skip to content
Dovepress - Open Access to Scientific and Medical Research
View our mobile site

8847

Comparison of pain perception between open and minimally invasive surgery in total knee arthroplasty

Review

(1330) Views  (424) Full article downloads

Authors: Biagio Moretti, Elsa Vitale, Antonio Esposito, et al

Published Date September 2010 Volume 2010:3 Pages 297 - 304
DOI: http://dx.doi.org/10.2147/IJGM.S12418

Biagio Moretti, Elsa Vitale , Antonio Esposito, Antonio Colella, Maria Cassano, Angela Notarnicola
Department of Clinical Methodology and Surgical Techniques, Orthopedics Section, Faculty of Medicine and Surgery of University of Bari, General Hospital, Bari, Italy

Abstract: Total knee arthroplasty (TKA) was a well-established procedure that had shown excellent long-term results in terms of reduced pain and increased mobility. Pain was one of the most important outcome measures that contributed to patient dissatisfaction after TKA. After a computerized search of the Medline and Embase databases, we considered articles from January 1st, 1997 to October 31st, 2009 that underlined the impact on patient pain perception of either standard open total knee arthroplasty or minimally invasive total knee arthroplasty. We included articles that used the visual analog scale (VAS), Western Ontario and McMasters Universities Osteoarthritis Index (WOMAC), Knee Score, Hospital for Special Surgery Score (HSS), Oxford Knee Score (OKS) as postoperative pain indicators, and we included studies with a minimum follow-up period of two months. We excluded studies that monitored only functional postoperative knee activities. It was shown that TKA with the open technique was a better treatment for knees with a positive effect on pain and function than the minimally invasive technique.

Keywords: total knee arthroplasty, open technique, minimally invasive surgery total knee arthroplasty, pain perception, pain evaluation






Readers of this article also read:

Role of aliskiren in cardio-renal protection and use in hypertensives with multiple risk factors
Patient perception of pain care in hospitals in the United States
Remitting–relapsing multiple sclerosis patient refractory to conventional treatments and bone marrow transplantation who responded to natalizumab
Update on transfusion solutions during surgery: review of hydroxyethyl starches 130/0.4
Neuropeptide Y level in paraventricular nucleus of experimental diabetic rats: correlation with sympathetic activity and body weight
Synthesis, characterization, and biological evaluation of poly(L-γ-glutamyl-glutamine)-paclitaxel nanoconjugate
Low energy nanoemulsification to design veterinary controlled drug delivery devices
Zinc oxide nanoparticles as selective killers of proliferating cells
Antioxidant oils and Salmonella enterica Typhimurium reduce tumor in an experimental model of hepatic metastasis
Cumulative clinical experience from over a decade of use of levofloxacin in community-acquired pneumonia: critical appraisal and role in therapy
  • Testimonials

    "... I was impressed at the rapidity of publication from submission to final acceptance." Dr Edwin Thrower, PhD, Yale University