Back to Journals » Journal of Pain Research » Volume 6

Persistent pain after total knee or hip arthroplasty: differential study of prevalence, nature, and impact

Authors Pinto PR, McIntyre T, Ferrero R, Araújo-Soares V, Almeida A

Received 27 March 2013

Accepted for publication 16 May 2013

Published 11 September 2013 Volume 2013:6 Pages 691—703

DOI https://doi.org/10.2147/JPR.S45827

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 4

Patrícia R Pinto,1–3 Teresa McIntyre,4,5 Ramón Ferrero,6 Vera Araújo-Soares,3,7 Armando Almeida1,2

1Life and Health Sciences Research Institute, School of Health Sciences, University of Minho, Braga, Portugal; 2Life and Health Sciences Research Institute/3Bs, PT Government Associate, Braga/Guimarães, Portugal; 3Health Psychology Group, Newcastle University, Newcastle, UK; 4Texas Institute for Measurement, Evaluation and Statistics, 5Department of Psychology, University of Houston, TX, USA; 6Alto Ave Hospital Center, Orthopedics Unit, Guimarães, Portugal; 7Institute of Health and Society, Faculty of Medical Sciences, Newcastle University, Newcastle, UK

Abstract: This study compares the incidence, nature, and impact of persistent post-surgical pain after total knee arthroplasty (TKA) and total hip arthroplasty (THA) and investigates differences between these procedures, with the focus on potential presurgical and post-surgical issues that could be related to the distinct persistent post-surgical pain outcomes between these two groups. A consecutive sample of 92 patients was assessed prospectively 24 hours before, 48 hours, and 4–6 months after surgery. The data show that TKA patients had a higher likelihood of developing persistent post-surgical pain, of reporting higher pain levels, and of using more neuropathic descriptors when classifying their pain. In addition, TKA patients more often reported interference from pain on functional domains, including general activity, walking ability, and normal work. Demographic factors, like gender and age, along with presurgical clinical factors like disease onset, existence of medical comorbidities, and other pain problems, may have contributed to these differences, whereas baseline psychologic factors and functionality levels did not seem to exert an influence. Heightened acute post-surgical pain experience among TKA patients could also be related to distinct outcomes for persistent post-surgical pain. Future prospective studies should therefore collect TKA and THA samples wherein patients are homogeneous for demographic and presurgical clinical issues. Overall, these findings contribute to a small but growing body of literature documenting persistent post-surgical pain after major arthroplasty, conducted in different countries and across different health care settings.

Keywords: total knee arthroplasty, total hip arthroplasty, persistent post-surgical pain, demographic factors, clinical factors, psychologic factors

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]

 

Other article by this author:

A comparison of predictors and intensity of acute postsurgical pain in patients undergoing total hip and knee arthroplasty

Pinto PR, McIntyre T, Araújo-Soares V, Costa P, Ferrero R, Almeida A

Journal of Pain Research 2017, 10:1087-1098

Published Date: 9 May 2017

Readers of this article also read:

Green synthesis of water-soluble nontoxic polymeric nanocomposites containing silver nanoparticles

Prozorova GF, Pozdnyakov AS, Kuznetsova NP, Korzhova SA, Emel’yanov AI, Ermakova TG, Fadeeva TV, Sosedova LM

International Journal of Nanomedicine 2014, 9:1883-1889

Published Date: 16 April 2014

Methacrylic-based nanogels for the pH-sensitive delivery of 5-Fluorouracil in the colon

Ashwanikumar N, Kumar NA, Nair SA, Kumar GS

International Journal of Nanomedicine 2012, 7:5769-5779

Published Date: 15 November 2012

A novel preparation method for silicone oil nanoemulsions and its application for coating hair with silicone

Hu Z, Liao M, Chen Y, Cai Y, Meng L, Liu Y, Lv N, Liu Z, Yuan W

International Journal of Nanomedicine 2012, 7:5719-5724

Published Date: 12 November 2012

Cross-linked acrylic hydrogel for the controlled delivery of hydrophobic drugs in cancer therapy

Deepa G, Thulasidasan AK, Anto RJ, Pillai JJ, Kumar GS

International Journal of Nanomedicine 2012, 7:4077-4088

Published Date: 27 July 2012

Crystallization after intravitreal ganciclovir injection

Pitipol Choopong, Nattaporn Tesavibul, Nattawut Rodanant

Clinical Ophthalmology 2010, 4:709-711

Published Date: 14 July 2010

Pharmacokinetics and tolerance study of intravitreal injection of dexamethasone-loaded nanoparticles in rabbits

Linhua Zhang, Yue Li, Chao Zhang, et al

International Journal of Nanomedicine 2009, 4:175-183

Published Date: 4 September 2009