Momoli Alberto, Giarretta Stefano, Modena Martino, Micheloni Gian Mario
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Acta Biomed. 2017 Jun 7;88(2S):60-67. doi: 10.23750/abm.v88i2-S.6515.
Total knee arthroplasty (TKA) is the treatment of choice for end-stage osteoarthritis of the knee. The aging of population and the need to maintain high quality of life have increased the demand for TKA. Although considered a successful procedure, 15-30% of patients presenting persistent pain. The management of these patients requires a clinical, laboratory and radiological assessment in order to address the underlying aetiology. There are several causes of pain, divided in joint and non-joint related, which should be diagnosed and treated promptly. Patients with unexplained pain should be treated conservatively since a plausible reason has been identified.
全膝关节置换术（TKA）是终末期膝关节骨关节炎的首选治疗方法。人口老龄化以及维持高质量生活的需求增加了对TKA的需求。尽管TKA被认为是一种成功的手术，但仍有15%至30%的患者存在持续疼痛。对这些患者的管理需要进行临床、实验室和影像学评估，以找出潜在病因。疼痛有多种原因，分为与关节相关和与非关节相关的，应及时诊断和治疗。对于原因不明的疼痛患者，由于尚未找到合理原因，应采取保守治疗。
