Safety of Total Knee Arthroplasty in the Treatment of Knee Osteoarthritis and Its Effect on Postoperative Pain and Quality of Life of Patients

Zhang, Yunfeng; Liu, Hua

doi:10.1155/2021/6951578

Cited by 10 publications

(14 citation statements)

References 27 publications

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“…Knee osteoarthritis (KOA) is a chronic joint disease. As the disease progresses patients often develop knee pain, stiffness, and deformity, limiting the patient's activities 1 . Total knee arthroplasty (TKA) has long been considered the definitive treatment for KOA, and successful TKA can reduce joint pain and restore function.…”

Section: Introductionmentioning

confidence: 99%

Early Clinical and Radiographic Outcomes of Robot‐Assisted Versus Conventional Manual Total Knee Arthroplasty: A Randomized Controlled Study

et al. 2022

Orthopaedic Surgery

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Objective Robot‐assisted surgery has been promoted worldwide in recent years. The development of a domestic orthopaedic robot and its clinical application are therefore of great significance. This study aimed to compare the early clinical and radiographic outcomes of domestic robot‐assisted total knee arthroplasty (RA‐TKA) with conventional manual total knee arthroplasty (CM‐TKA). Methods A total of 77 patients who underwent primary single‐sided TKA from June to December 2020 were prospectively enrolled; resulting in the inclusion of 72 patients. The patients were randomly divided into the RA‐TKA group (37 cases, with TKA being assisted by the Yuanhua Orthopaedic Robotic System) and the CM‐TKA group (35 cases, with TKA being performed using conventional tools). Knee function was evaluated by the knee range of motion (ROM), the American Knee Society Score (KSS), and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Postoperative radiographic results were evaluated by full‐length weight‐bearing X‐rays of the lower limb and anteroposterior and lateral X‐rays of the knee were obtained preoperatively and at 90 days postoperative. The operative duration, blood loss, postoperative knee function, radiographic outcomes, and incidence of complications were compared by Student's t‐test, Mann–Whitney U test, or chi‐square test. Serum levels of inflammatory markers before the operation and 1, 3, and 30 days after the operation were recorded and compared between the two groups. Results The operation was significantly longer in the RA‐TKA group than in the CM‐TKA group (154.3 vs 115.2 min, p < 0.001). There was no significant difference in blood loss (933 vs 863 ml, p = 0.519) between the two groups. The knee ROM, KSS, and WOMAC were significantly improved in both groups 90 days after the operation compared with before the operation (p < 0.05), but there were no significant differences between the two groups (p > 0.05). The incidence of postoperative deep vein thrombosis was not statistically different between the two groups. In the radiographic findings at 90 days postoperatively we found the frequency of lateral tibial component (LTC) angle outliers was significantly lower in the RA‐TKA group (3.0% vs 29.4%, p = 0.003). The neutrophil‐to‐lymphocyte ratio (NLR) was significantly lower in the RA‐TKA group than in the CM‐TKA group on day 1 after surgery (9.9 vs 12.7, p = 0.024). Conclusions RA‐TKA requires more time than CM‐TKA, which may be related to the learning curve and intraoperative registration. The short‐term postoperative knee functional outcomes had no differences between the two groups, and RA‐TKA improved the accuracy of tibial component alignment. Further follow‐up studies are required to investigate the long‐term outcomes.

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Section: Introductionmentioning

confidence: 99%

Early Clinical and Radiographic Outcomes of Robot‐Assisted Versus Conventional Manual Total Knee Arthroplasty: A Randomized Controlled Study

et al. 2022

Orthopaedic Surgery

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“…These factors can contribute to the development of complications such as postoperative pain, motor dysfunction, bone fracture and postoperative infection, resulting in a negative impact on the patient's recovery and rehabilitation after surgery, particularly the lower limbs, directly influencing the patient's overall prognosis 29 . The treatment objective should focus on reducing pain and enhancing knee joint function to enhance patients' quality of life 30–34 . Therefore, the ERAS programs are gaining popularity due to their efficacy in reducing perioperative complications and expediting recovery 35,36 .…”

Section: Discussionmentioning

confidence: 99%

Enhanced wound recovery after surgery care in patients with total knee arthroplasty: A meta‐analysis

Wang,

Lin

2024

International Wound Journal

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This study primarily focussed on the impact of Enhanced Recovery After Surgery (ERAS) care on wound healing and pain management in patients undergoing total knee arthroplasty (TKA). TKA is the critical surgical intervention aimed at improving the quality of life in patients with knee osteoarthritis. While this procedure has been effective in enhancing mobility and life quality, postoperative phase, particularly wound healing, remains significant concern. This research aimed to evaluate the effectiveness of ERAS care protocols in promoting wound healing and reducing postoperative wound pain. A comprehensive literature review was conducted to identify studies focusing on wound healing and pain management in TKA patients under ERAS care. The systematic search employed various terms related to TKA, wound healing and ERAS. During the screening process, data relevant to wound healing outcomes were prioritized for inclusion in the meta‐analysis. Using the R package ‘meta’, meta‐analysis was performed on a sample of 664 patients, divided into 349 in the intervention group (ERAS care) and 315 in the control. The results indicated significant enhancement in wound healing and reduction in postoperative wound pain among patients receiving ERAS care (risk ratio [RR] = 1.12, 95% confidence interval [CI]: 0.9152; 1.3929, p < 0.01). Additionally, pain score analysis across the studies revealed that the ERAS group consistently experienced less wound pain postoperatively compared with the control, with average of 0.1 point difference in pain scores indicating significantly less pain. Conclusively, our findings underscored the importance of implementing structured ERAS care protocols in TKA procedures. These protocols not only alleviated postoperative wound pain but also promoted effective wound healing, thereby potentially enhancing overall recovery and surgical outcomes for patients with knee osteoarthritis undergoing TKA.

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“…We also found that QoL advanced over time, consistent with other studies that have found that QoL at 3 months after TKA was better compared to that before TKA and that people resumed the vast majority of their daily activities at 12 months after TKA [ 9 , 26 ]. For a patient to undergo TKA, it must be perceived as high value in improving knee functions and relieving pain, and postoperative high intensity exercise and remote rehabilitation may be helpful in reducing joint stiffness [ 27 , 28 ]. Therefore, the physiological QoL can be improved accordingly during postoperative time.…”

Section: Discussionmentioning

confidence: 99%

The dynamic impact of Joint Awareness on Quality of Life after Total Knee Arthroplasty: a longitudinal study

Zhang

et al. 2022

J Orthop Surg Res

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Background Joint Awareness is thought to be closely linked to Quality of Life (QoL) for patients undergoing Total Knee Arthroplasty (TKA), yet to date there have been no longitudinal studies to explore how Joint Awareness actually affects QoL. The purpose of this study was therefore to examine the development of Joint Awareness and QoL after TKA as well as the dynamic impact of Joint Awareness on QoL. Methods A total of 342 patients were followed up at 3 months (T1), 6 months (T2), and 12 months (T3) after TKA. Joint Awareness was evaluated using the Forgotten Joint Score-12 (FJS-12), and QoL was measured by SF-36. We used repeated measures analysis of variance to estimate the development of Joint Awareness and QoL and employed a cross-lagged model to examine the dynamic relationship between Joint Awareness and QoL. Results Both Joint Awareness and QoL improved with postoperative time (p < 0.001). Importantly, T1 Joint Awareness positively predicted T2 physical QoL (p < 0.001), and T2 Joint Awareness positively predicted T3 physical QoL (p < 0.001). Nevertheless, Joint Awareness had no predictive effect on mental QoL (p = 0.082–0.931). Conclusions In different periods after TKA, Joint Awareness and QoL both increased monotonically, and Joint Awareness positively predicted physical QoL. These findings indicate that focusing on Joint Awareness may be a priority when trying to improve the postoperative life of patients.

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Safety of Total Knee Arthroplasty in the Treatment of Knee Osteoarthritis and Its Effect on Postoperative Pain and Quality of Life of Patients

Cited by 10 publications

References 27 publications

Early Clinical and Radiographic Outcomes of Robot‐Assisted Versus Conventional Manual Total Knee Arthroplasty: A Randomized Controlled Study

Early Clinical and Radiographic Outcomes of Robot‐Assisted Versus Conventional Manual Total Knee Arthroplasty: A Randomized Controlled Study

Enhanced wound recovery after surgery care in patients with total knee arthroplasty: A meta‐analysis

The dynamic impact of Joint Awareness on Quality of Life after Total Knee Arthroplasty: a longitudinal study

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