全膝关节置换术后疼痛——一种系统的方法

Alves Wilson Mello, Migon Eduardo Zaniol, Zabeu Jose Luis Amim

Orthopedist and Traumatologist at the Wilson Mello Institute; President of the Knee Studies Group of Campinas; Voluntary Attending Physician in the Knee Group of the Orthopedics Service of PUC Campinas and the Orthopedics Service of the Campinas Medical Center, SP.

Orthopedist and Traumatologist, Fourth-year Resident in Knee Surgery at PUC Campinas and the Wilson Mello Institute, Campinas, SP.

Rev Bras Ortop. 2015 Dec 12;45(5):384-91. doi: 10.1016/S2255-4971(15)30424-9. eCollection 2010 Sep-Oct.

Total knee arthroplasty (TKA) is known to be a successful procedure. The aging of the population and the growing demand for quality of life have greatly increased the indications for the procedure. Nonetheless, TKA presents some complications that still lack definitive resolution. Pain after TKA is caused by a myriad of reasons that need to be systematically studied in order to reach the correct diagnosis and treatment. History, physical examination, laboratory tests and imaging examinations must all be included in the workup and repeated until a plausible reason has been identified, since if pain is the only indication for TKA revision, the results may be catastrophic.

全膝关节置换术（TKA）是一种成功的手术。人口老龄化以及对生活质量需求的增加，极大地扩大了该手术的适应症。尽管如此，TKA仍存在一些尚未得到彻底解决的并发症。TKA术后疼痛由多种原因引起，需要进行系统研究以实现正确的诊断和治疗。病史、体格检查、实验室检查和影像学检查都必须纳入检查流程并反复进行，直到找出合理的病因，因为如果疼痛是TKA翻修的唯一指征，结果可能是灾难性的。