The experience of surgeons treating unexplained pain after knee arthroplasty : a reflexive thematic analysis.

IF 3.1 Q1 ORTHOPEDICS

Bone & Joint Open Pub Date : 2025-09-17 DOI:10.1302/2633-1462.69.BJO-2025-0019.R1

Shiraz A Sabah, Phillipa J A Nicolson, Elizabeth A Hedge, Loretta Davies, David J Beard, Andrew J Price, Francine Toye

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Abstract

Aims: The aim of the present study was to understand the experience of surgeons treating patients with unexplained pain after knee arthroplasty and the role they considered revision surgery to have in the management of this condition.

Methods: Semi-structured interviews were performed with seven consultant knee surgeons in the NHS. Interviews were audio-recorded, transcribed verbatim, and de-identified before analysis using reflexive thematic analysis.

Results: Six themes were developed: 1) I need to understand a patient's journey and their expectations; 2) A difficult consultation; 3) I'm the 'fixer'; 4) It's complicated asking for help; 5) I'm uncomfortable operating for truly unexplained pain; and 6) It's a wound I carry with me.

Conclusion: This study has improved our understanding of the important considerations for surgeons when managing patients with unexplained pain after knee arthroplasty. Our study calls for a holistic approach to care that considers patients' experiences, embraces modern pain theory, and fosters collaboration among healthcare providers.

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外科医生治疗膝关节置换术后不明原因疼痛的经验：反身性专题分析。

目的：本研究的目的是了解外科医生治疗膝关节置换术后不明原因疼痛患者的经验，以及他们认为翻修手术在治疗这种情况中的作用。方法：对NHS的7位膝关节外科顾问进行半结构化访谈。访谈录音，逐字转录，并在使用反身性主题分析分析之前去识别。结果：开发了六个主题：1)我需要了解患者的旅程和他们的期望；2)协商困难；3)我是“调停者”；4)寻求帮助很复杂；5)对于真正无法解释的疼痛，我不愿意做手术；6)这是我的伤口。结论：本研究提高了我们对外科医生处理膝关节置换术后不明原因疼痛的重要考虑因素的理解。我们的研究呼吁一种全面的护理方法，考虑到病人的经历，拥抱现代疼痛理论，并促进医疗保健提供者之间的合作。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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