Outpatient Surgery Magazine

Personal Battle - March 2021 - Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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Page 43 of 69

Q: What's the best way to manage pain for these patients? A: Top-notch anesthesia care is one of the main factors leading to the ultimate success of performing partial knee replacements, especially in the outpatient setting. Post-op pain is best controlled with a multimodal analgesia regimen, including the use of regional blocks, intraarticular injections around the joint at the end of the procedure and treating patients with a cocktail of medications from several different drug classes — both oral and injectable. Placing a catheter and sending patients home with a pain pump extends analgesic effects and provides patients with relief during the initial painful days of recovery. Q: How do surgeons ultimately decide when partial replacements are appropriate? A: There are several factors in play here. Surgeons must first decide whether to offer a partial knee replacement as an option. As mentioned, the procedure doesn't make good clinical sense for patients who have arthritis in all three knee compartments. The majority of patients have arthritis in more than one compartment, so partial replacements often aren't an option. If arthritis is limited to one compartment of the knee and the patient is otherwise a good candidate for replacement surgery, the surgeon must discuss the option with the patient and come to a mutual deci- sion on how to proceed. One of the main factors to consider is whether the patient prefers a more natural-feeling partial knee replacement or prioritizes the greater durability of a total replacement. It's our job as surgeons to engage with patients in decisions that 4 4 • O U T P A T I E N T S U R G E R Y M A G A Z I N E • M A R C H 2 0 2 1 781.849.0109|800.925.2995 www.lifeinstruments.com UNI-KNEE INSTRUMENT SET Concise Set. All Instruments in One Basket. * CALL FOR NO-CHARGE TRIAL * UNI-KNEE DISTRACTOR ORTHOPEDIC INSTRUMENTS TARGETED APPROACH Total knee replacement involves replacing the entire joint (left) while unicompartmental arthro- plasty (right) resurfaces only the portion impacted by degenerative disease. Seth S. Leopold, MD

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