Unexplained pain after total knee arthroplasty

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 (extr...

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Bibliographic Details
Main Authors: S. Parratte, N. N. Kornilov, E. Thienpont, A. Baldini, R. M. Tikhilov, J. Argenson, T. A. Kulyaba
Format: Article
Language:Russian
Published: Vreden Russian Research Institute of Traumatology and Orthopedics 2013-12-01
Series:Travmatologiâ i Ortopediâ Rossii
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Online Access:https://journal.rniito.org/jour/article/view/382
Description
Summary: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.
ISSN:2311-2905
2542-0933