Diagnosis and Management of Intra-articular Causes of Pain After Total Knee Arthroplasty.
Total knee arthroplasty (TKA) is an effective procedure for decreasing pain, improving functional capability, and increasing the overall quality of life for thousands of people with chronic knee osteoarthritis. Although patient outcomes and satisfaction remain high, a substantial percentage of patients report residual pain after TKA. Sources of postoperative pain include intra- and extra-articular etiologies as well as factors unrelated to the implants themselves. A patient-centered approach to the painful TKA may aid clinicians in diagnosing and treating patients with intra-articular causes of pain after TKA. A thorough understanding of the mechanisms involved may lead to improved preoperative planning and patient selection, ultimately decreasing the number of patients with less than optimal postoperative outcomes.
Department of Surgery, Southern Illinois University School of Medicine, Springfield, Illinois.
Anish G R
AG
Potty
Tony H
TH
Tzeng
Jacob D
JD
Sams
Matthew E
ME
Lovell
William M
WM
Mihalko
Kirk M
KM
Thompson
Jake
J
Parke
Blaine T
BT
Manning
Douglas A
DA
Dennis
Stuart B
SB
Goodman
Khaled J
KJ
Saleh
D018771:Arthralgia / Q000175:diagnosis* / Q000628:therapy*; D019645:Arthroplasty, Replacement, Knee / Q000009:adverse effects*; D006801:Humans; D007719:Knee Joint; D059408:Pain Management / Q000379:methods*; D010147:Pain Measurement / Q000379:methods*; D010149:Postoperative Pain