Priority 6 from the Hip and Knee Replacement for Osteoarthritis PSP
| UNCERTAINTY: What are the best techniques to control longer term chronic pain and improve long term function following hip and knee replacement? (JLA PSP Priority 6) | |
|---|---|
| Overall ranking | 6 |
| JLA question ID | 0020/6 |
| Explanatory note | Not available for this PSP |
| Evidence |
None available |
| Health Research Classification System category | Musculoskeletal |
| Extra information provided by this PSP | |
|---|---|
| Original uncertainty examples | What should you do if the patients get pain post knee replacement. ~ What, if anything, improves CPSP after TKA ~ Strategies for management of chronic post-surgical pain after joint replacement? ~ How can we predict/diagnose/treat CRPS after TKR? ~ Is a CBT based pain management programme clinically and cost effective in the management of hip and/or knee pain either before or after surgery ~ role pre op conditioning CBT? ~ help with "suboptimal" results of Hip replacement, leaving almost constant pain ~ Is early (1st postop day) ambulation associated with an improved outcome in terms of functional status and pain? ~ The link between neuropathic pain after TKR & tourniquet use during procedure? ~ Do tourniquets and the duration of these, affect post-operative pain after knee replacement? ~ Can changes to intra-operative techniques (e.g. tourniquet use/time; surgical technique) be altered to reduce the incidence of continuing pain following knee replacement ~ Do tourniquets and the duration of these, affect post-operative motor function of the quadriceps after knee replacement? ~ How do we best control post-operative pain and swelling in order to aid early rehabilitation? ~ Why is pain control not better for knee replacements as this causes the patients a lot of distress? ~ how can the pain be treated successfully early? |
| Submitted by | Uncertainty identified by 1 patient/carer, and 14 clinicians |
| Outcomes to be measured | Post-operative pain and function |
| PSP information | |
|---|---|
| PSP unique ID | 0020 |
| PSP name | Hip and Knee Replacement for Osteoarthritis |
| Total number of uncertainties identified by this PSP. | 123 (To see more about the Top 10, please see the detailed spreadsheet held on the JLA website) |
| Date of priority setting workshop | 27 March 2014 |