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The Influence of Tourniquet and Adductor Canal Block Use on Pain and Opioid Consumption after Total Knee Arthroplasty
This study evaluated inpatient opioid consumption and pain between patients with TKA based on tourniquet and/or ACB use. Pain and opioid consumption were highest when a tourniquet, but no ACB was used, and lowest when an ACB, but no tourniquet was used – though absolute differences in pain scores were not clinically significant. Tourniquet and ACB use should be considered as part of TKA opioid-sparing protocols. (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - June 26, 2023 Category: Orthopaedics Authors: Kyle W. Lawrence, Weston Buehring, Akram A. Habibi, David L. Furgiuele, Ran Schwarzkopf, Joshua C. Rozell Source Type: research

Perioperative Pain Management for Distal Radius Fractures
Distal radius fractures have a high incidence among both young and elderly patients, and in many instances require operative intervention. When operative intervention is employed, adequate pain management is essential to decrease postoperative complications, such as chronic pain and disability, while minimizing the risk of prolonged opioid use and dependence. Strategies to optimize pain management include regional anesthesia, preoperative dosing of medication, multimodal regimens, long-acting selective opioids at the time of surgery, corticosteroids, and non-pharmacologic therapies. (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - June 26, 2023 Category: Orthopaedics Authors: Nolan Farrell, Paul T. Greenfield, Paul T. Rutkowski, William Jacob Weller Source Type: research

Contributors
KAREN CHAHAL, MD (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - June 21, 2023 Category: Orthopaedics Source Type: research

Contents
Carla T. Williams, Jeremy Whyman, Julia Loewenthal, and Karen Chahal (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - June 21, 2023 Category: Orthopaedics Source Type: research

Evolution of Perioperative Pain Management in Shoulder Arthroplasty
Historically, opioids have been used as a primary conservative treatment for pain related to glenohumeral osteoarthritis (GHOA). However, this practice is concerning as it often leads to overuse, which has contributed to the current epidemic of addiction and overdoses in the United States. Studies have shown that preoperative opioid use is associated with higher complication rates and worse outcomes following surgery, particularly for shoulder arthroplasty. To address these concerns, perioperative pain management for shoulder arthroplasty has evolved over the years to the use of multimodal analgesia. (Source: Orthopedic Cl...
Source: Orthopedic Clinics of North America - June 20, 2023 Category: Orthopaedics Authors: Vani Sabesan, Hans Lapica, Carlos Fernandez, Clyde Fomunung Source Type: research

Modern Perioperative Pain Management Strategies to Minimize Opioids after Total Knee Arthroplasty
Total Knee Arthroplasty is associated with significant postoperative pain that can limit functional outcomes and patient satisfaction. In recent years, the standard of care for postoperative pain management has reduced reliance on opioids in favor of multimodal analgesia. These regimens consist of systemic medications such as COX-2 inhibitors, acetaminophen, corticosteroids, and gabapentinoids, as well as regional and local approaches such as peripheral nerve blocks and local infiltrative analgesics. Newer therapies, such as cryoneurolysis, are still being studied but have shown promising results. Additional studies are ne...
Source: Orthopedic Clinics of North America - June 20, 2023 Category: Orthopaedics Authors: Charles W. Hansen, Elizabeth K. Carlino, Lauren A. Saunee, Vinod Dasa, Amit K. Bhandutia Source Type: research

Postoperative Pain Control Following Shoulder Arthroplasty
This article provides an in-depth review of the current evidence regarding efficacy, safety, and feasibility of a perioperative opioid-sparing clinical pathway for patients undergoing shoulder arthroplasty. (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - June 11, 2023 Category: Orthopaedics Authors: Robby Turk, Nady Hamid Source Type: research

Cannabis and Pain Control After Total Hip and Knee Arthroplasty
Cannabis use among the elderly has increased over the previous 2  decades. This has translated to a greater proportion of orthopedic procedures being undertaken on these patients. This review provides clinicians with evidence-based information on the effects of cannabis on pain control in THA and TKA, to help counsel these patients and facilitate their periopera tive management. The review specifically focuses on the following: origins of cannabis; biochemistry of cannabis; medical versus recreational cannabis; pharmacology of cannabis; effects of cannabis on bone metabolism; preoperative pain control; preoperative system...
Source: Orthopedic Clinics of North America - June 5, 2023 Category: Orthopaedics Authors: Babar Kayani, Lisa C. Howard, Michael E. Neufeld, Donald S. Garbuz, Bassam A. Masri Source Type: research

Erratum
In the April 2023 Orthopedic Clinics (Volume 54, number 2) article, “Intraoperative Navigation and Robotics in Pediatric Spinal Deformity,” pages 201-207, an author’s middle initial was mistakenly transposed. The author should be listed as “Benjamin W. Sheffer.” (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - June 3, 2023 Category: Orthopaedics Source Type: research

Orthopedic Clinics of North America
www.orthopedic.theclinics.com (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - June 3, 2023 Category: Orthopaedics Authors: Frederick M. Azar Source Type: research

Copyright
ELSEVIER (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - June 3, 2023 Category: Orthopaedics Source Type: research

Editorial Board
Orthopedic Clinics of North America, Campbell Clinic Department of Orthopaedic Surgery and Biomedical Engineering, University of Tennessee Health Science Center, Memphis, Tennessee (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - June 3, 2023 Category: Orthopaedics Source Type: research

Contributors
FREDRICK M. AZAR, MD (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - June 3, 2023 Category: Orthopaedics Source Type: research

Contents
Frederick M. Azar (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - June 3, 2023 Category: Orthopaedics Source Type: research

Forthcoming Issues
October 2023 (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - June 3, 2023 Category: Orthopaedics Source Type: research