Abstract:

For patients with end-stage knee osteoarthritis, total knee replacement is thought to be a financially sensible course of treatment. However, total knee replacement is regarded as one of the most excruciating orthopedic procedures. Controlling pain after complete knee replacement surgery is still a challenging effort. Although a lot of analgesic inventions have been utilized torelieve pain, none of them have shown to be the best choice so far. Using analgesic adjuvants with several modes of action to improve postoperative pain control is known as multimodal hyperalgesia. With less adverse effects, this access offers a more effective way to lessen postoperative pain. This review aimed to go over the most recent postoperative pain management procedures for total knee replacements. According to this review of the literature, multimodal analgesia which combines a number of different medication types and delivery methods (such as oral opioid/nonopioid medications, supramodal analgesia, axonal anesthesia, peripheral nerve blocks, patient-controlled analgesia, and local infiltration analgesia) is thought to be the best option for perioperative pain management in total knee arthroplasty. It also improves clinical outcomes and patient satisfaction. For patients undergoing complete knee replacement, multimodal analgesia minimizes opioid usage and its negative consequences while improving pain relief and speeding knee healing.

Key words: Arthroplasty, replacement, knee, Pain, Analgesics