The Effectiveness of Patient-Controlled Analgesia in Orthopedic Joint Replacements: A Systematic Review
Orthopedic joint replacement procedures, including total hip and knee arthroplasty, are crucial interventions for managing degenerative joint diseases and enhancing patients’ quality of life. Postoperative pain management remains a critical challenge affecting recovery and outcomes. Recognizing pain...
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| Format: | Article |
| Language: | English |
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MDPI AG
2025-02-01
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| Series: | Life |
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| Online Access: | https://www.mdpi.com/2075-1729/15/2/275 |
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| author | Reem Altamimi Rawan Bin Salamah Lama A. AlZelfawi Alanood AlHarthi Ghayda AlMazroa Mohammad Alkhalifa Wijdan A. AlMutiri Ebtesam AlMajed Afnan AlAwadh Reem AlSarhan Malak N. AlShebel Rafa Hadaddi |
| author_facet | Reem Altamimi Rawan Bin Salamah Lama A. AlZelfawi Alanood AlHarthi Ghayda AlMazroa Mohammad Alkhalifa Wijdan A. AlMutiri Ebtesam AlMajed Afnan AlAwadh Reem AlSarhan Malak N. AlShebel Rafa Hadaddi |
| author_sort | Reem Altamimi |
| collection | DOAJ |
| description | Orthopedic joint replacement procedures, including total hip and knee arthroplasty, are crucial interventions for managing degenerative joint diseases and enhancing patients’ quality of life. Postoperative pain management remains a critical challenge affecting recovery and outcomes. Recognizing pain management as pivotal in patient care, this systematic review evaluates the effectiveness of patient-controlled analgesia (PCA) in orthopedic surgeries. This systematic review synthesizes the current literature to assess PCA’s role in orthopedic joint replacements. Studies focusing on pain relief, opioid consumption, hospital stays, rehabilitation outcomes, and patient satisfaction were analyzed. Significant findings were extracted from statistical analyses to evaluate PCA’s efficacy compared to traditional pain management methods. PCA significantly improves postoperative pain relief (<i>p</i> < 0.05), leading to a 30% reduction in opioid consumption and a 20% shorter hospital stay on average compared to traditional methods. Additionally, patients using PCA reported higher satisfaction scores (85% vs. 65%) and demonstrated improved rehabilitation outcomes, enhancing overall recovery and quality of life post surgery. This review underscores PCA’s effectiveness as a superior strategy for postoperative pain management in orthopedic joint replacements. By reducing pain, opioid use, and hospitalization duration and enhancing rehabilitation outcomes, PCA contributes significantly to improving patient outcomes and healthcare efficiency. |
| first_indexed | 2025-03-14T15:01:12Z |
| format | Article |
| id | doaj.art-9fa3d2152a1f4c72bf60928e5ab358df |
| institution | Directory Open Access Journal |
| issn | 2075-1729 |
| language | English |
| last_indexed | 2025-03-14T15:01:12Z |
| publishDate | 2025-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Life |
| spelling | doaj.art-9fa3d2152a1f4c72bf60928e5ab358df2025-02-25T13:35:50ZengMDPI AGLife2075-17292025-02-0115227510.3390/life15020275The Effectiveness of Patient-Controlled Analgesia in Orthopedic Joint Replacements: A Systematic ReviewReem Altamimi0Rawan Bin Salamah1Lama A. AlZelfawi2Alanood AlHarthi3Ghayda AlMazroa4Mohammad Alkhalifa5Wijdan A. AlMutiri6Ebtesam AlMajed7Afnan AlAwadh8Reem AlSarhan9Malak N. AlShebel10Rafa Hadaddi11Collage of Medicine, Princess Nourah bint Abdulrahaman University, Riyadh 14256, Saudi ArabiaCollage of Medicine, Princess Nourah bint Abdulrahaman University, Riyadh 14256, Saudi ArabiaCollage of Medicine, Princess Nourah bint Abdulrahaman University, Riyadh 14256, Saudi ArabiaCollage of Medicine, Princess Nourah bint Abdulrahaman University, Riyadh 14256, Saudi ArabiaCollege of Medicine, Qassim University, Qassim 52571, Saudi ArabiaPrince Sultan Military Medical Center, Riyadh 11159, Saudi ArabiaCollage of Medicine, Princess Nourah bint Abdulrahaman University, Riyadh 14256, Saudi ArabiaCollage of Medicine, Princess Nourah bint Abdulrahaman University, Riyadh 14256, Saudi ArabiaCollage of Medicine, Princess Nourah bint Abdulrahaman University, Riyadh 14256, Saudi ArabiaCollage of Medicine, Princess Nourah bint Abdulrahaman University, Riyadh 14256, Saudi ArabiaCollege of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh 11481, Saudi ArabiaCollege of Medicine, Jazan University, Jazan 45142, Saudi ArabiaOrthopedic joint replacement procedures, including total hip and knee arthroplasty, are crucial interventions for managing degenerative joint diseases and enhancing patients’ quality of life. Postoperative pain management remains a critical challenge affecting recovery and outcomes. Recognizing pain management as pivotal in patient care, this systematic review evaluates the effectiveness of patient-controlled analgesia (PCA) in orthopedic surgeries. This systematic review synthesizes the current literature to assess PCA’s role in orthopedic joint replacements. Studies focusing on pain relief, opioid consumption, hospital stays, rehabilitation outcomes, and patient satisfaction were analyzed. Significant findings were extracted from statistical analyses to evaluate PCA’s efficacy compared to traditional pain management methods. PCA significantly improves postoperative pain relief (<i>p</i> < 0.05), leading to a 30% reduction in opioid consumption and a 20% shorter hospital stay on average compared to traditional methods. Additionally, patients using PCA reported higher satisfaction scores (85% vs. 65%) and demonstrated improved rehabilitation outcomes, enhancing overall recovery and quality of life post surgery. This review underscores PCA’s effectiveness as a superior strategy for postoperative pain management in orthopedic joint replacements. By reducing pain, opioid use, and hospitalization duration and enhancing rehabilitation outcomes, PCA contributes significantly to improving patient outcomes and healthcare efficiency.https://www.mdpi.com/2075-1729/15/2/275patient-controlled analgesiajoint replacementpain management |
| spellingShingle | Reem Altamimi Rawan Bin Salamah Lama A. AlZelfawi Alanood AlHarthi Ghayda AlMazroa Mohammad Alkhalifa Wijdan A. AlMutiri Ebtesam AlMajed Afnan AlAwadh Reem AlSarhan Malak N. AlShebel Rafa Hadaddi The Effectiveness of Patient-Controlled Analgesia in Orthopedic Joint Replacements: A Systematic Review Life patient-controlled analgesia joint replacement pain management |
| title | The Effectiveness of Patient-Controlled Analgesia in Orthopedic Joint Replacements: A Systematic Review |
| title_full | The Effectiveness of Patient-Controlled Analgesia in Orthopedic Joint Replacements: A Systematic Review |
| title_fullStr | The Effectiveness of Patient-Controlled Analgesia in Orthopedic Joint Replacements: A Systematic Review |
| title_full_unstemmed | The Effectiveness of Patient-Controlled Analgesia in Orthopedic Joint Replacements: A Systematic Review |
| title_short | The Effectiveness of Patient-Controlled Analgesia in Orthopedic Joint Replacements: A Systematic Review |
| title_sort | effectiveness of patient controlled analgesia in orthopedic joint replacements a systematic review |
| topic | patient-controlled analgesia joint replacement pain management |
| url | https://www.mdpi.com/2075-1729/15/2/275 |
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