Skip to main content
Journal cover image

Oral Multimodal Analgesia for Total Joint Arthroplasty.

Publication ,  Journal Article
Golladay, GJ; Balch, KR; Dalury, DF; Satpathy, J; Jiranek, WA
Published in: The Journal of arthroplasty
September 2017

Oral multimodal analgesia for hip and knee arthroplasty is increasingly used as part of enhanced recovery protocols designed to minimize early postoperative pain and to facilitate early discharge, while minimizing undesirable side effects related to single-agent opioid administration.This article is a review of previously published data evaluating the use of various oral medications in the management of postoperative pain after lower extremity arthroplasty and was presented as part of a symposium at the November 2016 AAHKS Annual Meeting.Multimodal analgesia has been shown to reduce opioid consumption and side effects, with a positive effect on both early and longer term outcomes for hip and knee arthroplasty patients. Medications directed at multiple points on the pain cascade minimize pain by different mechanisms. Suggested dosing regimens are proposed.Oral multimodal analgesia incorporating a combination of opioid and nonopioid analgesics, selective and nonselective anti-inflammatory drugs, acetaminophen, and gabapentinoids are recommended as a part of a pre-emptive approach to pain management in patients undergoing hip or knee arthroplasty. Reduction of opioid consumption and minimization of side effects are primary outcomes, and prevention of chronic pain can positively affect long-term results.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

The Journal of arthroplasty

DOI

EISSN

1532-8406

ISSN

0883-5403

Publication Date

September 2017

Volume

32

Issue

9S

Start / End Page

S69 / S73

Related Subject Headings

  • Pain, Postoperative
  • Pain Measurement
  • Pain Management
  • Orthopedics
  • Humans
  • Clinical Protocols
  • Chronic Pain
  • Arthroplasty, Replacement, Knee
  • Arthroplasty, Replacement
  • Analgesics, Opioid
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Golladay, G. J., Balch, K. R., Dalury, D. F., Satpathy, J., & Jiranek, W. A. (2017). Oral Multimodal Analgesia for Total Joint Arthroplasty. The Journal of Arthroplasty, 32(9S), S69–S73. https://doi.org/10.1016/j.arth.2017.05.002
Golladay, Gregory J., Karl R. Balch, David F. Dalury, Jibanananda Satpathy, and William A. Jiranek. “Oral Multimodal Analgesia for Total Joint Arthroplasty.The Journal of Arthroplasty 32, no. 9S (September 2017): S69–73. https://doi.org/10.1016/j.arth.2017.05.002.
Golladay GJ, Balch KR, Dalury DF, Satpathy J, Jiranek WA. Oral Multimodal Analgesia for Total Joint Arthroplasty. The Journal of arthroplasty. 2017 Sep;32(9S):S69–73.
Golladay, Gregory J., et al. “Oral Multimodal Analgesia for Total Joint Arthroplasty.The Journal of Arthroplasty, vol. 32, no. 9S, Sept. 2017, pp. S69–73. Epmc, doi:10.1016/j.arth.2017.05.002.
Golladay GJ, Balch KR, Dalury DF, Satpathy J, Jiranek WA. Oral Multimodal Analgesia for Total Joint Arthroplasty. The Journal of arthroplasty. 2017 Sep;32(9S):S69–S73.
Journal cover image

Published In

The Journal of arthroplasty

DOI

EISSN

1532-8406

ISSN

0883-5403

Publication Date

September 2017

Volume

32

Issue

9S

Start / End Page

S69 / S73

Related Subject Headings

  • Pain, Postoperative
  • Pain Measurement
  • Pain Management
  • Orthopedics
  • Humans
  • Clinical Protocols
  • Chronic Pain
  • Arthroplasty, Replacement, Knee
  • Arthroplasty, Replacement
  • Analgesics, Opioid