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PROSPECT Total Knee Arthroplasty Subgroup
For each review, a Subgroup of the
prospect Working Group performs an initial evaluation of the evidence and also drafts clinical practice statements and recommendations, which are then discussed by the whole Working Group before a final consensus is reached. The Subgroup may sometimes include a non-Working Group member, to provide additional expertise in the procedure being reviewed.
For the total knee arthroplasty review, the Subgroup members were:
- Dr Christian Simanski
- Dr Barrie Fischer
Grades of Recommendation
Recommendations are graded according to the overall level of evidence (LoE) on which the recommendations are based, which is determined by the quality and source of evidence: ()
PROSPECT provides clinicians with supporting arguments for and against the use of various interventions in postoperative pain based on published evidence and expert opinion. Clinicians must make judgements based upon the clinical circumstances and local regulations. At all times, local prescribing information for the drugs referred to must be consulted.
Summary Recommendations
Pre-, intra- and postoperative interventions have been evaluated for the management of postoperative pain following total knee arthroplasty. Unless otherwise stated, ‘pre-operative’ refers to interventions applied before surgical incision, ‘intra-operative’ refers to interventions applied after incision and before wound closure, ‘postoperative’ refers to interventions applied at or after wound closure. The following peri-operative interventions for total knee arthroplasty have been reviewed:
- for postoperative analgesia
See
Overall Recommendations for the overall strategy for managing pain after total knee arthroplasty.