Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
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Knee Surg Sports Traumatol Arthrosc · Jul 2019
Fulfillment of expectations influence patient satisfaction 5 years after total knee arthroplasty.
Constant efforts have been made to improve prosthesis design in total knee arthroplasty (TKA), but a significant number of patients remain dissatisfied postoperatively. Besides poor improvement in pain or function, poor fulfillment of patients expectations were identified as contributing factors. Purpose of the study was to assess fulfillment of patients' expectations and satisfaction with TKA 5 years after surgery. ⋯ I.
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Knee Surg Sports Traumatol Arthrosc · Jul 2019
Randomized Controlled TrialAdditional benefit of local infiltration of analgesia to femoral nerve block in total knee arthroplasty: double-blind randomized control study.
Multimodal analgesia has become an important concept in current pain management following total knee arthroplasty (TKA). However, controversy remains over what is the most accepted combination. In this study, the additional benefits of local infiltration of analgesia to femoral nerve block were evaluated. ⋯ Randomized controlled trial, Level I.
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Knee Surg Sports Traumatol Arthrosc · Jul 2019
Randomized Controlled TrialPerioperative pregabalin does not reduce opioid requirements in total knee arthroplasty.
The purpose of this prospective, randomized, double-blinded, placebo-controlled study was to determine if pregabalin, when given perioperatively in addition to patient-controlled analgesia morphine, paracetamol and etoricoxib, is effective in reducing morphine requirements and moderating pain scores after primary total knee arthroplasty. We hypothesize that there would be no difference in postoperative opioid requirements, postoperative pain scores, and functional scores with the use of perioperative pregabalin. ⋯ II.
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Knee Surg Sports Traumatol Arthrosc · Jul 2019
Comparative StudySimilar postoperative patient-reported outcome in both second generation patellofemoral arthroplasty and total knee arthroplasty for treatment of isolated patellofemoral osteoarthritis: a systematic review.
Due to inconsistent results and high failure rates, total knee arthroplasty (TKA) is more often used to treat isolated patellofemoral osteoarthritis (PFOA) despite the theoretical advantage of patellofemoral arthroplasty (PFA). It is perceived that second-generation PFA may have improved the outcomes of surgery. In this systematic review, the primary aim was to compare outcomes of second-generation PFA and TKA by assessment of patient-reported outcome measures (PROMs). ⋯ IV.
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Knee Surg Sports Traumatol Arthrosc · Jul 2019
Increased postoperative dexamethasone and gabapentin reduces opioid consumption after total knee arthroplasty.
Dexamethasone and gabapentin are used in multimodal pain management protocols to reduce postoperative pain after total knee arthroplasty. For both analgesic adjuvants, the optimal dose regimen to reduce opioid usage is still unclear. ⋯ Therapeutic Level III.