The Journal of New York School of Regional Anesthesia
نویسندگان
چکیده
Adequate control of postoperative pain following hip and knee arthroplasty can be a challenging task1,2. Previous studies have shown that over 50% of patients undergoing surgery report postoperative pain as a major concern3. Consequences of uncontrolled pain can lead to myocardial ischemia and infarctions, pulmonary infections, paralytic ileus, urinary retention, thromboembolisms, impaired immune functions, as well as anxiety. In addition, inadequate control of pain may result in patient dissatisfaction, impaired patient rehabilitation, and prolonged hospitalizations3. The negative influence of postoperative pain on rehabilitation is particularly concerning for patients undergoing joint replacement. Functional recovery and return of muscle strength is dependant on the ability of these patients to comply with rehabilitation. The drawbacks of inadequate rehabilitation are especially cumbersome in hip and knee surgeries, since faster mobilization leads to quicker discharge from the hospital. Furthermore, studies have shown that recovery from knee arthroplasty is prolonged up to 50 days postoperatively, far greater than recovery from hip replacement4. Pain control is especially important for knee arthroplasty patients to allow recovery of range of motion and muscle strength for ambulation5.The Journal of NYSORA; 13: 1-8.
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