POSTOPERATIVE PAIN MANAGEMENT AFTER PRIMARY TOTAL KNEE ARTHROPLASTY

Dr. Milon Kumar Roy*, Dr. Md. Abdullah-Hel-Baki, Dr. Rizowana Akter, Dr. Md. Monwar Hossain, Dr. Nirmal Kumar Barman and Dr. Jaitun Neher

ABSTRACT

Background: Patients with advanced cases of osteoarthritis or rheumatoid arthritis of the knee often choose for total knee arthroplasty (TKA) as a means of pain relief. Post-TKA pain may range from mild to severe, which can negatively impact recovery, patient satisfaction, and overall results. Objective: In this study our main goal is to evaluate the Postoperative Pain Management After Primary Total Knee Arthroplasty. Method: This cross sectional study was carried out at at the tertiary hospital from June 2021 to December 2021. A total of 100 Patients were recruited at the time of admission for surgery. Written informed consent was taken from each patient and approval was obtained for administration of a telephonic questionnaire three months and one year after the surgery. Results: During the study, majority were belonging to 47-57 years age group, 60%.70% had pain surgical site followed by 40% had arching type of pain and 80% had pain score was 2-3. 55% cases used reginal anesthesia type followed by 90% used NSAIDS, in addition, 70% cases were satisfied with Postoperative acute pain service. Conclusion: Although PPSP is a documented negative consequence of TKA, its incidence in LMICs is unknown. Postoperative pain after TKA might be managed with a modest dose of opioids followed by NSADIS by the third postoperative day if the same analgesic regimen were used.

Keywords: Total Knee Arthroplasty (TKA), anesthesia, Postoperative Pain Management.