Scholar 

  • Rosenberg AG. Reducing blood loss in total joint surgery with a saline-coupled bipolar sealing technology. J Arthroplasty. 2007;22:82–5.

    Article  PubMed  Google Scholar 

  • Sculco TP. Global blood management in orthopaedic surgery. Clin Orthop. 1998;357:43–9.

    Article  PubMed  Google Scholar 

  • Sharkey PF, Miller AJ. Noise, numbness, and kneeling difficulties after total knee arthroplasty: is the outcome affected? J Arthroplasty. 2011;26:1427–31.

    Article  PubMed  Google Scholar 

  • Sharrock NE. Postoperative pain management. In: Scuderi GR, editor. Surgical techniques in total knee arthroplasty. 1st ed. New York, NY: Springer; 2002. p. 680–6.

    Chapter  Google Scholar 

  • Shen PC, Jou IM, Lin YT, et al. Comparison between 4-hour clamping drainage and nonclamping drainage after total knee arthroplasty. J Arthroplasty. 2005;20:909–13.

    Article  PubMed  Google Scholar 

  • Slappendel R, Dirksen R. An algorithm to reduce allogenic red blood cell transfusion for major orthopedic surgery. Acta Orthop Scand. 2003;74:569–75.

    Article  PubMed  Google Scholar 

  • Song MH, Kim BH, Kim TH. Is suction drainage necessary after total knee arthroplasty? J Korean Orthop Assoc. 2004;39:186–91.

    Google Scholar 

  • Stålman A, Berglund L, Dungnerc E, et al. Temperature-sensitive release of prostaglandin E2 and diminished energy requirements in synovial tissue with postoperative cryotherapy: a prospective randomized study after knee arthroscopy. J Bone Joint Surg Am. 2011;93-A:1961–8.

    Article  Google Scholar 

  • Stulberg BN, Zadzilka JD. Blood management issues using blood management strategies. J Arthroplasty. 2007;22:95–8.

    Article  PubMed  Google Scholar 

  • Szczukowski Jr MJ, Hines JA, Snell JA, et al. Femoral nerve block for total knee arthroplasty patients: a method to control postoperative pain. J Arthroplasty. 2004;19:720–5.

    Article  PubMed  Google Scholar 

  • Uckay I, Pittet D, Bernard L, et al. Antibiotic prophylaxis before invasive dental procedures in patients with arthroplasties of the hip and knee. J Bone Joint Surg Br. 2008;90-B:833–8.

    Article  Google Scholar 

  • Ulrich SD, Bhave A, Marker DR, et al. Focused rehabilitation treatment of poorly functioning total knee arthroplasties. Clin Orthop. 2007;464:138–45.

    PubMed  Google Scholar 

  • Underhill MA. Nursing care of a patient having a total knee arthroplasty. In: Scott WN, editor. The knee. 1st ed. St. Louise, MO: Mosby; 1994. p. 1229–38.

    Google Scholar 

  • Vendittoli PA, Makinen P, Drolet P, et al. A multimodal analgesia protocol for total knee arthroplasty. A randomized, controlled study. J Bone Joint Surg Am. 2006;88-A:282–9.

    Article  Google Scholar 

  • Ververeli PA, Sutton DC, Hearn SL, et al. Continuous passive motion after total knee arthroplasty. Clin Orthop. 1995;321:208–14.

    PubMed  Google Scholar 

  • Walker RH, Morris BA, Angulo DC, et al. Postoperative use of continuous passive motion, transcutaneous electrical nerve stimulation, and continuous cooling pad following total knee arthroplasty. J Arthroplasty. 1991;6:151–6.

    Article  PubMed  CAS  Google Scholar 

  • Yang IH, Kim SH, Han CD. Early manipulation for flexion limitation after total knee arthroplasty. J Korean Knee Soc. 2004;16:88–93.

    Google Scholar 

  • Youm T, Maurer SG, Stuchin SA. Postoperative management after total hip and knee arthroplasty. J Arthroplasty. 2005;20:322–4.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Orthopedic Surgery ASAN Medical Center, University of Ulsan College of Medicine, Seoul, Korea, Republic of South Korea

    Wooshin Cho

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Cho, W. (2014). Postoperative Management. In: Knee Joint Arthroplasty. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-39389-1_7

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  • DOI: https://doi.org/10.1007/978-3-642-39389-1_7

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