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June 28, 2023SurgiCollOpen Access

Evidence-Based Orthopaedic Post-Operative Opioid Prescribing Recommendations Following Hip and Knee Arthroplasty

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Why the study?

Rising opioid prescriptions and associated deaths and overdoses highlighted the need for alternative pain management strategies following total knee and total hip arthroplasty.

Population

Patients undergoing total knee arthroplasty (TKA) and total hip arthroplasty (THA)

Design

Guideline

Authors

TDTaylor D’AmoreMMMichael MeghparaSRSina Ramtin

Discussion

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Overview

Opioid trends in TJA warrant caution in prescribing; leaves open optimal multimodal strategies for future trials.

Structured PICO

P
Population
Patients undergoing total knee arthroplasty (TKA) and total hip arthroplasty (THA)
I
Intervention
Non-opioid multimodal anesthesia strategies and cautious opioid use

Multimodal anesthesia and cautious opioid use are recommended for pain management following total hip and knee arthroplasty to mitigate opioid-related risks.

Cite This Study

D’Amore et al. (2023) conducted a review in Post-operative pain following primary hip and knee arthroplasty. Multimodal analgesia and opioid stewardship guidelines was evaluated. A multimodal anesthesia approach, prioritizing non-opioid analgesics and minimizing opioid use to the lowest effective dose and duration, is recommended for pain management following hip and knee arthroplasty.

synapsesocial.com/papers/6a95115d2ea3449151e616a2https://doi.org/10.58616/001c.77646
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The Ramifications of Opioid Utilization and Outcomes of Alternative Pain Control Strategies for Total Knee Arthroplasties2022 · 11 citations
  2. 2Pharmacologic pain management strategies for reducing postoperative pain in total knee arthroplasty: a systematic review from molecular mechanisms to clinical efficiency2025 · 6 citations
  3. 3Limiting Postoperative Knee Pain After Total Knee Replacement2022
  4. 4Opioid Administration Patterns and Trends following Total Joint Arthroplasty: A Multi-Center Analysis2024 · 1 citations
  5. 5Perioperative Pain Management in Patients Undergoing Total Hip Arthroplasty: Where Do We Currently Stand?2020 · 14 citations