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Keywords Early post operative pain mana...

Early post operative pain management in orthopedics

https://read.qxmd.com/read/38500804/clinical-guideline-on-the-third-generation-minimally-invasive-surgery-for-hallux-valgus
#1
REVIEW
Guangyi Li, Hui Zhang, Xu Wang, Yunfeng Yang, Hailin Xu, Jinsong Hong, Siu-Wah Kong, Kwok-Bill Chan, Keen-Wai Chong, Alan Yan, Zhongmin Shi, Xin Ma
Minimally invasive surgery for hallux valgus correction, has been attracting great interests in the recent decades, due to the potential benefits of less pain, decreased recovery times, smaller scars with better cosmesis, and improved early post-operative range of motion. The most recent developments in minimally invasive surgery have evolved into the third generation with modifications of the chevron-type osteotomy. This evidence-based clinical guideline of the third generation minimally invasive surgery for hallux valgus is initiated and developed collectively by the Foot and Ankle Committee of Orthopedic Branch of Chinese Medical Doctor Association, Foot and Ankle Committee of Sports Medicine Branch of Chinese Medical Doctor Association, and Foot and Ankle Expert Committee of Orthopedic Branch of the Chinese Association of the Integrative Medicine...
March 2024: Journal of Orthopaedic Translation
https://read.qxmd.com/read/38432799/shoulder-pain-management-strategies-and-early-functional-outcome-after-arthroscopic-rotator-cuff-tear-repair-a-randomized-controlled-study
#2
RANDOMIZED CONTROLLED TRIAL
Claudio Chillemi, Marco Damo, Riccardo Proietti, Giuseppe Polizzotti, Stefano Ferrari, Francesco Idone, Annamaria Palliccia, Sara Di Rosa, Stefano Carli, Benedetta Zimbalatti
BACKGROUND: The management of acute postoperative pain after rotator cuff surgery can be challenging. To our knowledge, there are no data available in the literature correlating satisfactory pain control with improvement in terms of function. The purposes of the present study were to evaluate: 1) pain pattern after arthroscopic rotator cuff repair in patients operated with two different techniques (transosseous vs transosseous equivalent); 2) safety/efficacy of three different pharmacological pain control strategies; 3) possible relationship between a correct shoulder pain management protocol in the early post-operative period and patients' functional improvement...
January 2024: Journal of Bodywork and Movement Therapies
https://read.qxmd.com/read/38413435/arthroscopic-distal-clavicle-resection-versus-conservation-in-patients-with-combined-rotator-cuff-tears-and-acromioclavicular-joint-osteoarthritis
#3
JOURNAL ARTICLE
Mohamed H Hashem, Mohamed Osama Hegazy, Mohamed Kamal A Mohamed, Moustafa Kamal A Mohamed, Ahmed Hany Khater
PURPOSE: The most common cause of shoulder pain originating from the acromioclavicular (AC) joint is osteoarthritis, causing pain and disability. Operative Management of AC arthritis includes arthroscopic distal clavicle resection (DCR) and open clavicle resection. This study was conducted to evaluate the outcomes of isolated rotator cuff repair with conservative treatment of ACJ arthritis versus the combined resection of the distal clavicle with the repair of a rotator cuff tear, in cases with acromioclavicular arthritis...
February 28, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/38050598/arthrodesis-of-the-first-metatarsophalangeal-joint-for-severe-hallux-valgus-in-adolescents-with-cerebral-palsy-a-retrospective-comparison-study-of-three-surgical-techniques
#4
JOURNAL ARTICLE
Ken Ye, Megan Cashin, Samuel K Van de Velde, Abhay Khot, Kerr Graham, Erich Rutz
PURPOSE: We compared the outcomes of arthrodesis of the first metatarsophalangeal joint for severe hallux valgus in 31 adolescents with cerebral palsy, using three different methods of fixation: K-wires, non-locking plates, and locking plates. METHODS: Clinical outcomes included time to weight-bearing, fusion rates and surgical complications. Radiographic assessment included comparing pre- and post-operative hallux valgus angles, intermetatarsal angles, interphalangeal angles, and lateral metatarsophalangeal angles...
December 2023: Journal of Children's Orthopaedics
https://read.qxmd.com/read/38025365/oxidized-zirconium-bearing-surface-failure-in-total-knee-arthroplasty-a-unique-case-report-of-isolated-medial-compartment-with-catastrophic-results
#5
Naem A Mufarreh, Osaheni Amadasu, Cyril Abadir, Matias Matias, Sarkis Bedikian
INTRODUCTION: Oxidized Zirconium (OXINIUM™) is a metal alloy with a ceramic surface, utilized to increase the longevity of knee and hip implantations and reduce polyethylene wear. Polyethylene-based spacers are effective in infection control and prosthetic stability. Therefore, understanding the interactions between the polyethylene spacer and metallic counterparts is essential in surgical decision-making. Furthermore, understanding how patients may present when catastrophic failure of these components arises is imperative...
November 2023: Journal of Orthopaedic Case Reports
https://read.qxmd.com/read/37718076/analgesic-trends-in-the-management-of-pain-following-total-knee-arthroplasty-a-comparison-of-peri-articular-infiltration-adductor-canal-block-and-adjuvant-treatment-for-posterior-knee-pain
#6
REVIEW
Rutuja R Sikachi, Brett Campbell, Ezra Kassin, Giles R Scuderi, Joseph Marino
The rising number of total knee arthroplasties (TKA's) in the United States increases demand for perioperative pain modalities, which can promote early mobilization and discharge. Over the decades, a focus has shifted from opioid-dominant regimens to motor-sparing multimodal protocols, which have not only improved pain scores and reduced opioid consumption but also improved overall patient outcomes. In this article, we briefly review the evolution of post-operative pain management in patients undergoing TKA and summarize the literature on the most popular modalities currently used including periarticular injections, adductor canal blocks, distal selective nerve blocks, as well as liposomal bupivacaine as part of a multimodal approach...
October 2023: Orthopedic Clinics of North America
https://read.qxmd.com/read/37609941/the-efficacy-of-antibiotic-eluting-material-in-a-two-stage-model-of-periprosthetic-joint-infection
#7
JOURNAL ARTICLE
Yingfang Fan, Madeline McCanne, Jean Yuh, Sashank Lekkala, Charlotte P Leape, Shannon Hugard, Andrew Thomson, Jamie E Collins, Orhun K Muratoglu, Mark Randolph, Ebru Oral
Periprosthetic joint infections occur in about 2% of patients who undergo primary total joint arthroplasty, a procedure performed over 1 million times in the U.S. The gold standard of treatment is a two-stage revision. This study aimed to establish a two-stage procedure in a preclinical small animal model (rat) to test and compare the efficacy of an antibiotic-eluting material in managing infection. Joint replacement was simulated by transchondylarly implanting a polyethylene (PE) plug into the distal femur and a titanium screw in the proximal tibia...
August 23, 2023: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
https://read.qxmd.com/read/37583532/long-term-outcome-of-total-femur-replacement
#8
JOURNAL ARTICLE
A L Adzhar, W I Faisham, W Zulmi, W S Azman, Y Sahran, A H Syurahbil, M Z Nor-Azman
INTRODUCTION: Total femur replacement is an option instead of amputation for extensive bone tumour or after revision surgery with a massive bone loss. Over a long period of time the patients may need revision surgery, and this might affect the functional outcome. We reviewed all consecutive total femur replacements done for primary and revision surgery of primary bone tumours in our centre to evaluate the long-term functional outcome and survival. MATERIALS AND METHODS: All patients who had total femur resection and reconstruction with modular endoprosthesis replacement in our centre from June 1997 to May 2022 were reviewed...
July 2023: Malaysian Orthopaedic Journal
https://read.qxmd.com/read/37486444/dynamic-intermittent-compression-cryotherapy-with-intravenous-nefopam-results-in-faster-pain-recovery-than-static-compression-cryotherapy-with-oral-nefopam-post-anterior-cruciate-ligament-reconstruction
#9
JOURNAL ARTICLE
Mohamad K Moussa, Nicolas Lefevre, Eugenie Valentin, Alain Meyer, Olivier Grimaud, Yoan Bohu, Antoinne Gerometta, Frederic Khiami, Alexandre Hardy
PURPOSE: To evaluate the effectiveness of dynamic intermittent compression cryotherapy (DICC) (CryoNov®) with an intravenous nefopam-based pain management protocol (DCIVNPP) in reducing post-operative pain following anterior cruciate ligament reconstruction (ACLR) compared to static compression cryotherapy (SCC) (Igloo®) and oral Nefopam. METHODS: This was a retrospective analysis of prospectively collected data including 676 patients who underwent primary ACLR in 2022...
July 24, 2023: Journal of Experimental Orthopaedics
https://read.qxmd.com/read/37383879/orthopedic-manifestations-of-hereditary-sensory-and-autonomic-neuropathy-iv-in-a-10-year-old-patient
#10
JOURNAL ARTICLE
James Kohler, Rory Metcalf, Heather Kowalski
Hereditary sensory and autonomic neuropathy type IV (HSAN) is a rare and debilitating disorder highlighted by congenital absence of pain and anhidrosis. Orthopedic sequelae include physeal fractures, Charcot joint development, excessive joint laxity, soft tissue infections and recurrent painless dislocations, all of which often present in a delayed fashion. While there is no accepted guideline on management of these patients, several case studies have highlighted the importance of early diagnosis and cautioned against surgical intervention in these patients due to their inability to perceive pain and comply with post-operative restriction...
2023: Iowa Orthopaedic Journal
https://read.qxmd.com/read/37216568/primary-cementless-femoral-stems-in-conversion-hip-arthroplasty-after-failed-fixation-of-intertrochanteric-fractures
#11
JOURNAL ARTICLE
Hope S Thalody, Zachary D Post, Rex W Lutz, Miranda Czymek, Alvin C Ong, Danielle Y Ponzio
Salvage conversion hip arthroplasty is a viable solution to restore function and reduce pain after failed intertrochanteric hip fracture fixation. Our primary objective was to assess early outcomes achieved with primary cementless metaphyseal-engaging femoral stems for conversion hip arthroplasty compared with revision diaphyseal-engaging stems. This was a retrospective review of 70 patients with failed intertrochanteric hip fractures subsequently managed with conversion total hip arthroplasty or hemiarthroplasty...
May 23, 2023: Orthopedics
https://read.qxmd.com/read/37199438/the-effects-of-intraoperative-local-pain-cocktail-injections-on-early-function-and-patient-reported-outcomes-a-randomized-controlled-trial
#12
JOURNAL ARTICLE
Rivka Ihejirika-Lomedico, Sarah Solasz, Nathan Lorentz, Kenneth A Egol, Philipp Leucht
OBJECTIVE: To determine if a peri-operative pain cocktail injection improves post-operative pain, ambulation distance and long-term outcomes in hip fracture patients. DESIGN: Prospective, single-blinded, randomized controlled trial. SETTING: Academic Medical Center. PATIENTS/PARTICIPANTS: Patients with OTA/AO 31A1-3 and 31B1-3 fractures undergoing operative fixation, excluding arthroplasty. INTERVENTION: Multimodal local injection of bupivacaine (Marcaine), morphine sulfate (Duramorph), ketorolac (Toradol) given at the fracture site at the time of hip fracture surgery (Hip Fracture Injection, HiFI)...
May 9, 2023: Journal of Orthopaedic Trauma
https://read.qxmd.com/read/37056591/analysis-of-functional-outcomes-following-surgical-management-of-neglected-multiple-carpometacarpal-dislocations-a-series-of-four-cases-and-review-of-literature
#13
Prashant Kamble, Rudra Mangesh Prabhu, Shubhranshu S Mohanty, Dipen Ariwala, Vinod Kumar Yadav
INTRODUCTION: Dislocation of the carpometacarpal (CMC) joint is a rare injury that results following high-velocity trauma. Although there are a few anecdotal reports of isolated CMC joint dislocations, there is scarce literature concerning dislocations involving multiple joints, especially those that are neglected and present late after injury. The injury is often missed when the patient presents to the surgeon since the swelling obscures the characteristic deformity, and the fracture may not be apparent on radiographs...
December 2022: Journal of Orthopaedic Case Reports
https://read.qxmd.com/read/36608901/trajectory-of-chronic-and-neuropathic-pain-anxiety-and-depressive-symptoms-and-pain-catastrophizing-after-total-knee-replacement-results-of-a-prospective-single-center-study-at-a-mean-follow-up-of-7-5-years
#14
JOURNAL ARTICLE
Romain Priol, Gilles Pasquier, Sophie Putman, Henri Migaud, Julien Dartus, Jean-Michel Wattier
INTRODUCTION: A considerable number of patients are not satisfied after total knee replacement (TKR) because of persistent pain. This pain can also be neuropathic in origin. Both types of pain have a large impact on function and quality of life. Furthermore, the trajectory of anxiety and depressive symptoms and pain catastrophizing has rarely been studied after TKR surgery. The primary objective of this study was to define the trajectory of knee pain after primary TKR. The secondary objectives were to evaluate how neuropathic pain, anxiety and depressive symptoms and pain catastrophizing change over time...
January 3, 2023: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://read.qxmd.com/read/36407207/synovial-chondromatosis-induced-monoarticular-knee-arthritis-challenges-with-arthroscopic-synovectomy-on-late-presentation
#15
Lavindra Tomar, Rakesh C Arya, Gaurav Govil, Pawan Dhawan
Unilateral painful swelling of the knee is one of the most common orthopedic presentations. Monoarticular synovitis of the knee may be present due to inflammation, trauma, age-related degeneration, or tumor pathology. Primary synovial chondromatosis (PSC) is an uncommon cause. A 40-year-old female presented with painful swelling of her left knee for around nine months. She had a flexion deformity of her left knee with minimal hydrops. The radiograph showed speckled calcifications and osteopenia with a reduction of medial joint space...
October 2022: Curēus
https://read.qxmd.com/read/36389003/the-effect-of-a-quality-improvement-project-on-post-operative-opioid-use-following-outpatient-spinal-surgery
#16
JOURNAL ARTICLE
Marie-Claude Magnan, Eugene Wai, Stephen Kingwell, Philippe Phan, Sarah Tierney, Alexandra Stratton
Background: Prescribing opioids upon discharge after surgery is common practice; however, there are many inherent risks including dependency, diversion, and medical complications. Our prospective pre- and post-intervention study investigates the effect of a standardized analgesic prescription on the quantity of opioids prescribed and patients' level of pain and satisfaction with pain control in the early post-operative period. Methods: With the implementation of an electronic medical record, a standardized prescription was built employing multimodal analgesia and a stepwise approach to analgesics based on level of pain...
October 2022: British Journal of Pain
https://read.qxmd.com/read/36253914/the-lateral-femoral-cutaneous-and-over-the-hip-loh-block-for-the-surgical-management-of-hip-fractures-a-safe-and-effective-anesthetic-strategy
#17
JOURNAL ARTICLE
Alexa R Deemer, David L Furgiuele, Abhishek Ganta, Philipp Leucht, Sanjit Konda, Nirmal C Tejwani, Kenneth A Egol
OBJECTIVES: To examine the efficacy of regional anesthesia with sedation only for a variety of hip fractures using the newly described lateral femoral cutaneous with over the hip Block (LOH Block). DESIGN: Retrospective. SETTING: Level-I Trauma CenterPatients/Participants: 40 patients who presented between 11/2021 and 02/2022 for fixation of OTA/AO 31.A1-3 and 31.B1-3 fractures. Matched cohorts of 40 patients who received general anesthesia and 40 patients who received spinal anesthesia for hip fracture fixation were also used...
October 17, 2022: Journal of Orthopaedic Trauma
https://read.qxmd.com/read/36245362/early-perioperative-versus-postoperative-meloxicam-for-pain-control-in-patients-undergoing-orthopedic-surgery-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#18
JOURNAL ARTICLE
Abdelrahman Mahmoud, Mohamed Abuelazm, Ali Ashraf Salah Ahmed, Mahmoud Elshinawy, Toka Ashour, Mohamed Abugdida, Basel Abdelazeem
OBJECTIVE: Post-orthopaedic operative pain is a serious concern that often requires the administration of analgesics; however, the optimal time of analgesic administration is still inconclusive. Perioperative analgesia is administrating pre-emptive analgesia before and during the surgery followed by postoperative analgesia to decrease the procedure associated nociceptive response. We aim to assess perioperative meloxicam versus postoperative meloxicam for pain control after orthopaedic operations...
October 17, 2022: Current Medical Research and Opinion
https://read.qxmd.com/read/36055666/-intramedullary-nailing-in-managing-diaphyseal-metastases-of-long-bones-retrospective-study-comparing-the-expected-survival-and-the-actual-survival-of-patients
#19
JOURNAL ARTICLE
T Valoušek, L Pazourek, T Tomáš, M Mahdal, P Janíček, V Apostolopoulos
PURPOSE OF THE STUDY The paper focuses on the potential use of nail osteosynthesis in diaphyseal metastases of long bones. The purpose of the paper is to assess the outcomes of intramedullary osteosynthesis in pathologic and impending pathologic fractures, to evaluate patient survival and potential complications. MATERIAL AND METHODS The retrospective study evaluated a cohort of 42 patients (19 men and 23 women) in whom intramedullary osteosynthesis was performed for complete pathologic fracture (28 patients) or impending pathologic fracture (14 patients) between 2010 and 2019...
2022: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
https://read.qxmd.com/read/35931646/-persistent-post-operative-pain-in-children-an-argument-for-a-transitional-pain-service-in-pediatrics
#20
JOURNAL ARTICLE
Natasha Haynes, Catriona Mclean, John Collins, Jonathan de Lima
BACKGROUND: Persistent post-operative pain continues to occur in pediatric patients. Despite the growing amount of literature on causes, there is little discussion on treatment and prevention with a majority of studies focusing on specific surgeries. AIM: The aim of this retrospective chart study is to identify risk factors and clinical features of persistent post-operative pain after any surgery in a pediatric quaternary complex pain service, describe the pharmacologic and non-pharmacologic management in children, and explore options to improve outcomes, in particular, the introduction of a transitional pain service...
December 2022: Pain Management Nursing: Official Journal of the American Society of Pain Management Nurses
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