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Beyond Revision Surgery: Work-Up and Interventional Treatments for the Painful Total Knee Arthroplasty.
Pain Practice ( IF 2.6 ) Pub Date : 2020-06-09 , DOI: 10.1111/papr.12924
Jonathan M Hagedorn 1 , Benjamin M Wooster 2 , Christine L Hunt 1 , Susan M Moeschler 1 , Vwaire Orhurhu 3 , Robert T Trousdale 2
Affiliation  

Total knee arthroplasty is a common and successful treatment modality for knee arthritis that is refractory to conservative management strategies. Over 600,000 arthroplasties are performed per year in the United States, and this number is expected to increase in the coming years. Unfortunately, 8% to 34% of patients experience chronic pain after having a total knee arthroplasty. These patients should undergo an appropriate work‐up by the orthopedic surgeon, but many times a surgical problem is not uncovered. In these situations, a thorough and specific plan for pain management should be sought. In this article, we outline the work‐up of a painful total knee arthroplasty. Then we provide a thorough review of interventional pain management strategies and highlight the pertinent literature. Lastly, we hypothesize future developments in the field that may provide better outcomes for patients suffering from painful total knee arthroplasty.

中文翻译:

翻修手术之外:疼痛的全膝关节置换术的检查和介入治疗。

全膝关节置换术是一种常见且成功的治疗方式,适用于保守治疗策略,对膝关节炎不利。在美国,每年进行超过600,000例关节置换术,并且这一数字预计在未来几年还会增加。不幸的是,有8%至34%的患者在进行了全膝关节置换术后经历了慢性疼痛。这些患者应由整形外科医生进行适当的检查,但很多时候并未发现手术问题。在这种情况下,应寻求彻底而具体的疼痛治疗计划。在本文中,我们概述了痛苦的全膝关节置换术的工作过程。然后,我们对介入性疼痛管理策略进行了全面回顾,并着重介绍了相关文献。最后,
更新日期:2020-06-09
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