Prevalence of Persistent Pain after Total Knee Arthroplasty and the Impact of Neuropathic Pain

Masahiro Hasegawa; Shine Tone; Yohei Naito; Hiroki Wakabayashi; Akihiro Sudo

doi:10.1055/s-0038-1675415

The Journal of Knee Surgery, Table of Contents

J Knee Surg 2019; 32(10): 1020-1023
DOI: 10.1055/s-0038-1675415

Original Article

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Prevalence of Persistent Pain after Total Knee Arthroplasty and the Impact of Neuropathic Pain

Authors

Masahiro Hasegawa

¹Department of Orthopaedic Surgery, Mie University Graduate School of Medicine, Tsu City, Mie, Japan
Shine Tone

¹Department of Orthopaedic Surgery, Mie University Graduate School of Medicine, Tsu City, Mie, Japan
Yohei Naito

¹Department of Orthopaedic Surgery, Mie University Graduate School of Medicine, Tsu City, Mie, Japan
Hiroki Wakabayashi

¹Department of Orthopaedic Surgery, Mie University Graduate School of Medicine, Tsu City, Mie, Japan
Akihiro Sudo

¹Department of Orthopaedic Surgery, Mie University Graduate School of Medicine, Tsu City, Mie, Japan

Abstract

The present study aimed to define the prevalence of pain persisting after total knee arthroplasty (TKA) and determine the impact of neuropathic pain. Knee pain after TKA was evaluated in 154 patients (222 knees with osteoarthritis) using a numerical rating scale (NRS) and followed up for a mean of 4.7 years. The patients were classified according to whether they had no or mild pain (NRS ≤ 3), or moderate-to-severe pain (NRS > 3), and then assigned to groups with nociceptive, unclear, or neuropathic pain based on responses to painDETECT questionnaires. Risk factors for these types of pain were determined. The ratio of patients with moderate-to-severe pain was 28% (62 knees). Thirteen patients (21 knees; 9%) experienced unclear pain. Patients with moderate-to-severe or unclear pain had malalignment and lower Knee Society knee scores. In conclusion, a significant number of patients experienced moderate-to-severe and unclear pain after TKA. Moderate-to-severe pain was associated with unclear pain.

Keywords

total knee arthroplasty - neuropathic pain - patient satisfaction - alignment

Full Text

References

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