Acute postoperative pain at rest after hip and knee arthroplasty: Severity, sensory qualities and impact on sleep
V. Wylde a 
, J. Rooker b, L. Halliday c, A. Blom a
Bienvenue sur EM-consulte, la référence des professionnels de santé.
Article gratuit.
Connectez-vous pour en bénéficier!
Summary
Introduction
The management of acute postoperative pain poses a significant challenge in surgical specialities. Despite the prevalence and impact of acute postoperative pain, there is a paucity of published data regarding its occurrence and sensory qualities after joint replacement.
Hypothesis
That a proportion of patients would experience severe acute postoperative pain at rest after total hip replacement (THR) and total knee replacement (TKR).
Materials and methods
Pain was assessed preoperatively, and then five times daily for the first three postoperative days in 105 THR and TKR patients. Pain severity was assessed using a pain Visual Analogue Scale and the sensory qualities of pain were assessed using the pain descriptors from the Short-Form McGill Pain Questionnaire.
Results
Median acute pain scores peaked on the first postoperative day, with 58% of TKR patients and 47% of THR patients reporting moderate-severe pain. Preoperative pain was most frequently described as aching, stabbing and sharp, whereas acute postoperative pain was described as aching, heavy and tender. Night pain disturbed between 44–57% of TKR patients and 21–52% of THR patients on postoperative nights 1–3.
Discussion
These findings demonstrate that acute postoperative pain at rest after joint replacement, particularly TKR, is poorly managed, although it does not reach the severity of preoperative pain.
Level of evidence
Level IV (observational cohort study).
Keywords : Hip, Knee, Arthroplasty, Pain, Sleep
Plan
Vol 97 - N° 2
P. 139-144 - avril 2011 Retour au numéro
Article précédent
- Infected total hip arthroplasty treated by an irrigation-debridement/component retention protocol. A prospective study in a 12-case series with minimum 2 years’ follow-up
- S. Klouche, L. Lhotellier, P. Mamoudy
- Endoscopically assisted reconstruction of acute acromioclavicular joint dislocation using a synthetic ligament. Outcomes at 12 months
- G. Cohen, P. Boyer, N. Pujol, B. Hamida Ferjani, P. Massin, P. Hardy
Bienvenue sur EM-consulte,
la référence des professionnels de santé.
Plus de 500 000 articles médicaux,
paramédicaux et scientifiques vous attendent.
Déjà abonné à cette revue ?