Acute postoperative pain at rest after hip and knee arthroplasty: Severity, sensory qualities and impact on sleep - 09/04/11
, J. Rooker b, L. Halliday c, A. Blom a
Corresponding author. Tel.: +0117 3235 906; fax: +0117 3235 936.
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).
Le texte complet de cet article est disponible en PDF.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.