Prospective study of clinical and functional outcome of total knee replacement in osteoarthritic knee

Kadam, Rahul; Yadav, Sunil; Chhallani, Abhay; Sharma, Chinmoy

doi:10.18203/issn.2455-4510.intjresorthop20163537

Cited by 4 publications

(3 citation statements)

References 13 publications

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“…There was significant increase in KCS and KFC score during follow up at 1, 3 and 6 month interval. There was significant association between knee functional score and knee clinical score at every interval [16] .…”

Section: Discussionmentioning

confidence: 83%

To assess cases of total knee replacement in a tertiary care centre

Kumar¹,

Kamali²

2020

Nat. J. Clin. Orthop.

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Background: Total knee arthroplasty has revolutionized the care of patients with end stage arthritic conditions. Increasing life expectancy, growing demand and success of this surgery have lead to signicant increase in the number of total knee replacements. The present study was conducted to assess cases of total knee replacement in a tertiary care centre. Material and Methods: The present retrospective study was conducted in the department of Orthopedics. It comprised of 180 patients of both genders in which TKA was performed. A thorough clinical examination and Radiological assessment was performed. All patients were assessed clinically using the knee society score. Statistical analyses were performed using SPSS 20.0. P value less than 0.05 was considered significant. Results: In the present study total participants were 180 in which 62.22% were male and 37.77% were females. The clinical outcome was excellent in 81.11%, good in 8.33%, fair in 3.88% and poor in 6.66% cases. Conclusion:The present study concluded that maximum cases of total knee replacement were in males and clinical outcome was excellent in maximum cases.

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Section: Discussionmentioning

confidence: 83%

To assess cases of total knee replacement in a tertiary care centre

Kumar¹,

Kamali²

2020

Nat. J. Clin. Orthop.

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“…The most valid and widely accepted is Knee Society Scoring criteria, which is composed of a functional and clinical knee scores. The functional score includes a patient assessment of walking distance, ability to climb stairs, and need for assistive devices, while the clinical knee score incorporates patient reported pain, ROM, alignment, and stability [10].…”

Section: Discussionmentioning

confidence: 99%

Managing of post-traumatic knee arthritis by total knee arthroplasty: case series of 15 patients and literature review

et al. 2019

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Purpose Post-traumatic arthritis is one of the leading causes of joint disability. This study aims at outlining outcomes of total knee arthroplasty in post-traumatic arthritis and technical difficulty and reviewing literature regarding this issue Patients and methods We analyzed the outcome of total knee arthroplasty following post-traumatic arthritis in 15 patients with unilateral involvement. Ten had stable arthritic knees treated with posterior stabilized (PS) prosthesis, while five with unstable arthritic knees treated as follows: three with ligamentous instability managed by constrained condylar prosthesis and two with osseous deficiency, metal augmentation used together with stemmed constrained condylar prosthesis (CCK). Average follow-up 6 years, mean age 49.8 years at time of arthroplasty. Patient outcomes were evaluated on the basis of Knee Society score. Results Mean clinical knee society scores (CKSS) at latest follow-up improved from 43.6 ± 11.66 points to 77.3± points postoperatively while mean functional knee society score (FKSS) improved from 40. ± 6.3 to 76.6 ± 84 postoperatively. Patients with stable knees had a higher mean values, both clinical and functional KSS, while unstable knees were poorer. Complications occurred in three cases, one with wound dehiscence with prolonged drainage treated by antibiotics and daily dressings until the wound closed completely, one was complicated by infection and improved by serial debridement, and the third case had aseptic loosening which required revision surgery. Conclusion Total knee arthroplasty for post-traumatic arthritis decreases pain and improves knee function. However; the procedure is not as simple as primary arthroplasty as it is technically demanding and requires adequate planning.

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“…Drains are usually removed within 24 to 48 hours, and the patient is encouraged to walk on the second postoperative day. Patient generally tolerates this regimen well, they are advised to continue their physiotherapy at home too after discharge [1][2][3][4][5][6][7][8][9] . To use or not to use the drains in total knee arthroplasty has always been an unanswered question.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Drain vs. no Drain on Straight Leg raising in post Total Knee Replacement Patients

2018

J LIAQUAT UNI MED HEALTH SCI

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OBJECTIVE: To compare the use of drains vs. no drains in post TKR patients on the basis of mean days to achieve first straight leg raise. METHODOLOGY: This Cohort Observational Study was carried out at section of Orthopaedic, Dept of Surgery, Aga Khan University Karachi. A total of 94 patients meeting the selection criteria and giving informed consent were included in the study. Inclusion criteria: Patient having bilateral knee joint osteoarthritis grade 4. Exclusion criteria: Septic knee, any infection elsewhere in the body, patients undergoing total knee replacement due to any other cause like rheumatoid arthritis , post traumatic arthritis etc , apart from osteoarthritis. Consecutive series was used and were operated by a single orthopedic surgeon with >5 years of experience. In the first 47 patients suction drain was used while in the next 47 no drain was used. The assessment of straight leg raising (SLR) was performed by a senior physiotherapist with experience of >3 years in orthopedics physiotherapy, twice a day postoperatively, until the patient performed unassisted straight leg rise. The researcher recorded all the demographic and other relevant variables along with the outcome in the Proforma. RESULTS: The results showed significant difference in SLR, but no difference in knee society score between drain group versus no drain group. CONCLUSION: We found advantage of using drain in patients with knee replacement surgeries in terms of rehabilitation that is straight leg raising. Based on the study results and discussion of findings with previous literature, it is recommended that multicenter studies with large sample sizes, measuring multiple outcomes should be conducted in future to reach a firm conclusion regarding use of drain or not in post TKR patients.

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Prospective study of clinical and functional outcome of total knee replacement in osteoarthritic knee

Cited by 4 publications

References 13 publications

To assess cases of total knee replacement in a tertiary care centre

To assess cases of total knee replacement in a tertiary care centre

Managing of post-traumatic knee arthritis by total knee arthroplasty: case series of 15 patients and literature review

The Effect of Drain vs. no Drain on Straight Leg raising in post Total Knee Replacement Patients

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