Unexplained pain after total knee arthroplasty

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Abstract

Although total knee arthroplasty (TKA) improves function and reduces pain for the large majority of the patients, a few continue to have pain and require investigation. The causes of dysfunction and pain after total knee arthroplasty can be described as intrinsic (intra-articular) or extrinsic (extra-articular) sources of pain. For the majority of the cases, following a complete evaluation protocol, the cause of pain can be identified and a specific treatment can be applied, however occasionally there remains a group of patients with unexplained pain whose management is difficult. It was our hypothesis that revising a TKA without pre-operative diagnosis of the failure is not worth. Therefore, the aimed of this review was to: 1) analyse the results of revision TKA for unexplained pain, and 2) described the potential solutions for an alternative conservative management of the painful TKA.

About the authors

S. Parratte

Sainte Marguerite Hospital

Author for correspondence.
Email: sebastien@parratte.fr
Russian Federation

N. N. Kornilov

Vreden Russian Research Institute of Traumatology and Orthopaedics

Email: drkornilov@hotmail.com
Russian Federation

E. Thienpont

University Hospital Saint Luc

Email: emmanuel.thienpont@uclouvain.be
Russian Federation

A. Baldini

IFCA Clinic, Florence; IRCCS Instituto Clinico Humanitas-Rozzano

Email: drbaldiniandrea@yahoo.it
Russian Federation

R. M. Tikhilov

Vreden Russian Research Institute of Traumatology and Orthopaedics

Email: info@rniito.org
Russian Federation

J. Argenson

Marseille, France

Email: jean-noel.argenson@ap-hm.fr
Russian Federation

T. A. Kulyaba

Vreden Russian Research Institute of Traumatology and Orthopaedics

Email: taraskulyaba@hotmail.com
Russian Federation

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CrossRef: 3

  1. Ageenko AM, Baitov VS, Pervukhin SA. Efficiency of infiltration anesthesia with levobupivacaine and ropivacaine after the knee arthroplasty. N.N. Priorov Journal of Traumatology and Orthopedics. 2018;25(3-4):42. doi: 10.17116/vto201803-04142
  2. Alabut AV, Sikilinda VD, Kubasov DO. Arthroscopy in Treatment of Knee Arthroplasty Complications. Vestnik travmatologii i ortopedii imeni N.N. Priorova. 2016;(2):46. doi: 10.32414/0869-8678-2016-2-46-49
  3. Murylev VY, Alekseev SS, Elizarov PM, Kukovenko GA, Dering AA, Haptagaev TH. Evaluation of Pain Syndrome in Patients after Total Knee Replacement. Traumatology and Orthopedics of Russia. 2019;25(2):19. doi: 10.21823/2311-2905-2019-25-2-19-30

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