Quality of life after total knee arthroplasty

Canovas, François; Dagneaux, Louis

doi:10.1016/j.otsr.2017.04.017

Cited by 254 publications

(208 citation statements)

References 66 publications

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“… 41 Patient dissatisfaction has been reported as high as 30% and is not always positively correlated with functional outcomes. 9 Some of the physical complications associated with TKA as endorsed by the members of the knee society include postoperative bleeding, failure of wound healing, symptomatic thromboembolic event, neural deficits, and vascular injury. 21 Moreover, satisfaction rates after TKA seem to be influenced not only by physical outcome but also by the overall quality of life, which is determined by variables such as behavioral and psychological factors.…”

Section: Effects Of Delayed Surgical Repair On Comorbiditiesmentioning

confidence: 99%

Unintended consequences of COVID-19 safety measures on patients with chronic knee pain forced to defer joint replacement surgery

Cisternas

Ramachandran

Yaksh

et al. 2020

PR9

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Section: Effects Of Delayed Surgical Repair On Comorbiditiesmentioning

confidence: 99%

Unintended consequences of COVID-19 safety measures on patients with chronic knee pain forced to defer joint replacement surgery

Cisternas

Ramachandran

Yaksh

et al. 2020

PR9

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“…Total knee replacement is a successful surgical procedure for the treatment of advanced knee arthritis, improving the function of the patient's joint and meeting the needs of a large number of patients to live their daily lives [1] , which in turn improves their quality of life. With the rise of rapid rehabilitation joint surgery after knee replacement, short-term, high quality integrated management of perioperative pain, blood management, infection prevention and dietary management can achieve an optimal effect.…”

Section: Introductionmentioning

confidence: 99%

Analysis of the Effect of Duloxetine in the Treatment of Early Pain After Total Knee Arthroplasty

Wang

2020

Preprint

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OBJECTIVE: Total knee arthroplasty is one of the most effective treatments for advanced degeneration of the knee. Knee replacement surgery has achieved excellent clinical results, not only solving the patients' pain, but also solving the social problems. The objective of this study was to examine the effect of duloxetine, a selective serotonin norepinephrine reuptake inhibitor, on the treatment of early pain in patients after TKA.METHODS: The study is a randomized controlled trial. Sixty patients who underwent TKA from January 2020 to June 2020 were selected for inclusion in the study, and equally assigned to a celecoxib group and a duloxetine group. There were 22 males and 38 females; the average age was 60.3±5.1 (56-74) years. The celecoxib group was given celecoxib 200mg/bid. The duloxetine group received duloxetine 30mg/bid. Analgesic medication was applied from the first postoperative day in the two groups for 4 weeks. The effectiveness of analgesia was assessed by the postoperative VAS walking pain score, HAMD-17 (Hamilton Depression Scale) score and the WOMAC pain score (Western Ontario and McMaster Universities Osteoarthritis Index, WOMAC). The proportion of adverse events in the two groups was also compared to further evaluate the analgesic effect and safety. RESULTS: There was no significant difference in VAS score between groups on postoperative day three but duloxetine was superior to the celecoxib group at postoperative weeks one, two and four (p < 0.05). The HAMD-17 scores in both groups decreased at week four compared to preoperative values (p < 0.05), but the duloxetine group's HAMD-17 score was superior to the celecoxib group four weeks postoperatively (P < 0.05). The WOMAC pain scores of the duloxetine group were superior to the celecoxib group (P < 0.05) at postoperative weeks one, two and four. There was no significant difference in the incidence of adverse events.CONCLUSION: Duloxetine has a good effect on postoperative analgesia after TKA and can relieve patients' depression and anxiety, and promote rapid recovery. Thus, we can infer that duloxetine can be used to treat early postoperative pain after knee arthroplasty.

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“…Canovas and others found that TKA can greatly improve the quality of life scores. They found that pain and / or stiffness during exercise is associated with the patient's quality of life and patient satisfaction (5). In addition, Zhou et al found at 6 weeks after surgery, the patient showed signi cant improvement in walking and bending activities (28).…”

Section: Discussionmentioning

confidence: 99%

“…However, the satisfaction of patients after TKA is in the range of 75-92%. Low satisfaction directly affects the quality of life (5).…”

Section: Introductionmentioning

confidence: 99%

A Randomized Controlled Study on the Safety and Effectiveness of Total Knee Arthroplasty Operated At Different Times under ERASA.

Dahal

Rong

Yuan

et al. 2020

Preprint

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Background Total knee replacement (TKA) is the most effective surgical method for end-stage knee joint disease. However, around（75%-92%）of patients after TKA are not satisfied. In the earlier days, TKA done at different times had different outcomes. Till this date, Enhanced Recovery After TKA has upgraded to a higher level. However, its safety and effectiveness concerning time have been remained unclear. So this study, we design to compare the effectiveness and safety of TKA surgery operated at different times, under ERAS.Material and method In this study, 80 patients were randomly included for primary unilateral TKA who fulfilled the study criteria, between May 1st, 2019, and November 31th, 2019 in the Department of Orthopedics, West China Hospital of Sichuan University. All patients operated and peri-operatively managed according to standard ERAS protocol. The measuring indicators include VAS score, Range of knee motion, PSQI sleep quality score, HSS knee score, operation duration, total hospital stay, anesthesia time, first urination time, hemoglobin level, hematocrit, blood loss, blood glucose, inflammatory indicators (CRP and IL-6), radiological evaluation, gastrointestinal complications, appetite, total hospitalization costs, and satisfaction.Result Out of 80 patients, 40 were operated before 2 pm and 40 were operated after 2 pm. The VAS score for knee pain on day 1 after surgery in the group before 2 pm / after 2 pm, resting (P= 0.831); motion (P = 0.877). On discharge, resting VAS (P= 0.681); motion, (P = 0.912). At 21st days VAS Score at rest (P= 0.679), At motion (P= 0.979). Before 2 pm/after 2pm group ,Blood loss（P=0.328）,ROM at the 21st day after surgery (p = 0.476). PSQI at 21st days after surgery (P = 0.188), HSS knee score on the 21st day after surgery (P = 0.762), respectively. Conclusion Under the standard ERAS protocol, total knee replacements at different times do not affect its safety and effectiveness.Trial registration: ChiCTR, ChiCTR1900022256. Registered 2019/04/01

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Quality of life after total knee arthroplasty

Cited by 254 publications

References 66 publications

Unintended consequences of COVID-19 safety measures on patients with chronic knee pain forced to defer joint replacement surgery

Unintended consequences of COVID-19 safety measures on patients with chronic knee pain forced to defer joint replacement surgery

Analysis of the Effect of Duloxetine in the Treatment of Early Pain After Total Knee Arthroplasty

A Randomized Controlled Study on the Safety and Effectiveness of Total Knee Arthroplasty Operated At Different Times under ERASA.

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