A Randomized Trial of Controlled-Release Oxycodone During Inpatient Rehabilitation Following Unilateral Total Knee Arthroplasty

Reliability of Goniometric Measurements of Flexion in Total Knee Arthroplasty Patients: with Special Reference to the Body Position

“…The description and standardization of knee flexion measurements have been neglected in many experiments, and only a few studies have provided detailed methodology [1][2][3][4]6,13,19,21,[24][25][26][27][28][29][30][31][32][33][34] . A review of the literature revealed that three types in position have been used in measurements of knee flexion of patients with TKA, including supine [1][2][3]6,13,[24][25][26][27] , prone 28) , and sitting 19,29,30) , although some studies/ r e p o r t s g a v e n o i n f o r m a t i o n a b o u t t h e position 4,21,[31][32][33][34] .…”

“…A review of the literature revealed that three types in position have been used in measurements of knee flexion of patients with TKA, including supine [1][2][3]6,13,[24][25][26][27] , prone 28) , and sitting 19,29,30) , although some studies/ r e p o r t s g a v e n o i n f o r m a t i o n a b o u t t h e position 4,21,[31][32][33][34] . These positions have some important differences in nature.…”

Eficacia analgésica de una dosis única de dexametasona perineural en el bloqueo ecoguiado del nervio femoral en cirugía de prótesis total de rodilla

“…Según la evidencia científica que hay hasta el momento en cirugía ortopédica de PTR, el uso de opioides combinado con otro analgésico goza de una recomendación grado A, con una evidencia 4, para el tratamiento del dolor intenso 73,[77][78][79] . La infusión a través de sistemas de PCA es de elección en cirugía de PTR porque mejora el dolor y la satisfacción del paciente (Recomendación B, Evidencia 1) 79 .…”

Editorial: The Opioid Epidemic and Orthopaedic Surgery—No Pain, Who Gains?

“…And even if it is, does that goal justify exposing opioid-naïve patients to longacting narcotics? Certainly numerous small studies have recommended use of preemptive long-acting narcotics in just this way [5,8,15]. But a careful read of these papers finds that they do so on the basis of barely perceptible differences in joint ROM, and improvements in pain that are so small that they typical patient is unlikely to notice the difference (defined as an effect size below the minimum clinically important difference [13]).…”

“…Having said that, it appears that exposure to narcotics after a surgical procedure will cause a surprisingly high proportion of previously narcotic-naïve patients to continue to use these drugs well after recovery is complete [1], and longacting narcotics may be especially dangerous [24]. Efficacy of long-acting narcotics as part of multimodal analgesic approaches likewise is questionable; as alluded to earlier, patients do not perceive improvements of <2 cm on a 10-cm VAS pain scale to be clinically important [13]; yet this is the effect size typically associated with the use of these drugs for this indication [5,8,15].…”