Predictors for persistent pain and dissatisfaction after total knee arthroplasty

Der Schmerz
Franz ReichelChristian Merle

Abstract

A substantial number of patients patients suffer from persistent pain or are unsatisfied after total knee arthroplasty (TKA). This work aims to present the frequency of postoperative persistent pain and/or dissatisfaction as well as known causes and predictors. The current literature is studied regarding the subject and is reviewed narratively. Most postoperative problems did not arise from operation details, but from patient-related criteria, a lack of patient education and selection. The satisfaction correlates most strongly with the reduction of preoperative pain. For a successful TKA, care should be taken that the following aspects are met preoperatively: clinically and radiologically advanced osteoarthritis, a patient age preferably older than 60 years, sufficient psychosocial resources to cope with postoperative stress, no opioid medication and realistic expectations after TKA. Postoperatively, patients with persistent pain or dissatisfaction should be checked for any prosthesis-related problems. If no prosthesis-related problems could be detected, the patients should be referred for interdisciplinary therapies.

References

Jun 1, 1983·Acta Psychiatrica Scandinavica·A S Zigmond, R P Snaith
Jan 26, 1999·Clinical Orthopaedics and Related Research·R A BergerH E Rubash
Aug 4, 2001·Acta Orthopaedica Scandinavica. Supplementum·M J Dunbar
Dec 3, 2003·Annals of the Rheumatic Diseases·K M JordanUNKNOWN Standing Committee for International Clinical Studies Including Therapeutic Trials ESCISIT
Dec 4, 2003·Clinical Orthopaedics and Related Research·Victoria A BranderTimothy Houle
Jun 11, 2004·The Journal of Arthroplasty·Douglas A Dennis
Dec 20, 2005·Der Orthopäde·C PerkaG Matziolis
Feb 21, 2006·Orthopedics·Edward C BrownGiles R Scuderi
Sep 13, 2006·Clinical Orthopaedics and Related Research·Philip C NobleKenneth B Mathis
Aug 25, 2007·The Journal of Arthroplasty·Adolph V LombardiKeith R Berend
Aug 4, 2007·The Journal of Bone and Joint Surgery. British Volume·P N BakerUNKNOWN National Joint Registry for England and Wales
Sep 6, 2007·The Journal of Bone and Joint Surgery. British Volume·D W MurrayJ Dawson
Oct 30, 2007·Lancet·Ian D LearmonthCecil Rorabeck
Mar 25, 2008·The Journal of Arthroplasty·Merrill A RitterJohn B Meding
May 29, 2008·Clinical Orthopaedics and Related Research·Ingrid B de GrootJan A Verhaar
Aug 6, 2008·Clinical Orthopaedics and Related Research·Jasvinder A SinghDavid Lewallen
Aug 23, 2008·Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur·Michael E ForsytheMichael Gross
Feb 5, 2009·The Journal of Bone and Joint Surgery. British Volume·A D TomsB Hopwood
Jul 9, 2009·Clinical Orthopaedics and Related Research·Daniel L RiddleXiangrong Kong
Aug 29, 2009·Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur·Robert R EdwardsJeffrey N Katz
Sep 24, 2009·Arthritis Research & Therapy·Anne F MannionInes Kramers-de Quervain
Oct 22, 2009·Clinical Orthopaedics and Related Research·Robert B BourneKory D J Charron
Mar 20, 2010·European Journal of Anaesthesiology·Pia A E PuolakkaLeena Lindgren
Jul 14, 2010·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Svetlana SkurtveitAage Tverdal
Aug 19, 2010·Clinical Orthopaedics and Related Research·R Allen ButlerRobert L Barrack
Aug 28, 2010·The Journal of Bone and Joint Surgery. British Volume·D Nicoll, D I Rowley
Oct 5, 2010·The Journal of Arthroplasty·Jasvinder A SinghDavid G Lewallen
May 21, 2011·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Michel P BonninH A Pooler Archbold
Jul 30, 2011·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Francois HardemanJan Victor
Feb 18, 2012·European Journal of Pain : EJP·A AlthausE Neugebauer
Mar 9, 2012·Lancet·Andrew J CarrDavid J Beard
Jun 7, 2013·Arthritis Care & Research·Vikki WyldeRachael Gooberman-Hill
Jul 16, 2013·The Journal of Arthroplasty·Christian MerleMarcus Schiltenwolf
Feb 25, 2015·Acta Orthopaedica·Kars P ValkeringRutger C I van Geenen
Mar 31, 2015·The Journal of Arthroplasty·Amit KiranNigel K Arden
Dec 19, 2015·Der Orthopäde·K ThieleT Pfitzner
May 12, 2016·Acta Orthopaedica·Ola RolfsonUNKNOWN Patient-Reported Outcome Measures Working Group of the International Society of Arthroplasty Registries
Sep 6, 2017·The Orthopedic Clinics of North America·Emmanuel GibonStuart B Goodman
Mar 10, 2018·Zeitschrift für Orthopädie und Unfallchirurgie·Marcus Schiltenwolf, UNKNOWN Leitliniengruppe

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Citations

Feb 13, 2019·Der Schmerz·Marcus Schiltenwolf

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