Nerve Burial for Preventing Neuralgia After Total Knee Arthroplasty

Inclusion Criteria: * Must have symptomatic knee osteoarthritis under consideration for total knee arthroplasty * Must be willing to undergo randomization Exclusion Criteria: * Age \<18 or \>80 years * Known pre-operative diagnosis of neuralgia, complex regional pain syndrome, or neuropathy, about the operative lower extremity * Known pre-operative psychiatric disorder requiring medication * Previous surgery about the operative knee * BMI \> 40 kg/m2 (potential increased risk of soft tissue dissection through adipose) * Ongoing pre-operative narcotic use in excess of 20 mg morphine equivalents per day for at least one month or pre-operative intravenous drug use (increased potential for complex regional pain syndrome and neuralgia, increased likelihood to require greater post-operative analgesia) * Ongoing pre-operative use of neuropathic pain medications (gabapentin, pregabalin, amitriptyline, etc.) * Medical comorbidities (American Society of Anesthesiologists grade \> 3 or deemed unfit by consulting internist) precluding elective TKA * Significant language barrier (reading comprehension less than 8th grade reading level) or mental condition precluding accurate self-assessment of knee pain or function. * Severe medication allergies to permissible post-operative analgesics (acetaminophen, tramadol, oxycodone, oxycontin, dilaudid)