Unexplained pain after total knee arthroplasty

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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.

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S. Parratte

Sainte Marguerite Hospital

编辑信件的主要联系方式.
Email: sebastien@parratte.fr
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N. Kornilov

Vreden Russian Research Institute of Traumatology and Orthopaedics

Email: drkornilov@hotmail.com
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E. Thienpont

University Hospital Saint Luc

Email: emmanuel.thienpont@uclouvain.be
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A. Baldini

IFCA Clinic, Florence; IRCCS Instituto Clinico Humanitas-Rozzano

Email: drbaldiniandrea@yahoo.it
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R. Tikhilov

Vreden Russian Research Institute of Traumatology and Orthopaedics

Email: info@rniito.org
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J. Argenson

Marseille, France

Email: jean-noel.argenson@ap-hm.fr
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T. Kulyaba

Vreden Russian Research Institute of Traumatology and Orthopaedics

Email: taraskulyaba@hotmail.com
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