Efficacy and Durability of Opioid Restrictive State Legislation Two Years After Implementation for Total Knee Arthroplasty

Kraekel, Sean M; Patel, Jay S.; Salomon, Kevin; Simon, Peter; Palumbo, Brian T.; Bernasek, Thomas L.

doi:10.1016/j.arth.2022.04.007

Cited by 4 publications

(1 citation statement)

References 20 publications

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“…Chronic pain accounts for over $600 billion dollars annually, more than double that of heart disease and diabetes [1]. In addition, chronic pain is associated with limited joint mobility, worsening imbalance, increased risk of falls, a greater burden of psychiatric comorbidities, and persistent opioid use [8]. Understanding modifiable risk factors that contribute to CPSP, both presurgical and postsurgical, and identifying patients who are more at risk of this condition, is crucial to limiting the amount of patients affected by CPSP.…”

Section: Introductionmentioning

confidence: 99%

Advances in the management of persistent pain after total knee arthroplasty

Dembek,

Bicket

2023

Current Opinion in Anaesthesiology

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Purpose of reviewTotal knee arthroplasty (TKA) is one of the most commonly performed surgical procedures, with additional growth anticipated as the US population ages. Because the prevalence of chronic postsurgical pain ranges from 15 to 25%, identifying persons at risk for persistent pain following surgery allows for preoperative optimization of risk factors as well as early identification and intervention in the postsurgical period. Recent findingsClinical understanding of available management techniques is critical to management, which should focus on improving patient mobility and satisfaction while reducing patient disability and healthcare costs. Current evidence supports a multimodal management strategy. This includes pharmacologic and nonpharmacologic interventions, procedural techniques, and identification and optimization of psychosocial and behavioral contributors to chronic pain. Procedural techniques known to confer analgesia include radiofrequency and watercooled neurotomy techniques. More recently, case reports have been published describing analgesic benefit with central or peripheral neuromodulation as a novel, though more invasive analgesic therapy.

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Section: Introductionmentioning

confidence: 99%