Prótesis total de rodilla. Estudio de los factores determinantes del alta hospitalaria en rehabilitación

Pagès, Esther; Iborra, Jordi; Rodriguez, Samuel; Jou, N.; Cuxart, A

doi:10.1016/s0048-7120(02)73277-5

Cited by 11 publications

(5 citation statements)

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“…Osteoarthritis usually affects the knee, and its incidence increases exponentially with age, with a clear predominance on women. The observed women/men ratio is 1.6:1, in accordance with other national studies, with ratios of 2.7:1 [15], 3:1 [17,19], 4:1 [16], 4.9:1 [20]; and with international studies, with ratios of 1.5:1 [22], 1.6:1 [23], and 2.2:1 [21].…”

Section: Discussionsupporting

confidence: 91%

“…Also, its incidence increases with age, and it affects more than 33% of people over 70 years in Spain [16]. The average age in our series at the time of operation is 77 years, and the age distribution shows a normal curve, in accordance with national studies which have shown average ages of 66.5±6.2 years [17,18] and 74±2.3 years [19][20][21], with a progressive ageing in the population. International studies have reported ages of 68 years [21] and 72 years [22].…”

Section: Discussionsupporting

confidence: 87%

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Age and Sex Affect Osteoarthritis and the Outcome on Knee Replacement

Fernández-Cuadros¹

2017

MOJOR

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Background: Arthrosis has a huge impact due to its consequences on suffering and function loss and because it damages the well-being and the physical, emotional and social aspects of Health-Related Quality of Life. Our objective was to assess the influence of Age and Sex on Knee Osteoarthritis and Total Knee Arthroplasty on the perception of the patients with regard to their quality of life, before and after the intervention. Method:We carried out a quasi-experimental intervention study with a before and after design in a sample of 125 patients with knee osteoarthritis who were assessed before and after the operation. They all were operated by the same orthopedic surgeon and with the same type of total knee arthroplasty between the year 2008 and 2012. The Health-Related Quality of Life was assessed with the questionnaire SF-36. Results:We have observed that knee osteoarthritis significantly affects all the dimensions of Health-Related Quality of Life before the operation and that all the dimensions included in the SF-36 show a clinical improvement after the intervention with total knee arthroplasty. Female Sex has an influence diminishing Physical Function (p=0.044) in Knee Osteoarthritis (before the intervention), but it does not influence the outcome after Total Knee arthroplasty. Age has an influence on Bodily Pain (p=0.012) and Vitality (p=0.002) in knee Osteoarthritis (before the intervention), and on Physical (p=0.040) and Mental Health Components (p=0.002) after Total Knee arthroplasty. However, we can state that the operation of total knee arthroplasty significantly improves Health-Related Quality of Life in all its dimensions and components, except for Physical Functioning and Role-Physical, although they also improve over time after the operation. Conclusion: Total knee arthroplasty is justified according to the perception of clinical improvement and the improvement of Health-Related Quality of Life reported by the patients. Sex influences Knee Osteoarthritis and Age influences on Knee OA and Total Knee Arthroplasty outcomes. Citation: Fernández-Cuadros ME, Pérez-Moro OS, Alonso-Sardón M, Iglesias-de-Sena H, Mirón-Canelo JA (2017) Age and Sex Affect Osteoarthritis and the Outcome on Knee Replacement. MOJ Orthop Rheumatol 9(4): 00362.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 87%

Age and Sex Affect Osteoarthritis and the Outcome on Knee Replacement

Fernández-Cuadros¹

2017

MOJOR

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“…En el caso de prótesis de rodilla, otros autores han considerado que, para que el paciente recibiera el alta hospitalaria, además debería tener una flexión activa de 80° y una marcha independiente con dos bastones ingleses por cualquier terreno (incluso escaleras), ser independiente en las AVD y haber aprendido un programa de ejercicios destinados al domicilio, así como haber iniciado un enfoque preventivo para cuidar su salud (Pagés, 2002;Iborra, 2005;López-Liria, 2009). Es importante recordar que la cinesiterapia temprana disminuye el riesgo de trombosis venosa profunda, rigidez articular, embolismo pulmonar, infecciones respiratorias y retención urinaria (Lenssen et al, 2006).…”

Section: Predictores De Alta Hospitalaria Y Complicacionesunclassified

“…Según Pagés (2002), hay dos factores determinantes en el alta tras una prótesis de rodilla: la correlación inversa con la edad y el balance articular en flexión a la semana del postoperatorio.…”

Section: Predictores De Alta Hospitalaria Y Complicacionesunclassified

“…Se ha descrito en la literatura científica que la artroplastia total de cadera y de rodilla es una solución evidente en el tratamiento de la discapacidad que presentan estos pacientes y se ha convertido en una de las actividades médicas más coste-efectivas (Pagés et al, 2002;Kennedy et al, 2005 Kennedy et al, y 2008 SerraSutton et al, 2012;Serrano-Aguilar, 2009). …”

Section: Introductionunclassified

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