Retro-Prospective, Observational Study to Assess the Functional Ability in PatientsWho Underwent Total Knee Arthroplasty for Osteoarthritis


Authors : Dr. Mohammed Atif; Dr. Varun Maurya.R; Dr. S.Udhayaprakash

Volume/Issue : Volume 8 - 2023, Issue 12 - December

Google Scholar : http://tinyurl.com/52xcmdbs

Scribd : http://tinyurl.com/3h7xaum8

DOI : https://doi.org/10.5281/zenodo.10362387

Abstract : Background Osteoarthritis is the most common joint disease in India, affecting 22 Pecentage to 39 Pecentage of the population. Compared to men, women are more prone to have OA, and as they age, this prevalence increases dramatically. In terms of nonfatal burden, OA was ranked as the tenth most common cause. Osteoarthritis is believed to be brought on by mechanical stress on the joint and low-grade inflammatory processes. Given the prevalence of knee arthritis, total knee arthroplasty TKA is one of the most common orthopaedic surgeries carried out globally. We evaluated the patients' functional recovery and result following total knee arthroplasty, taking into account their range of motion, independence in climbing stairs, and ability to kneel. Methods Evaluation of post TKA patients functional abilities using the Insall Knee Score, Oxford Knee Score, range of motion, and independent stair climbing ability in patients with osteoarthritis who had TKA. 46 patients, ages 45 to 80 years, of both sexes, were brought to the Annapoorana Medical College Hospital in Salem with advanced osteoarthritis in their knee joints; these individuals had total knee arthroplasty as treatment. This observational study is retro-prospective and was conducted from May 2021 to October 2023, with a follow-up period of two years. Results After a total knee replacement for osteoarthritis, the patient's functional status significantly improves, with the capacity to carry out everyday tasks being the ultimate objective. This dissertation validates it once more. We find that during the one-year post operative follow up period, there was a significant improvement in the functional outcome indicated by the Insall knee score, range of motion, and capacity to climb stairs independently. Nevertheless, the patient's ability to kneel was not observed to have improved. Despite their simplicity, knee movements are involved in a wide range of complex circumstances, each of which needs its own independent study. This could contribute to improved knee arthroplasty patient prognosis.

Keywords : Osteoarthritis, Total Knee Arthroplasty(TKA), Insall Knee Score, Kneeling.

Background Osteoarthritis is the most common joint disease in India, affecting 22 Pecentage to 39 Pecentage of the population. Compared to men, women are more prone to have OA, and as they age, this prevalence increases dramatically. In terms of nonfatal burden, OA was ranked as the tenth most common cause. Osteoarthritis is believed to be brought on by mechanical stress on the joint and low-grade inflammatory processes. Given the prevalence of knee arthritis, total knee arthroplasty TKA is one of the most common orthopaedic surgeries carried out globally. We evaluated the patients' functional recovery and result following total knee arthroplasty, taking into account their range of motion, independence in climbing stairs, and ability to kneel. Methods Evaluation of post TKA patients functional abilities using the Insall Knee Score, Oxford Knee Score, range of motion, and independent stair climbing ability in patients with osteoarthritis who had TKA. 46 patients, ages 45 to 80 years, of both sexes, were brought to the Annapoorana Medical College Hospital in Salem with advanced osteoarthritis in their knee joints; these individuals had total knee arthroplasty as treatment. This observational study is retro-prospective and was conducted from May 2021 to October 2023, with a follow-up period of two years. Results After a total knee replacement for osteoarthritis, the patient's functional status significantly improves, with the capacity to carry out everyday tasks being the ultimate objective. This dissertation validates it once more. We find that during the one-year post operative follow up period, there was a significant improvement in the functional outcome indicated by the Insall knee score, range of motion, and capacity to climb stairs independently. Nevertheless, the patient's ability to kneel was not observed to have improved. Despite their simplicity, knee movements are involved in a wide range of complex circumstances, each of which needs its own independent study. This could contribute to improved knee arthroplasty patient prognosis.

Keywords : Osteoarthritis, Total Knee Arthroplasty(TKA), Insall Knee Score, Kneeling.

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