Advances in perioperative pain management for total knee arthroplasty: a review of multimodal analgesic approaches.

IF 2.8 3区 医学 Q1 ORTHOPEDICS Journal of Orthopaedic Surgery and Research Pub Date : 2024-12-19 DOI:10.1186/s13018-024-05324-4
Chengcheng Zhao, Qimeng Liao, Dinglong Yang, Mingyi Yang, Peng Xu
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Abstract

Despite significant advancements in total knee arthroplasty (TKA), managing postoperative pain remains a substantial clinical challenge. With advances in surgical techniques and pharmacology, TKA perioperative analgesic strategies continue to evolve, necessitating ongoing reassessment of current data. Multimodal analgesia has become the standard for perioperative pain management in TKA; however, variations in its specific components and applications across studies create challenges in selecting the optimal analgesic approach. Evaluating these pain management strategies is essential for understanding their benefits, limitations, and appropriate use, allowing the development of individualized perioperative analgesic plans. This review aims to summarize current research on perioperative pain control in TKA and assess the effectiveness of different analgesic interventions.

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全膝关节置换术围手术期疼痛管理进展:多模式镇痛方法综述。
尽管全膝关节置换术(TKA)取得了重大进展,但术后疼痛管理仍然是一个重大的临床挑战。随着手术技术和药理学的进步,TKA围手术期镇痛策略不断发展,需要对当前数据进行持续的重新评估。多模式镇痛已成为TKA围手术期疼痛管理的标准;然而,其具体成分和应用的变化在研究中创造了选择最佳镇痛方法的挑战。评估这些疼痛管理策略对于了解其益处、局限性和适当使用至关重要,从而制定个性化的围手术期镇痛计划。本文综述了TKA围手术期疼痛控制的研究现状,并对不同镇痛干预措施的效果进行了评价。
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来源期刊
CiteScore
4.10
自引率
7.70%
发文量
494
审稿时长
>12 weeks
期刊介绍: Journal of Orthopaedic Surgery and Research is an open access journal that encompasses all aspects of clinical and basic research studies related to musculoskeletal issues. Orthopaedic research is conducted at clinical and basic science levels. With the advancement of new technologies and the increasing expectation and demand from doctors and patients, we are witnessing an enormous growth in clinical orthopaedic research, particularly in the fields of traumatology, spinal surgery, joint replacement, sports medicine, musculoskeletal tumour management, hand microsurgery, foot and ankle surgery, paediatric orthopaedic, and orthopaedic rehabilitation. The involvement of basic science ranges from molecular, cellular, structural and functional perspectives to tissue engineering, gait analysis, automation and robotic surgery. Implant and biomaterial designs are new disciplines that complement clinical applications. JOSR encourages the publication of multidisciplinary research with collaboration amongst clinicians and scientists from different disciplines, which will be the trend in the coming decades.
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