scholarly journals Comments on “Preoperative Risk Factors Associated with Chronic Pain Profiles Following Total Knee Arthroplasty” by Lindberg and colleagues

2021 ◽  
Author(s):  
Daniel L. Riddle ◽  
Levent Dumenci
2020 ◽  
Author(s):  
Maren F. Lindberg ◽  
Christine Miaskowski ◽  
Tone Rustøen ◽  
Bruce A. Cooper ◽  
Arild Aamodt ◽  
...  

2018 ◽  
Vol 3 (8) ◽  
pp. 461-470 ◽  
Author(s):  
Vikki Wylde ◽  
Andrew Beswick ◽  
Julie Bruce ◽  
Ashley Blom ◽  
Nicholas Howells ◽  
...  

Despite a good outcome for many patients, approximately 20% of patients experience chronic pain after total knee arthroplasty (TKA). Chronic pain after TKA can affect all dimensions of health-related quality of life, and is associated with functional limitations, pain-related distress, depression, poorer general health and social isolation. In both clinical and research settings, the approach to assessing chronic pain after TKA needs to be in-depth and multidimensional to understand the characteristics and impact of this pain. Assessment of this pain has been inadequate in the past, but there are encouraging trends for increased use of validated patient-reported outcome measures. Risk factors for chronic pain after TKA can be considered as those present before surgery, intraoperatively or in the acute postoperative period. Knowledge of risk factors is important to guide the development of interventions and to help to target care. Evaluations of preoperative interventions which optimize pain management and general health around the time of surgery are needed. The causes of chronic pain after TKA are not yet fully understood, although research interest is growing and it is evident that this pain has a multifactorial aetiology, with a wide range of possible biological, surgical and psychosocial factors that can influence pain outcomes. Treatment of chronic pain after TKA is challenging, and evaluation of combined treatments and individually targeted treatments matched to patient characteristics is advocated. To ensure that optimal care is provided to patients, the clinical- and cost-effectiveness of multidisciplinary and individualized interventions should be evaluated. Cite this article: EFORT Open Rev 2018;3:461-470. DOI: 10.1302/2058-5241.3.180004


Joints ◽  
2019 ◽  
Vol 07 (01) ◽  
pp. 013-018
Author(s):  
Davide E. Bonasia ◽  
Anna Palazzolo ◽  
Umberto Cottino ◽  
Francesco Saccia ◽  
Claudio Mazzola ◽  
...  

AbstractTotal knee arthroplasty (TKA) is a valuable treatment option for advanced osteoarthritis in patients unresponsive to conservative treatments. Despite overall satisfactory results, the rate of unsatisfied patients after TKA remains high, ranging from 5 to 40%. Different modifiable and nonmodifiable prognostic factors associated with TKA outcomes have been described. The correction, whenever possible, of modifiable factors is fundamental in preoperative patients' optimization protocols. Nonmodifiable factors can help in predicting the outcomes and creating the right expectations in the patients undergoing TKA. The goal of this review is to summarize the modifiable and nonmodifiable prognostic factors associated with TKA outcomes.


2011 ◽  
Vol 3 (4) ◽  
pp. 274 ◽  
Author(s):  
Jee Hyoung Kim ◽  
Song Lee ◽  
Dong Oh Ko ◽  
Chang Wook Yoo ◽  
Tae Hwan Chun ◽  
...  

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