A. Wickline, Windy E. Cole, M. Melin, S. Ehmann, Frank Aviles, Jennifer L. Bradt
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Mitigating the Post-operative Swelling Tsunami in Total Knee Arthroplasty: A Call to Action
Total knee arthroplasty (TKA) is a treatment option for individuals with symptomatic osteoarthritis who have failed conservative therapy. In this manuscript the authors describe the pathophysiology of post-operative edema and explore the patient dependent factors potentially contributing to lymphatic dysfunction and thus directly influencing the TKA postoperative course. A proposed multimodal perioperative protocol is presented that focuses on identifying limb edema/lymphedema preoperatively, intraoperative technique changes that may decrease swelling post-TKA.