Postoperative Recommendations for total knee arthroplasty







Post-operative recommended


·        Systemic analgesia:


       Conventional NSAID/COX-2-selective inhibitors (Grade A) + strong opioids (Grade A), titrated to effect (for high intensity pain) + paracetamol (Grade B)


       Conventional NSAID/COX-2-selective inhibitors (Grade A) +/- weak opioids (Grade B), titrated to effect (for moderate or low intensity pain) + paracetamol (Grade B)


·         Regional analgesia:


       Femoral nerve block (Grade A)


·        Continuous passive motion (for reasons other than analgesia) (Grade A)


·         Intensive rehabilitation (for reasons other than analgesia) (Grade D)