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Perioperative care

VN Vesta C. Nwankwo
WJ William A. Jiranek
CG Cynthia L. Green
KA Kelli D. Allen
SG Steven Z. George
JB Janet Prvu Bettger
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Total knee arthroplasty management criteria at the study’s institution are fairly standardized. On the day of surgery, patients were treated preoperatively with regional anesthesia to include a spinal block in addition to one or two additional peripheral nerve blocks. Postoperatively, in addition to the regional anesthesia blocks, patients received pain medications (e.g., Tylenol, nonsteroidal anti-inflammatories, and opioids) for breakthrough pain. Patients were discharged on a combination of these medications. For postoperative therapy, patients were weight-bearing as tolerated and began therapy on postoperative day zero. Aggressive range of motion was discouraged until at least 2-weeks post-surgery, allowing swelling to dissipate and the wound to heal.

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