Functional outcomes of total knee arthroplasty in patients with Parkinson's disease: A case control study

Ergin, Ömer; Karademir, Gökhan; Şahin, Koray; Meriç, Emre; Akgül, Turgut; Öztürk, İrfan

doi:10.1016/j.jos.2019.06.003

Cited by 9 publications

(9 citation statements)

References 14 publications

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“…In order to promote the sustainability of postoperative treatment and the effectiveness of rehabilitation exercise, we need to provide different forms of continuous nursing services for discharged patients to ensure the continuity of nursing services and the effectiveness of rehabilitation. In 1947, the concept of continuous care was first put forward in a research report in the USA [8]. The American Geriatric Association defines it as nursing intervention designed through a series of actions is a follow-up and extension of hospital nursing, which can help patients and their families complete the transition from hospital to family.…”

Section: Introductionmentioning

confidence: 99%

Effect of Proprioception and Balance Training Combined with Continuous Nursing on BBS Score and HSS Score of Patients Undergoing Total Knee Arthroplasty

Lin

et al. 2022

Computational and Mathematical Methods in Medicine

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Background. Total knee arthroplasty is one of the most effective methods for the treatment of end-stage knee osteoarthritis, but 10% of patients still show insufficient function, strength, and mobility. Continuous nursing service plays an important role in the rehabilitation of patients undergoing total knee arthroplasty. For discharged and convalescent patients, the traditional follow-up model cannot solve the nursing problems of discharged patients. How to meet the health needs of discharged patients under the limited nursing resources has become an existing problem. Objective. To explore the effect of proprioception and balance training combined with continuous nursing on Berg balance scale (BBS) score and Hospital for Special Surgery (HSS) score of patients undergoing total knee arthroplasty (TKA) is the objective of this study. Methods. Sixty patients undergoing TKA in our hospital from December 2019 to April 2021 were enrolled. The patients were randomly assigned into the control group and the study group. The control group received continuous nursing, and the study group received proprioception and balance training combined with continuous nursing. Results. The nursing satisfaction of the study group was higher than that of the control group ( P < 0.05 ). The HSS scores at discharge, 1 month, 3 months, and 6 months after discharge in the study group were higher than those in the control group ( P < 0.05 ). It was higher in the study group than in the control group at 1 month, 3 months, and 6 months after discharge ( P < 0.05 ). The pain catastrophizing score of the study group at discharge was lower than that of the control group at 1 month, 3 months, and 6 months after discharge ( P < 0.05 ). The BBS scores at discharge, 1 month, 3 months, and 6 months after discharge in the study group were higher than those in the control group ( P < 0.05 ). The Lindmark balance scores at discharge, 1 month, 3 months, and 6 months after discharge in the study group were lower than those in the control group ( P < 0.05 ). Conclusion. Proprioception and balance training combined with continuous nursing can effectively promote the recovery of knee joint function of patients after TKA, enhance patients’ pain catastrophizing grade, enhance patients’ quality of life, effectively promote patients’ knee joint function and BBS score, and promote the improvement of disease.

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Section: Introductionmentioning

confidence: 99%

Effect of Proprioception and Balance Training Combined with Continuous Nursing on BBS Score and HSS Score of Patients Undergoing Total Knee Arthroplasty

Lin

et al. 2022

Computational and Mathematical Methods in Medicine

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“…The remaining five studies compared the preoperative and postoperative clinical outcomes of the PD and non-PD groups. Two of these studies reported that the preoperative and postoperative clinical outcomes did not differ between the two groups [ 9 , 11 ]. Another four studies reported worse clinical outcomes in the PD group than in the non-PD group after TKA [ 17 – 20 ].…”

Section: Resultsmentioning

confidence: 99%

“…Differences in clinical outcomes according to disease severity after TKA were reported in two studies [ 11 , 12 ]. Xiao reported that patients with mild PD (Hoehn and Yahr stages I and II) showed better clinical symptom improvement after TKA than patients with severe PD [ 12 ].…”

Section: Resultsmentioning

confidence: 99%

“…PD can affect TKA outcomes, and several studies have reported the effect of PD on TKA. Many studies have compared and reported TKA outcomes in patients with PD, but the results are inconsistent, possibly due to the varying severity of PD and extent of complications reported in the study [ 11 , 12 ]. Therefore, the purpose of this systematic review and meta-analysis was to determine the effect of PD on the clinical outcomes and complications after TKA.…”

Section: Introductionmentioning

confidence: 99%

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The effect of Parkinson’s disease on total knee arthroplasty: a systematic review and meta-analysis

Yoon

Lee

2023

Knee Surg & Relat Res

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Purpose The purpose of this systematic review was to determine the effect of Parkinson’s disease (PD) on clinical outcomes and complications after total knee arthroplasty (TKA). Our systematic review was conducted to answer the following questions: (1) does TKA negatively affect clinical outcomes in patients with PD? and (2) does TKA cause more complications in patients with PD? Methods A rigorous and systematic approach was used, and each selected study was evaluated for methodological quality. Data on study design, total number of cases enrolled, follow-up duration, PD severity, clinical outcome, and complications after TKA were analyzed. Results Fourteen studies were included. Nine studies reported clinical scores. TKA significantly increased knee and functional scores in the PD group. However, compared with knee and functional scores in the non-PD group, the increase in scores in the PD group was not statistically significant, but tended to be less than that in the non-PD group. Eleven studies reported complications. In six studies, there was no difference in the complication rate between the PD and non-PD group or did not include a control group. In five studies, the PD group had higher medical complication rates and similar or higher surgical complication rates than the non-PD group. Conclusions Patients with PD who underwent TKA showed satisfactory functional improvement and pain reduction. However, these outcomes were not as good as those in the non-PD group. The PD group had a higher probability of occurrence of medical complications than the non-PD group. Further, the PD group had a similar or higher surgical complication rate than the non-PD group.

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“…With that said, patient factors/conditions may be present for certain patients that need to be considered. A major push has been to investigate how more specific risk factors, especially those of rarer etiologies, affect the risk of complications following total joint arthroplasty [ 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

Hidradenitis Suppurativa Leads to Increased Risk of Wound-Related Complications following Total Joint Arthroplasty

et al. 2022

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Functional outcomes of total knee arthroplasty in patients with Parkinson's disease: A case control study

Cited by 9 publications

References 14 publications

Effect of Proprioception and Balance Training Combined with Continuous Nursing on BBS Score and HSS Score of Patients Undergoing Total Knee Arthroplasty

Effect of Proprioception and Balance Training Combined with Continuous Nursing on BBS Score and HSS Score of Patients Undergoing Total Knee Arthroplasty

The effect of Parkinson’s disease on total knee arthroplasty: a systematic review and meta-analysis

Hidradenitis Suppurativa Leads to Increased Risk of Wound-Related Complications following Total Joint Arthroplasty

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