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Papers of the Week

2020 Jul-Sep

JBJS Case Connect



Total Knee Arthroplasty: Opioid-Free Analgesia in a Patient with Opioid-Induced Hyperalgesia: A Case Report.


Kadado A, Slotkin S, Akioyamen N O, El-Alam A, North W T
JBJS Case Connect. 2020 Jul-Sep; 10(3):e2000024.
PMID: 32618610.


Pain control after total knee arthroplasty (TKA) remains a significant challenge, especially in the context of certain patient-specific factors. We present a case of a 59-year-old woman 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.