Title

Preoperative Predictors of Pain Following Total Knee Arthroplasty.

Document Type

Article

Peer Reviewed

1

Publication Date

7-1-2014

NLM Title Abbreviation

J Arthroplasty

Journal/Book/Conference Title

The Journal of Arthroplasty

PubMed ID

24630598

DOI of Published Version

10.1016/j.arth.2014.01.034

Abstract

Total knee arthroplasty has provided dramatic improvements in function and pain for the majority of patients with knee arthritis, yet a significant proportion of patients remain dissatisfied with their results. We performed a prospective analysis of 215 patients undergoing TKA who underwent a comprehensive array of evaluations to discover whether any preoperative assessment could predict high pain scores and functional limitations postoperatively. Patients with severe pain with a simple knee range-of-motion test prior to TKA had a 10 times higher likelihood of moderate to severe pain at 6 months. A simple test of pain intensity with active flexion and extension preoperatively was a significant predictor of postoperative pain at 6 months after surgery. Strategies to address this particular patient group may improve satisfaction rates of TKA.

Keywords

Aged, Anxiety, Arthroplasty, Replacement, Knee, Catastrophization, Depression, Female, Humans, Male, Middle Aged, Pain Measurement, Pain, Postoperative, Postoperative Period, Prospective Studies, Range of Motion, Articular, Regression Analysis

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URL

https://ir.uiowa.edu/nursing_pubs/2034