Joint Surgery Branch of Chinese Orthopaedic Association, Joint Surgery Branch of Beijing Orthopaedic Association. Guidelines for Perioperative Pain Management in Total Knee Arthroplasty in China (2022)[J]. Medical Journal of Peking Union Medical College Hospital, 2022, 13(6): 965-985. DOI: 10.12290/xhyxzz.2022-0642
Citation: Joint Surgery Branch of Chinese Orthopaedic Association, Joint Surgery Branch of Beijing Orthopaedic Association. Guidelines for Perioperative Pain Management in Total Knee Arthroplasty in China (2022)[J]. Medical Journal of Peking Union Medical College Hospital, 2022, 13(6): 965-985. DOI: 10.12290/xhyxzz.2022-0642

Guidelines for Perioperative Pain Management in Total Knee Arthroplasty in China (2022)

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  • Corresponding authors: WENG Xisheng, E-mail: drwengxsh@163.com
    WANG Kunzheng, E-mail: wkzh1955@163.com

  • Received Date: November 10, 2022
  • Accepted Date: November 20, 2022
  • Issue Publish Date: November 29, 2022
  • Total knee arthroplasty (TKA) is currently the main treatment for end-stage knee disease. Moderate to severe pain often occurs after TKA, which seriously affects postoperative rehabilitation, patient satisfaction and overall outcome. Multimodal analgesia is considered as the ideal solution. There is no guideline for perioperative pain management in TKA in China. On the basis of the discussions by experts from Joint Surgery Branch of Chinese Orthopaedic Association and Joint Surgery Branch of Beijing Orthopaedic Association, the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach was used to rate the quality of evidence and the strength of recommendations. Reporting Items for Practice Guidelines in Healthcare (RIGHT) checklist was strictly followed to report the guideline. Finally, 20 evidence-based recommendations were formulated based on the 20 most concerning clinical problems among orthopaedic surgeons according to evidence retrieval, quality evaluation of body evidence, and establishment of direction and intensity of recommendations through four rounds of Delphi surveys. This guideline was developed to improve the standardization of perioperative pain management in TKA in China.
  • [1]
    Feng B, Zhu W, Bian YY, et al. China artificial joint annual data report[J]. Chin Med J (Engl), 2021, 134: 752-753. DOI: 10.1097/CM9.0000000000001196
    [2]
    Chou R, Gordon DB, de Leon-Casasola OA, et al. Manage-ment of postoperative pain: a clinical practice guideline from the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists' Committee on Regional Anes-thesia, Executive Committee, and Administrative Council[J]. J Pain, 2016, 17: 131-157. DOI: 10.1016/j.jpain.2015.12.008
    [3]
    Gaffney CJ, Pelt CE, Gililland JM, et al. Perioperative pain management in hip and knee arthroplasty[J]. Orthop Clin North Am, 2017, 48: 407-419. DOI: 10.1016/j.ocl.2017.05.001
    [4]
    Li JW, Ma YS, Xiao LK. Postoperative pain management in total knee arthroplasty[J]. Orthop Surg, 2019, 11: 755-761. DOI: 10.1111/os.12535
    [5]
    Munn JS, Lanting BA, MacDonald SJ, et al. Logistic re-gression and machine learning models cannot discriminate between satisfied and dissatisfied total knee arthroplasty patients[J]. J Arthroplasty, 2022, 37: 267-273. DOI: 10.1016/j.arth.2021.10.017
    [6]
    Choi PT, Bhandari M, Scott J, et al. Epidural analgesia for pain relief following hip or knee replacement[J]. Cochrane Database Syst Rev, 2003: CD003071.
    [7]
    Willinger ML, Heimroth J, Sodhi N, et al. Management of refractory pain after total joint replacement[J]. Curr Pain Headache Rep, 2021, 25: 42. DOI: 10.1007/s11916-021-00956-1
    [8]
    Busch CA, Shore BJ, Bhandari R, et al. Efficacy of periar-ticular multimodal drug injection in total knee arthroplasty. A randomized trial[J]. J Bone Joint Surg Am, 2006, 88: 959-963. DOI: 10.2106/00004623-200605000-00005
    [9]
    Golladay GJ, Balch KR, Dalury DF, et al. Oral multimodal analgesia for total joint arthroplasty[J]. J Arthroplasty, 2017, 32: S69-S73. DOI: 10.1016/j.arth.2017.05.002
    [10]
    Memtsoudis SG, Poeran J, Zubizarreta N, et al. Associa-tion of multimodal pain management strategies with periopera-tive outcomes and resource utilization[J]. Anesthesiology, 2018, 128: 891-902. DOI: 10.1097/ALN.0000000000002132
    [11]
    Peng H, Wang W, Lin J, et al. Local efficacy of corti-costeroids as an adjuvant for periarticular cocktail injection in simultaneous bilateral total knee arthroplasty: a prospective randomized double-blind controlled trial[J]. Pain Res Manag, 2021: 5595095.
    [12]
    Pitchon DN, Dayan AC, Schwenk ES, et al. Updates on multimodal analgesia for orthopedic surgery[J]. Anesthesiol Clin, 2018, 36: 361-373. DOI: 10.1016/j.anclin.2018.05.001
    [13]
    周宗科, 翁习生, 曲铁兵, 等. 中国髋、膝关节置换术加速康复: 围术期管理策略专家共识[J]. 中华骨与关节外科杂志, 2016, 9: 1-9. DOI: 10.3969/j.issn.2095-9985.2016.01.001
    [14]
    周宗科, 廖刃, 唐佩福, 等. 中国骨科手术加速康复围手术期疼痛管理指南[J]. 中华骨与关节外科杂志, 2019, 12: 929-938. DOI: 10.3969/j.issn.2095-9958.2019.12.01
    [15]
    Wainwright TW, Gill M, McDonald DA, et al. Consensus statement for perioperative care in total hip replacement and total knee replacement surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations[J]. Acta Orthop, 2020, 91: 3-19. DOI: 10.1080/17453674.2019.1683790
    [16]
    中华医学会麻醉学分会老年人麻醉与围术期管理学组, 中华医学会麻醉学分会疼痛学组国家老年疾病临床医学研究中心, 国家老年麻醉联盟. 老年患者围手术期多模式镇痛低阿片方案中国专家共识(2021版)[J]. 中华医学杂志, 2021, 101: 170-184. DOI: 10.3760/cma.j.cn112137-20200520-01600
    [17]
    Hagedorn JC, Danilevich M, Gary JL. What orthopaedic surgeons need to know: the basic science behind opioids[J]. J Am Acad Orthop Surg, 2019, 27: e831-e837. DOI: 10.5435/JAAOS-D-18-00438
    [18]
    Nickel BT, Klement MR, Byrd WA, et al. The James A. Rand Young Investigator's Award: battling the opioid epidemic with prospective pain threshold measurement[J]. J Arthroplasty, 2018, 33: S3-S7. DOI: 10.1016/j.arth.2018.02.060
    [19]
    Trasolini NA, McKnight BM, Dorr LD. The opioid crisis and the orthopedic surgeon[J]. J Arthroplasty, 2018, 33: 3379-3382. e1. DOI: 10.1016/j.arth.2018.07.002
    [20]
    Soelberg CD, Brown RE, Du Vivier D, et al. The US opioid crisis: current federal and state legal issues[J]. Anesth Analg, 2017, 125: 1675-1681. DOI: 10.1213/ANE.0000000000002403
    [21]
    Zhuang Q, Tao L, Lin J, et al. Postoperative intravenous parecoxib sodium followed by oral celecoxib post total knee arthroplasty in osteoarthritis patients (PIPFORCE): a multicentre, double-blind, randomised, placebo-controlled trial[J]. BMJ Open, 2020, 10: e030501. DOI: 10.1136/bmjopen-2019-030501
    [22]
    Karcioglu O, Topacoglu H, Dikme O, et al. A systematic review of the pain scales in adults: which to use?[J]. Am J Emerg Med, 2018, 36: 707-714. DOI: 10.1016/j.ajem.2018.01.008
    [23]
    Laigaard J, Pedersen C, Rønsbo TN, et al. Minimal clinically important differences in randomised clinical trials onpain management after total hip and knee arthroplasty: a systematic review[J]. Br J Anaesth, 2021, 126: 1029-1037. DOI: 10.1016/j.bja.2021.01.021
    [24]
    Oshodi TO. The impact of preoperative education on post-operative pain. Part 1[J]. Br J Nurs, 2007, 16: 706-710. DOI: 10.12968/bjon.2007.16.12.23719
    [25]
    Pan X, Wang J, Lin Z, et al. Depression and anxiety are riskfactors for postoperative pain-related symptoms and complications in patients undergoing primary total knee arthro-plasty in the United States[J]. J Arthroplasty, 2019, 34: 2337-2346. DOI: 10.1016/j.arth.2019.05.035
    [26]
    Moyer R, Ikert K, Long K, et al. The value of preoperative exercise and education for patients undergoing total hip and knee arthroplasty: a systematic review and meta-analysis[J]. JBJS Rev, 2017, 5: e2.
    [27]
    Clarke H, Poon M, Weinrib A, et al. Preventive analgesia and novel strategies for the prevention of chronic postsurgical pain[J]. Drugs, 2015, 75: 339-351. DOI: 10.1007/s40265-015-0365-2
    [28]
    American Society of Anesthesiologists Task Force on Acute Pain Management. Practice guidelines for acute pain management in the perioperative setting: an updated report by the American Society of Anesthesiologists Task Forceon Acute Pain Management[J]. Anesthesiology, 2012, 116: 248-273. DOI: 10.1097/ALN.0b013e31823c1030
    [29]
    Wang C, Fu H, Wang J, et al. Preemptive analgesia using selective cyclooxygenase-2 inhibitors alleviates postoperative pain in patients undergoing total knee arthroplasty: aprotocol for PRISMA guided meta-analysis of randomized controlled trials[J]. Medicine (Baltimore), 2021, 100: e24512. DOI: 10.1097/MD.0000000000024512
    [30]
    Lin J, Zhang L, Yang H. Perioperative administration of selective cyclooxygenase-2 inhibitors for postoperative pain management in patients after total knee arthroplasty[J]. J Arthroplasty, 2013, 28: 207-213. e2. DOI: 10.1016/j.arth.2012.04.008
    [31]
    Kopp SL, Børglum J, Buvanendran A, et al. Anesthesia and analgesia practice pathway options for total knee arthro-plasty: an evidence-based review by the American and European Societies of Regional Anesthesia and Pain Medicine[J]. Reg Anesth Pain Med, 2017, 42: 683-697. DOI: 10.1097/AAP.0000000000000673
    [32]
    Buvanendran A, Kroin JS, Kari M, et al. Can a single dose of 300 mg of pregabalin reach acute antihyperalgesic levelsin the central nervous system?[J]. Reg Anesth Pain Med, 2010, 35: 535-538. DOI: 10.1097/AAP.0b013e3181fa6b7a
    [33]
    Buvanendran A, Kroin JS, Della Valle CJ, et al. Perioperative oral pregabalin reduces chronic pain after total knee arthroplasty: a prospective, randomized, controlled trial[J]. Anesth Analg, 2010, 110: 199-207. DOI: 10.1213/ANE.0b013e3181c4273a
    [34]
    Ong CK, Seymour RA, Lirk P, et al. Combining paracetamol (acetaminophen) with nonsteroidal antiinflammatory drugs: a qualitative systematic review of analgesic efficacy for acute postoperative pain[J]. Anesth Analg, 2010, 110: 1170-1179. DOI: 10.1213/ANE.0b013e3181cf9281
    [35]
    Singla NK, Parulan C, Samson R, et al. Plasma and cerebrospinal fluid pharmacokinetic parameters after single-dose administration of intravenous, oral, or rectal acetaminophen[J]. Pain Pract, 2012, 12: 523-532. DOI: 10.1111/j.1533-2500.2012.00556.x
    [36]
    Durrand J, Singh SJ, Danjoux G. Prehabilitation[J]. Clin Med (Lond), 2019, 19: 458-464.
    [37]
    Calatayud J, Casaña J, Ezzatvar Y, et al. High-intensity preoperative training improves physical and functional recovery in the early post-operative periods after total knee arthroplasty: a randomized controlled trial[J]. Knee Surg Sports Traumatol Arthrosc, 2017, 25: 2864-2872. DOI: 10.1007/s00167-016-3985-5
    [38]
    Huber EO, Roos EM, Meichtry A, et al. Effect of preoperative neuromuscular training (NEMEX-TJR) on functional outcome after total knee replacement: an assessor-blinded randomized controlled trial[J]. BMC Musculoskelet Disord, 2015, 16: 101. DOI: 10.1186/s12891-015-0556-8
    [39]
    Su W, Zhou Y, Qiu H, et al. The effects of preoperative rehabilitation on pain and functional outcome after total knee arthroplasty: a meta-analysis of randomized controlled trials[J]. J Orthop Surg, 2022, 17: 175. DOI: 10.1186/s13018-022-03066-9
    [40]
    Domínguez-Navarro F, Silvestre-Muñoz A, Igual-Camacho C, et al. A randomized controlled trial assessing the effects of preoperative strengthening plus balance training on balance and functional outcome up to 1 year following total knee replacement[J]. Knee Surg Sports Traumatol Arthrosc, 2021, 29: 838-848. DOI: 10.1007/s00167-020-06029-x
    [41]
    Husted RS, Juhl C, Troelsen A, et al. The relationship between prescribed preoperative knee-extensor exercise dosage and effect on knee-extensor strength prior to and following total knee arthroplasty: a systematic review andmeta-regression analysis of randomized controlled trials[J]. Osteoarthritis Cartilage, 2020, 28: 1412-1426. DOI: 10.1016/j.joca.2020.08.011
    [42]
    Blasco JM, Hernández-Guillen D, Domínguez-Navarro F, et al. Sensorimotor training prior total knee arthroplasty and effects on functional outcome: a systematic review and meta-analysis[J]. Gait Posture, 2021, 86: 83-93. DOI: 10.1016/j.gaitpost.2021.03.001
    [43]
    Sattler LN, Hing WA, Vertullo CJ. Pedaling-based protocol superior to a 10-exercise, non-pedaling protocol for postoperative rehabilitation after total knee replacement: a rando-mized controlled trial[J]. J Bone Joint Surg Am, 2019, 101: 688-695. DOI: 10.2106/JBJS.18.00898
    [44]
    An J, Ryu HK, Lyu SJ, et al. Effects of preoperative telerehabilitation on muscle strength, range of motion, and functional outcomes in candidates for total knee arthroplasty: a single-blind randomized controlled trial[J]. Int J Environ Res Public Health, 2021, 18: 6071. DOI: 10.3390/ijerph18116071
    [45]
    Arthur JR, Spangehl MJ. Tourniquet use in total knee arthroplasty[J]. J Knee Surg, 2019, 32: 719-729. DOI: 10.1055/s-0039-1681035
    [46]
    Sun C, Yang X, Zhang X, et al. The impact of tourniquet on tibial bone cement penetration in different zones in primary total knee arthroplasty: a meta-analysis[J]. J Orthop Surg, 2021, 16: 198. DOI: 10.1186/s13018-021-02345-1
    [47]
    Stronach BM, Jones RE, Meneghini RM. Tourniquetless total knee arthroplasty: history, controversies, and techni-que[J]. J Am Acad Orthop Surg, 2021, 29: 17-23. DOI: 10.5435/JAAOS-D-20-00321
    [48]
    Jawhar A, Skeirek D, Stetzelberger V, et al. Influence of the tourniquet on pain and function in total knee arthroplasty: a systematic review and meta-analysis[J]. Z Orthopadie Unfallchirurgie, 2020, 158: 630-640. DOI: 10.1055/a-0983-3808
    [49]
    Ahmed I, Chawla A, Underwood M, et al. Time to reconsider the routine use of tourniquets in total knee arthroplasty surgery[J]. Bone Joint J, 2021, 103-B: 830-839. DOI: 10.1302/0301-620X.103B.BJJ-2020-1926.R1
    [50]
    Lai YH, Xu H, Su Q, et al. Effect of tourniquet use onblood loss, pain, functional recovery, and complications inrobot-assisted total knee arthroplasty: a prospective, double-blinded, randomized controlled trial[J]. J Orthop Surg, 2022, 17: 118. DOI: 10.1186/s13018-022-02992-y
    [51]
    Liu Y, Si H, Zeng Y, et al. More pain and slower func-tional recovery when a tourniquet is used during total knee arthroplasty[J]. Knee Surg Sports Traumatol Arthrosc, 2020, 28: 1842-1860. DOI: 10.1007/s00167-019-05617-w
    [52]
    Lu C, Song M, Chen J, et al. Does tourniquet use affect the periprosthetic bone cement penetration in total knee arthroplasty? A meta-analysis[J]. J Orthop Surg, 2020, 15: 602. DOI: 10.1186/s13018-020-02106-6
    [53]
    Bianconi M, Ferraro L, Traina GC, et al. Pharmacokinetics and efficacy of ropivacaine continuous wound instillation after joint replacement surgery[J]. Br J Anaesth, 2003, 91: 830-835. DOI: 10.1093/bja/aeg277
    [54]
    Seangleulur A, Vanasbodeekul P, Prapaitrakool S, et al. The efficacy of local infiltration analgesia in the early postoperative period after total knee arthroplasty: a systematic review and meta-analysis[J]. Eur J Anaesthesiol, 2016, 33: 816-831. DOI: 10.1097/EJA.0000000000000516
    [55]
    Teng Y, Jiang J, Chen S, et al. Periarticular multimodal drug injection in total knee arthroplasty[J]. Knee Surg Sports Traumatol Arthrosc, 2014, 22: 1949-1957. DOI: 10.1007/s00167-013-2566-0
    [56]
    Hannon CP, Fillingham YA, Spangehl MJ, et al. The efficacy and safety of periarticular injection in total joint arthroplasty: a direct meta-analysis[J]. J Arthroplasty, 2022, 37: 1928. e9-1938. e9.
    [57]
    Tsukada S, Wakui M, Hoshino A. The impact of including corticosteroid in a periarticular injection for pain control after total knee arthroplasty: a double-blind randomised controlled trial[J]. Bone Joint J, 2016, 98-B: 194-200. DOI: 10.1302/0301-620X.98B2.36596
    [58]
    Kim TW, Park SJ, Lim SH, et al. Which analgesic mixtureis appropriate for periarticular injection after total knee arthroplasty? Prospective, randomized, double-blind study[J]. Knee Surg Sports Traumatol Arthrosc, 2015, 23: 838-845. DOI: 10.1007/s00167-014-3366-x
    [59]
    Wu ZQ, Min JK, Wang D, et al. Liposome bupivacaine forpain control after total knee arthroplasty: a meta-analysis[J]. J Orthop Surg, 2016, 11: 84. DOI: 10.1186/s13018-016-0420-z
    [60]
    Kuang MJ, Du Y, Ma JX, et al. The efficacy of liposomal bupivacaine using periarticular injection in total knee arthroplasty: a systematic review and meta-analysis[J]. J Arthroplasty, 2017, 32: 1395-1402. DOI: 10.1016/j.arth.2016.12.025
    [61]
    Hannon CP, Fillingham YA, Spangehl MJ, et al. Periarticular injection in total joint arthroplasty: the clinical practice guidelines of the American Association of Hip and Knee Surgeons, American Society of Regional Anesthesia and Pain Medicine, American Academy of Orthopaedic Surgeons, Hip Society, and Knee Society[J]. J Arthroplasty, 2022, 37: 1701-1707. DOI: 10.1016/j.arth.2022.03.048
    [62]
    Zhang Y, Mi F, Zhao H, et al. Effect of morphine added tomultimodal cocktail on infiltration analgesia in total knee arthroplasty: A meta-analysis of randomized controlled trials[J]. Medicine (Baltimore), 2019, 98: e17503. DOI: 10.1097/MD.0000000000017503
    [63]
    Iwakiri K, Ohta Y, Kobayashi A, et al. Local efficacy of periarticular morphine injection in simultaneous bilateral total knee arthroplasty: a prospective, randomized, double-blind trial[J]. J Arthroplasty, 2017, 32: 3637-3642. DOI: 10.1016/j.arth.2017.07.020
    [64]
    Deng Z, Li Y, Storm GR, et al. The efficiency and safety of steroid addition to multimodal cocktail periarticular injection in knee joint arthroplasty: a meta-analysis of randomized controlled trials[J]. Sci Rep, 2019, 9: 7031. DOI: 10.1038/s41598-019-43540-9
    [65]
    Chai X, Liu H, You C, et al. Efficacy of additional corticosteroid in a multimodal cocktail for postoperative analgesia following total knee arthroplasty: a meta-analysis of randomized controlled trials[J]. Pain Pract, 2019, 19: 316-327. DOI: 10.1111/papr.12740
    [66]
    Zhao X, Qin J, Tan Y, et al. Efficacy of steroid addition to multimodal cocktail periarticular injection in total knee arthroplasty: a meta-analysis[J]. J Orthop Surg, 2015, 10: 75. DOI: 10.1186/s13018-015-0214-8
    [67]
    Christensen CP, Jacobs CA, Jennings HR. Effect of periarticular corticosteroid injections during total knee arthroplasty. A double-blind randomized trial[J]. J Bone Joint Surg Am, 2009, 91: 2550-2555. DOI: 10.2106/JBJS.H.01501
    [68]
    El-Boghdadly K, Short AJ, Gandhi R, et al. Addition of dexamethasone to local infiltration analgesia in elective total knee arthroplasty: double-blind, randomized control trial[J]. Reg Anesth Pain Med, 2021, 46: 130-136. DOI: 10.1136/rapm-2020-102079
    [69]
    Li Z, Li Z, Cheng K, et al. The efficacy and safety of glucocorticoid on periarticular infiltration analgesia in total knee arthroplasty: a systematic review and meta-analysis of randomized controlled trials[J]. J Arthroplasty, 2021, 36: 3340-3350. DOI: 10.1016/j.arth.2021.03.056
    [70]
    Chan EY, Fransen M, Parker DA, et al. Femoral nerveblocks for acute postoperative pain after knee replacement surgery[J]. Cochrane Database Syst Rev, 2014(5): CD009941.
    [71]
    Fu H, Wang J, Zhang W, et al. Potential superiority of periarticular injection in analgesic effect and early mobiliza-tion ability over femoral nerve block following total knee arthroplasty[J]. Knee Surg Sports Traumatol Arthrosc, 2017, 25: 291-298. DOI: 10.1007/s00167-015-3519-6
    [72]
    Zhang LK, Ma JX, Kuang MJ, et al. Comparison of periarticular local infiltration analgesia with femoral nerve blockfor total knee arthroplasty: a meta-analysis of randomized controlled trials[J]. J Arthroplasty, 2018, 33: 1972-1978. e4. DOI: 10.1016/j.arth.2017.12.042
    [73]
    Borck M, Wandrey JD, Höft M, et al. Local infiltration analgesia versus peripheral nerve block anaesthesia in total knee arthroplasty: a pharmaco-economic comparison[J]. BMC Anesthesiol, 2022, 22: 80. DOI: 10.1186/s12871-022-01620-w
    [74]
    Karkhur Y, Mahajan R, Kakralia A, et al. A comparative analysis of femoral nerve block with adductor canal block following total knee arthroplasty: a systematic literature review[J]. J Anaesthesiol Clin Pharmacol, 2018, 34: 433-438. DOI: 10.4103/joacp.JOACP_198_18
    [75]
    Qin L, You D, Zhao G, et al. A comparison of analgesic techniques for total knee arthroplasty: a network meta-analysis[J]. J Clin Anesth, 2021, 71: 110257. DOI: 10.1016/j.jclinane.2021.110257
    [76]
    Elkassabany NM, Antosh S, Ahmed M, et al. The risk of falls after total knee arthroplasty with the use of a femoral nerve block versus an adductor canal block: a double-blinded randomized controlled study[J]. Anesth Analg, 2016, 122: 1696-1703. DOI: 10.1213/ANE.0000000000001237
    [77]
    Kuang MJ, Ma JX, Fu L, et al. Is adductor canal block better than femoral nerve block in primary total knee arthroplasty? A GRADE analysis of the evidence through a systematic review and meta-analysis[J]. J Arthroplasty, 2017, 32: 3238-3248. e3. DOI: 10.1016/j.arth.2017.05.015
    [78]
    Schnabel A, Reichl SU, Weibel S, et al. Adductor canalblocks for postoperative pain treatment in adults undergoing knee surgery[J]. Cochrane Database Syst Rev, 2019(10): CD012262.
    [79]
    Chan EY, Fransen M, Sathappan S, et al. Comparing the analgesia effects of single-injection and continuous femoral nerve blocks with patient controlled analgesia after total knee arthroplasty[J]. J Arthroplasty, 2013, 28: 608-613. DOI: 10.1016/j.arth.2012.06.039
    [80]
    Wyatt MC, Wright T, Locker J, et al. Femoral nerve infusion after primary total knee arthroplasty: a prospective, double-blind, randomised and placebo-controlled trial[J]. Bone Joint Res, 2015, 4: 11-16. DOI: 10.1302/2046-3758.42.2000329
    [81]
    Hussain N, Brull R, Sheehy B, et al. Does the addition of iPACK to adductor canal block in the presence or absenceof periarticular local anesthetic infiltration improve analgesic and functional outcomes following total knee arthroplasty? A systematic review and meta-analysis[J]. Reg Anesth Pain Med, 2021, 46: 713-721. DOI: 10.1136/rapm-2021-102705
    [82]
    Lunn TH, Kehlet H. Perioperative glucocorticoids in hip and knee surgery-benefit vs. harm? A review of randomized clinical trials[J]. Acta Anaesthesiol Scand, 2013, 57: 823-834. DOI: 10.1111/aas.12115
    [83]
    Hannon CP, Fillingham YA, Mason JB, et al. Corticosteroids in total joint arthroplasty: the clinical practice guidelines of the American Association of Hip and Knee Surgeons, American Society of Regional Anesthesia and Pain Medicine, American Academy of Orthopaedic Surgeons, Hip Society, and Knee Society[J]. J Arthroplasty, 2022, 37: 1684-1687. DOI: 10.1016/j.arth.2022.03.043
    [84]
    Lex JR, Edwards TC, Packer TW, et al. Perioperative systemic dexamethasone reduces length of stay in total joint arthroplasty: a systematic review and meta-analysis of randomized controlled trials[J]. J Arthroplasty, 2021, 36: 1168-1186. DOI: 10.1016/j.arth.2020.10.010
    [85]
    Liang S, Xing M, Jiang S, et al. Effect of intravenous dexamethasone on postoperative pain in patients undergoing total knee arthroplasty: a systematic review and meta-analysis[J]. Pain Physician, 2022, 25: E169-E183.
    [86]
    Lei Y, Huang Z, Huang Q, et al. Dose optimization of intravenous dexamethasone for total knee arthroplasty: when two is not better than one[J]. Arch Orthop Trauma Surg, 2022, 142: 665-672. DOI: 10.1007/s00402-021-03859-3
    [87]
    Allen DC, Jedrzynski NA, Michelson JD, et al. The effect of dexamethasone on postoperative blood glucose in patients with type 2 diabetes mellitus undergoing total joint arthroplasty[J]. J Arthroplasty, 2020, 35: 671-674. DOI: 10.1016/j.arth.2019.10.030
    [88]
    Fillingham YA, Hannon CP, Roberts KC, et al. The efficacy and safety of nonsteroidal antiinflammatory drugs in total joint arthroplasty: systematic review and direct meta-analysis[J]. J Arthroplasty, 2020, 35: 2739-2758. DOI: 10.1016/j.arth.2020.05.035
    [89]
    Jiang M, Deng H, Chen X, et al. The efficacy and safety of selective COX-2 inhibitors for postoperative pain management in patients after total knee/hip arthroplasty: a meta-analysis[J]. J Orthop Surg Res, 2020, 15: 39. DOI: 10.1186/s13018-020-1569-z
    [90]
    沈彬, 翁习生, 廖刃, 等. 中国髋、膝关节置换术加速康复: 围术期疼痛与睡眠管理专家共识[J]. 中华骨与关节外科杂志, 2016, 9: 91-97. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJW201602001.htm
    [91]
    Zhu Y, Wang S, Wu H, et al. Effect of perioperative parecoxib on postoperative pain and local inflammation factors PGE2 and IL-6 for total knee arthroplasty: a randomized, double-blind, placebo-controlled study[J]. Eur J Orthop Surg Traumatol Orthop Traumatol, 2014, 24: 395-401. DOI: 10.1007/s00590-013-1203-4
    [92]
    Rawal N, Viscusi E, Peloso PM, et al. Evaluation of etoricoxib in patients undergoing total knee replacement surgery in a double-blind, randomized controlled trial[J]. BMC Musculoskelet Disord, 2013, 14: 300. DOI: 10.1186/1471-2474-14-300
    [93]
    Liu J, Wang F. Preoperative celecoxib analgesia is more efficient and equally tolerated compared to postoperative celecoxib analgesia in knee osteoarthritis patients undergoing total knee arthroplasty: a randomized, controlled study[J]. Medicine (Baltimore), 2018, 97: e13663. DOI: 10.1097/MD.0000000000013663
    [94]
    Schroer WC, Diesfeld PJ, LeMarr AR, et al. Benefits ofprolonged postoperative cyclooxygenase-2 inhibitor administration on total knee arthroplasty recovery: a double-blind, placebo-controlled study[J]. J Arthroplasty, 2011, 26: 2-7. DOI: 10.1016/j.arth.2011.04.007
    [95]
    Bjerregaard LS, Jorgensen CC, Kehlet H, et al. Serious renal and urological complications in fast-track primary total hip and knee arthroplasty; a detailed observational cohort study[J]. Minerva Anestesiol, 2016. Online ahead of print.
    [96]
    邢丹, 林剑浩, 胡永成. 《中国骨关节炎疼痛管理临床实践指南(2020年版)》解读与实施建议[J]. 中华骨科杂志, 2020, 40: 1429-1434. DOI: 10.3760/cma.j.cn121113-20200621-00396
    [97]
    Jóźwiak-Bebenista M, Nowak JZ. Paracetamol: mechanism of action, applications and safety concern[J]. Acta Pol Pharm, 2014, 71: 11-23.
    [98]
    Toms L, McQuay HJ, Derry S, et al. Single dose oral paracetamol (acetaminophen) for postoperative pain in adults[J]. Cochrane Database Syst Rev, 2008(4): CD004602.
    [99]
    Summers S, Mohile N, McNamara C, et al. Analgesia in Total knee arthroplasty: current pain control modalities and outcomes[J]. J Bone Joint Surg Am, 2020, 102: 719-727. DOI: 10.2106/JBJS.19.01035
    [100]
    Fillingham YA, Hannon CP, Erens GA, et al. The efficacy and safety of acetaminophen in total joint arthro-plasty: systematic review and direct meta-analysis[J]. J Arthroplasty, 2020, 35: 2715-2729. DOI: 10.1016/j.arth.2020.05.037
    [101]
    Shi SB, Wang XB, Song JM, et al. Efficacy of intrave-nous acetaminophen in multimodal management for pain relief following total knee arthroplasty: a meta-analysis[J]. J Orthop Surg Res, 2018, 13: 250. DOI: 10.1186/s13018-018-0950-7
    [102]
    Teng Y, Zhang Y, Li B. Intravenous versus oral acetaminophen as an adjunct on pain and recovery after total knee arthroplasty: A systematic review and meta-analysis[J]. Medicine (Baltimore), 2020, 99: e23515. DOI: 10.1097/MD.0000000000023515
    [103]
    Stundner O, Poeran J, Ladenhauf HN, et al. Effective-ness of intravenous acetaminophen for postoperative pain management in hip and knee arthroplasties: a population-based study[J]. Reg Anesth Pain Med, 2019, 44: 565-572. DOI: 10.1136/rapm-2018-100145
    [104]
    Mont MA, Lovelace B, Pham AT, et al. Intravenous acetaminophen may be associated with reduced odds of 30-day readmission after total knee arthroplasty[J]. J Knee Surg, 2019, 32: 414-420. DOI: 10.1055/s-0038-1646927
    [105]
    Dart RC, Erdman AR, Olson KR, et al. Acetaminophen poisoning: an evidence-based consensus guideline for out-of-hospital management[J]. Clin Toxicol (Phila), 2006, 44: 1-18.
    [106]
    Scalley RD, Berquist KD, Cochran RS. Patient-controlled analgesia in orthopedic procedures[J]. Orthop Rev, 1988, 17: 1106-1113.
    [107]
    McNicol ED, Ferguson MC, Hudcova J. Patient controlled opioid analgesia versus non-patient controlled opioid analg-esia for postoperative pain[J]. Cochrane Database Syst Rev, 2015: CD003348.
    [108]
    Clarke H, Pagé GM, McCartney CJL, et al. Pregabalin reduces postoperative opioid consumption and pain for 1 week after hospital discharge, but does not affect function at 6 weeks or 3 months after total hip arthroplasty[J]. Br J Anaesth, 2015, 115: 903-911. DOI: 10.1093/bja/aev363
    [109]
    Han C, Li XD, Jiang HQ, et al. The use of gabapentin in the management of postoperative pain after total knee arthroplasty: a PRISMA-compliant meta-analysis of randomized controlled trials[J]. Medicine (Baltimore), 2016, 95: e3883. DOI: 10.1097/MD.0000000000003883
    [110]
    Kang J, Zhao Z, Lv J, et al. The efficacy of perioperative gabapentin for the treatment of postoperative pain following total knee and hip arthroplasty: a meta-analysis[J]. J Orthop Surg, 2020, 15: 332. DOI: 10.1186/s13018-020-01849-6
    [111]
    Hannon CP, Fillingham YA, Browne JA, et al. The efficacy and safety of gabapentinoids in total joint arthroplasty: systematic review and direct meta-analysis[J]. J Arthroplasty, 2020, 35: 2730-2738. e6. DOI: 10.1016/j.arth.2020.05.033
    [112]
    Hah J, Mackey SC, Schmidt P, et al. Effect of perioperative gabapentin on postoperative pain resolution and opioid cessation in a mixed surgical cohort: a randomized clinical trial[J]. JAMA Surg, 2018, 153: 303-311. DOI: 10.1001/jamasurg.2017.4915
    [113]
    Parker RK, Holtmann B, White PF. Patient-controlled analgesia. Does a concurrent opioid infusion improve pain management after surgery?[J]. JAMA, 1991, 266: 1947-1952. DOI: 10.1001/jama.1991.03470140059024
    [114]
    Guler T, Unlugenc H, Gundogan Z, et al. A background infusion of morphine enhances patient-controlled analgesia after cardiac surgery[J]. Can J Anaesth, 2004, 51: 718-722. DOI: 10.1007/BF03018432
    [115]
    Hayes J, Dowling JJ, Peliowski A, et al. Patient-control-led analgesia plus background opioid infusion for postoperative pain in children: a systematic review and meta-analysis of randomized trials[J]. Anesth Analg, 2016, 123: 991-1003. DOI: 10.1213/ANE.0000000000001244
    [116]
    Hannon CP, Fillingham YA, Nam D, et al. The efficacy and safety of opioids in total joint arthroplasty: systematic review and direct meta-analysis[J]. J Arthroplasty, 2020, 35: 2759-2771. e13. DOI: 10.1016/j.arth.2020.05.032
    [117]
    Hannon CP, Calkins TE, Li J, et al. The James A. Rand Young Investigator's Award: large opioid prescriptions are unnecessary after total joint arthroplasty: a randomized controlled trial[J]. J Arthroplasty, 2019, 34: S4-S10. DOI: 10.1016/j.arth.2019.01.065
    [118]
    Wang Q, Zhang W, Xiao T, et al. Efficacy of opioids in preemptive multimodal analgesia for total knee arthroplasty: a prospective, double-blind, placebo-controlled, randomized trial[J]. J Arthroplasty, 2022: S0883-5403(22)00742-2. Online ahead of print.
    [119]
    Kertkiatkachorn W, Kampitak W, Tanavalee A, et al. Adductor canal block combined with iPACK (Interspace between the popliteal artery and the capsule of the posterior knee) block vs periarticular injection for analgesia after total knee arthroplasty: a randomized noninferiority trial[J]. J Arthroplasty, 2021, 36: 122-129. e1. DOI: 10.1016/j.arth.2020.06.086
    [120]
    Wang Q, Sun J, Hu Y, et al. Effects of morphine on periarticular infiltration analgesia in total knee arthroplasty: a prospective, double-blind, randomized controlled trial[J]. Int Orthop, 2020, 44: 2587-2595. DOI: 10.1007/s00264-020-04700-z
    [121]
    Li D, Tan Z, Kang P, et al. Effects of multisite infiltra-tion analgesia on pain management and early rehabilitation compared with femoral nerve or adductor canal block for patients undergoing total knee arthroplasty: a prospective randomized controlled trial[J]. Int Orthop, 2017, 41: 75-83. DOI: 10.1007/s00264-016-3278-0
    [122]
    Cheah JW, Sing DC, Hansen EN, et al. Does intrathecal morphine in spinal anesthesia have a role in modern multimodal analgesia for primary total joint arthroplasty?[J]. J Arthroplasty, 2018, 33: 1693-1698. DOI: 10.1016/j.arth.2018.01.016
    [123]
    Biswas A, Perlas A, Ghosh M, et al. Relative contribu-tions of adductor canal block and intrathecal morphine to analgesia and functional recovery after total knee arthroplasty: a randomized controlled trial[J]. Reg Anesth Pain Med, 2018, 43: 154-160.
    [124]
    Hess SR, Lahaye LA, Waligora AC, et al. Safety and sideeffect profile of intrathecal morphine in a diverse patient population undergoing total knee and hip arthroplasty[J]. Eur J Orthop Surg Traumatol Orthop Traumatol, 2019, 29: 125-129. DOI: 10.1007/s00590-018-2293-9
    [125]
    Li C, Qu J, Pan S, et al. Local infiltration anesthesia versus epidural analgesia for postoperative pain control in total knee arthroplasty: a systematic review and meta-analysis[J]. J Orthop Surg, 2018, 13: 112. DOI: 10.1186/s13018-018-0770-9
    [126]
    He BJ, Tong PJ, Li J, et al. Auricular acupressure for analgesia in perioperative period of total knee arthroplasty[J]. Pain Med, 2013, 14: 1608-1613. DOI: 10.1111/pme.12197
    [127]
    Chang LH, Hsu CH, Jong GP, et al. Auricular acupressure for managing postoperative pain and knee motion in patients with total knee replacement: a randomized sham control study[J]. Evid Based Complement Alternat Med, 2012: 528452.
    [128]
    张千坤, 谷斌, 姚芳, 等. 耳穴贴压对髋膝关节置换术后患者疼痛影响的系统评价[J]. 护理学杂志, 2018, 33: 47-52. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ201819016.htm
    [129]
    马士辉, 鲁丽莎, 铁位有, 等. 中药贴敷联合耳穴埋豆对全膝关节置换术后患者膝关节功能及疼痛程度的影响[J]. 四川中医, 2021, 39: 187-189. https://www.cnki.com.cn/Article/CJFDTOTAL-SCZY202104055.htm
    [130]
    Zhang R, Lao L, Ren K, et al. Mechanisms of acupuncture-electroacupuncture on persistent pain[J]. Anesthesiology, 2014, 120: 482-503. DOI: 10.1097/ALN.0000000000000101
    [131]
    Chen Z, Shen Z, Ye X, et al. Acupuncture for rehabilitation after total knee arthroplasty: a systematic review and meta-analysis of randomized controlled trials[J]. Front Med(Lausanne), 2020, 7: 602564.
    [132]
    Ko HF, Chen CH, Dong KR, et al. Effects of acupunc-ture on postoperative pain after total knee replacement: systematic literature review and meta-analysis[J]. Pain Med Malden Mass, 2021, 22: 2117-2127. DOI: 10.1093/pm/pnab201
    [133]
    Chen W, Chen Z, Li J, et al. Electroacupuncture as an adjuvant approach to rehabilitation during postacute phase after total knee arthroplasty: a systematic review and meta-analysis of randomized controlled trials[J]. Evid Based Complement Altern Med, 2021: 9927699.
    [134]
    Woolhead G, Gooberman-Hill R, Dieppe P, et al. Night pain in hip and knee osteoarthritis: a focus group study[J]. Arthritis Care Res, 2010, 62: 944-949. DOI: 10.1002/acr.20164
    [135]
    Cremeans-Smith JK, Millington K, Sledjeski E, et al. Sleep disruptions mediate the relationship between early postoperative pain and later functioning following total knee replacement surgery[J]. J Behav Med, 2006, 29: 215-222. DOI: 10.1007/s10865-005-9045-0
    [136]
    Edwards RR, Haythornthwaite JA, Smith MT, et al. Catastrophizing and depressive symptoms as prospective predic-tors of outcomes following total knee replacement[J]. Pain Res Manag, 2009, 14: 307-311. DOI: 10.1155/2009/273783
    [137]
    Shen SP, Wang YJ, Zhang Q, et al. improved periopera-tive sleep quality or quantity reduces pain after total hip or knee arthroplasty: a systematic review and meta-analysis[J]. Orthop Surg, 2021, 13: 1389-1397. DOI: 10.1111/os.12985
    [138]
    Curl WW, Smith BP, Marr A, et al. The effect of contu-sion and cryotherapy on skeletal muscle microcircula-tion[J]. J Sports Med Phys Fitness, 1997, 37: 279-286.
    [139]
    Mourot L, Cluzeau C, Regnard J. Hyperbaric gaseous cryotherapy: effects on skin temperature and systemic vasoconstric-tion[J]. Arch Phys Med Rehabil, 2007, 88: 1339-1343. DOI: 10.1016/j.apmr.2007.06.771
    [140]
    Adie S, Kwan A, Naylor JM, et al. Cryotherapy following total knee replacement[J]. Cochrane Database Syst Rev, 2012(9): CD007911.
    [141]
    刘玉, 张楠心, 戴丽群, 等. 全膝关节置换后冷疗有效性的Meta分析[J]. 中国组织工程研究, 2020, 24: 1443-1448. DOI: 10.3969/j.issn.2095-4344.2488
    [142]
    Brouwers HFG, de Vries AJ, van Zuilen M, et al. The role of computer-assisted cryotherapy in the postoperative treatment after total knee arthroplasty: positive effects on pain and opioid consumption[J]. Knee Surg Sports Traumatol Arthrosc, 2022, 30: 2698-2706. DOI: 10.1007/s00167-021-06568-x
    [143]
    Dundon JM, Rymer MC, Johnson RM. Total patellar skin loss from cryotherapy after total knee arthroplasty[J]. J Arthroplasty, 2013, 28: 376. e5-376. e7. DOI: 10.1016/j.arth.2012.05.024
    [144]
    Hainaut K, Duchateau J. Neuromuscular electrical stimulation and voluntary exercise[J]. Sports Med, 1992, 14: 100-113. DOI: 10.2165/00007256-199214020-00003
    [145]
    Enoka RM, Amiridis IG, Duchateau J. Electrical stimula-tion of muscle: electrophysiology and rehabilitation[J]. Physiology (Bethesda), 2020, 35: 40-56.
    [146]
    Klika AK, Yakubek G, Piuzzi N, et al. Neuromuscular electrical stimulation use after total knee arthroplasty improvesearly return to function: a randomized trial[J]. J KneeSurg, 2022, 35: 104-111.
    [147]
    Peng L, Wang K, Zeng Y, et al. Effect of neuromuscular electrical stimulation after total knee arthroplasty: a systematic review and meta-analysis of randomized controlled trials[J]. Front Med (Lausanne), 2021, 8: 779019.
    [148]
    Mizner RL, Petterson SC, Stevens JE, et al. Early quadriceps strength loss after total knee arthroplasty. The contributions of muscle atrophy and failure of voluntary muscle activation[J]. J Bone Joint Surg Am, 2005, 87: 1047-1053. DOI: 10.2106/00004623-200505000-00016
    [149]
    陈耀龙, 杨克虎, 王小钦, 等. 中国制订/修订临床诊疗指南的指导原则(2022版)[J]. 中华医学杂志, 2022, 102: 697-703. DOI: 10.3760/cma.j.cn112137-20211228-02911
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