More than 100,000 total knee replacements are undertaken annually in the UK. The aim of surgery is to reduce pain and improve function, usually due to osteoarthritis. One in five patients who undergo surgery will report chronic, or long-term pain three months afterwards. Chronic pain after knee replacement is multifactorial, with biological, mechanical, and psychosocial contributing factors.

NHS England elearning for healthcare has worked with the North Bristol NHS Trust and the University of Bristol on the STAR Support and Treatment After Knee Replacement Surgery. STAR is a clinically important treatment for patients with chronic pain three months after total knee replacement for osteoarthritis. It is a personalised and multifaceted care pathway which addresses the multiple factors that may contribute to chronic pain through screening, early postoperative assessment, referral for targeted treatment and follow-up over one year.

This was tested in a multicentre randomised controlled trial funded by the National Institute for Health Research (NIHR) and the results are published in the Lancet Rheumatology. Patients who receive STAR have reduced pain, improved recovery and fewer inpatient admissions.

Access the training

To access the training please visit the STAR programme page.