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Hip Pelvis. 2016 Mar;28(1):15-23. doi: 10.5371/hp.2016.28.1.15. Epub 2016 Mar 31.

Perioperative Pain Management in Total Hip Arthroplasty: Korean Hip Society Guidelines.

Hip & pelvis

Byung-Woo Min, Yeesuk Kim, Hong-Man Cho, Kyung-Soon Park, Pil Whan Yoon, Jae-Hwi Nho, Sang-Min Kim, Kyung-Jae Lee, Kyong-Ho Moon

Affiliations

  1. Department of Orthopaedic Surgery, Keimyung University Hospital, Daegu, Korea.
  2. Department of Orthopaedic Surgery, Hanyang University Hospital, Seoul, Korea.
  3. Department of Orthopaedic Surgery, Gwangju Veterans Hospital, Gwangju, Korea.
  4. Department of Orthopaedic Surgery, Center for Joint Disease, Chonnam National University Hwasun Hospital, Hwasun, Korea.
  5. Department of Orthopaedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
  6. Department of Orthopaedic Surgery, Soonchunhyang University Hospital, Seoul, Korea.
  7. Department of Orthopaedic Surgery, Seoul Medical Center, Seoul, Korea.
  8. Department of Orthopaedic Surgery, Inha University Hospital, Incheon, Korea.

PMID: 27536639 PMCID: PMC4972874 DOI: 10.5371/hp.2016.28.1.15

Abstract

Effective perioperative pain management techniques and accelerated rehabilitation programs can improve health-related quality of life and functional status of patients after total hip arthroplasty. Traditionally, postoperative analgesia following arthroplasty was provided by intravenous patient-controlled analgesia or epidural analgesia. Recently, peripheral nerve blockade has emerged alternative analgesic approach. Multimodal analgesia strategy combines analgesics with different mechanisms of action to improve pain management. Intraoperative periarticular injection of multimodal drugs is one of the most important procedures in perioperative pain control for total hip arthroplasty. The goal of this review article is to provide a concise overview of the principles of multimodal pain management regimens as a practical guide for the perioperative pain management for total hip arthroplasty.

Keywords: Analgesics; Pain control; Total hip arthroplasty

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