Research Mentor Name
Dr. Allen Kadado
Research Mentor Email Address
Institution / Department
Henry Ford Hospital Department of Orthopaedic Surgery
Level of Research
Total Knee Arthroplasty: Opioid-Free Analgesia in a Patient with Opioid-Induced Hyperalgesia
Case: Controlling pain in total knee arthroplasty (TKA) is important but can be complex. We present a case of a 59-year-old female with opioid-induced hyperalgesia who was referred for left knee pain and end-stage tricompartmental degenerative joint disease after failure of conservative management. We outline an approach to control postoperative pain in patients undergoing TKA who have severe opioid contraindications.
Conclusion: TKA and physical rehabilitation with a 2 year follow up period was accomplished using a multimodal non-opioid approach including a combination of gabapentin, acetaminophen, ketorolac, meloxicam, methocarbamol, a tunneled femoral nerve catheter, and peri-articular cocktail injection.
Key terms: Total knee arthroplasty, Opioid-free analgesia, Opioid induced hyperalgesia
Medicine and Health Sciences
Akioyamen, Noel and Kadado, Allen, "Total Knee Arthroplasty: Opioid-Free Analgesia in a Patient with Opioid-Induced Hyperalgesia" (2020). Medical Student Research Symposium. 36.