Comparison of outcomes and revision free survival of early arthrofibrosis management after total knee replacement: a national cohort analysis.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: Declarations. Competing interests: A.F.K. reports the following disclosures: paid presenter or speaker (Zimmer Biomet), paid consultant (Zimmer Biomet, Ortho Development, United Ortho), IP royalties (Innomed), and board or committee member (AAOS, AAHKS, and Anterior Hip Foundation). PAS, CWX, JB, and CJH have nothing to disclose. 15. J Arthroplasty. 2008 Sep;23(6 Suppl 1):74-9. doi: 10.1016/j.arth.2008.03.012. Multimodal pain management and arthrofibrosis. Lavernia C(1), Cardona D, Rossi MD, Lee D. Author information: (1)Arthritis Surgery Research Foundation, Inc., Miami, Florida, USA. Pain control after arthroplasty has been a key concern for orthopedic surgeons. After total knee arthroplasty (TKA), a small group of patients developed a painful joint with suboptimal range of motion. Manipulation under anesthesia increases flexion and extension while decreasing pain in most cases. The objective of the present investigation is to asses the effect of a multimodal pain management protocol on arthrofibrosis in primary TKAs. A cohort of 1136 patients who underwent primary TKA was selected. Patients were divided into 2 groups: group A had 778 procedures performed using a traditional approach to pain control; group B included 358 procedures that received multimodal pain management. Group A had an incidence of manipulation of 4.75% (37/778). Of 357 patients, 8 required manipulation in group B, which is an incidence of 2.24%. We recommend that orthopedic surgeons consider using a multimodal pain management protocol for TKA. DOI: 10.1016/j.arth.2008.03.012