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KMID : 1028220160280010015
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Hip & Pelvis
2016 Volume.28 No. 1 p.15 ~ p.23
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Perioperative Pain Management in Total Hip Arthroplasty: Korean Hip Society Guidelines
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Min Byung-Woo
Kim Yee-Suk
Cho Hong-Man
Park Kyung-Soon
Yoon Pil-Whan
Nho Jae-Hwi
Kim Sang-Min
Lee Kyung-Jae
Moon Kyong-Ho
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Abstract
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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.
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KEYWORD
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Pain control, Total hip arthroplasty, Analgesics
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