• Orthop. Clin. North Am. · Oct 2017

    Review

    Perioperative Pain Management in Hip and Knee Arthroplasty.

    • Christian J Gaffney, Christopher E Pelt, Jeremy M Gililland, and Christopher L Peters.
    • Department of Orthopaedics, The University of Utah, 590 Wakara Way, Salt Lake City, UT 84108, USA.
    • Orthop. Clin. North Am. 2017 Oct 1; 48 (4): 407-419.

    AbstractTotal hip and knee arthroplasty is associated with significant perioperative pain, which can adversely affect recovery by increasing risk of complications, length of stay, and cost. Historically, opioids were the mainstay of perioperative pain control. However, opioids are associated with significant downsides. Preemptive use of a multimodal pain management approach has become the standard of care to manage pain after hip and knee arthroplasty. Multimodal pain management uses oral medicines, peripheral nerve blocks, intra-articular injections, and other tools to reduce the need for opioids. Use of a multimodal approach promises to decrease complications, improve outcomes, and increase patient satisfaction after hip and knee arthroplasty.Copyright © 2017 Elsevier Inc. All rights reserved.

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