Movement pain, resting pain and depression prior to total knee replacement predict postoperative pain
- Department of Orthopaedic Surgery, University of Virginia, Charlottesville, Virginia, USA
- Correspondence to
: Dr James A Browne
Department of Orthopaedic Surgery, University of Virginia, PO Box 800159, Charlottesville, VA 22908, USA;
Implications for practice and research
Younger patients with higher preoperative pain and depression are more likely to have higher pain on postoperative day 2 following total knee arthroplasty.
Cutaneous pain sensitivity correlates with postoperative knee movement pain but not rest pain, which suggests different underlying pain mechanisms.
Future research should investigate whether presurgical intervention on pain and psychological factors can improve postoperative pain and long-term outcomes following total knee arthroplasty (TKA).
TKA is generally regarded as a highly successful procedure to improve pain and function in patients with advanced degenerative joint disease. Perioperative pain management remains a major concern for patients contemplating TKA and residual pain has been associated with dissatisfaction and poor outcome. This study aims to identify …