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Outcome of Total Knee Replacement in Terms of Knee Society and Functional Score
Keywords:
Total knee Replacement, Osteoarthritis, Rheumatoid arthritis, Knee society score, Pakistan national joint registry.Abstract
Objective: To evaluate the knee society and functional score in pre-and post-operative patients of Total Knee Replacement.
Method: A cross sectional, observational study comprising of 40 patients evaluated at 1 year follow up done by single surgeon in same setup from July 2015 to June 2016. Data taken from Pakistan national joint registry (PNJR). Knee society score evaluated pre-operative and post-operative at 1 year follow up.
Result: In our study total of 40 patients were analyzed which comprises of 30% (n= 12) male and 70% (n= 28) female patient with age range of 40 to 70 years with mean age of 55.45 9.25 years. Out of 40, 90 % patients (n=36) had osteoarthritis and 10 % (n= 4) had rheumatoid arthritis. The average pre-operative knee society score is 51.07±13.3 and functional pre-operative score is 42.87 16.4 while post op knee society score is 91.75 3.44 and functional score post op is 87.32 6.33.
Conclusion: Total Knee Replacement is the best modality for arthritis of knee as the scores in terms of knee society and functional score has improved.
References
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8. Kurtz SM, Lau E, Ong K, Zhao K, Kelly M, Bozic KJ. Future young patient demand for primary and revision joint replacement: national projections from 2010 to 2030. Clin Orthop Relat Res.2009 Oct;467:2606–2612.
9. Insall JN, Dorr LD, Scott RD, Scott WN. Rationale of the Knee Society Clinical Rating System. Clin Orthop Relat Res. 1989 Nov;248:13–14.
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11. Aynardi M, Post Z, Ong A, Orozco F, Sukin DC. Out-patient surgery as a means of cost reduction in total hip arthro-plasty: a case-control study. HSS J 2014 Oct;10(3):252–255.
12. Dervin GF, Madden SM, Crawford-Newton BA, Lane AT, Evans HC. Outpatient unicompartment knee arthroplasty with indwelling femoral nerve catheter. J Arthroplasty. 2012 Jun;27(6):1159–1165.
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14. Dennis DA, Komistek RD, Stiehl JB. Range of motion after total knee arthroplasty: the effect of implant design and weight-bearing conditions. J Arthroplasty.1998 Oct;13:748.
15. Mancuso CA, Graziano S, Briskie LM, Peterson MG, Pellicci PM, Salvati EA. Et al. Randomized trials to modify patients’ preoperative expectations of hip and knee arthroplasties. Clin Orthop Relat Res. 2008 Feb;466:424–431.
16. Mancuso CA, Sculco TP, Wickiewicz TL, Jones EC, Robbins L, Warren RF. Et al. Patients’ expectations of knee surgery. J Bone Joint Surg. Am. 2001 Jul;83:1005–1012.
17. Ma¨ntyselka¨ P, Kumpusalo E, Ahonen R, Takala J. Patients’ versus general practitioners’ assessments of pain intensity in primary care patients with non-cancer pain. Br J Gen Pract. 2001 Dec;51:995–997.
18. Gill GS, Chan KC, Mills DM. 05 to 18 years follow up study of cemented total knee arthroplasty for patients 55 years old or younger. J Arthroplasty.1995 Jan;10:598-602.
19. Farahini H, Moghtadaei M, Bagheri A, Akbarian E. Factors Influencing Range of Motion after Total Knee Arthroplasty. Iran Red Crescent Med J. 2012 Jul;14(7):417-21.
20. Yaratapalli SR, Jambu N, Chittaranjan BS. Functional and radiological outcome of total knee replacement in varus deformity of the knee. Int J CurrMicrobiol App Sci. 2015;4(4):934-8.
21. Kadam RV, Yadav S, Chhallani A, Sharma C. Prospective study of clinical and functional outcome of total knee replacement in osteoarthritic knee. Int J Res Orthop 2016 Dec;2:240-4.
2. Callahan CM, Drake BG, Heck DA, Dittus RS. Patient outcomes following tri compartmental total knee replacement. A meta-analysis. JAMA 1994 May;271:1349–57.
3. Wright JG, Rudicel S, Feinstein AR. Ask patients what they want. Evaluation of individual complaints before total hip replacement. J Bone Joint Surg. Br 1994 Mar;76:229–34.
4. Lieberman JR, Dorey F, Shekelle P, Schumacher L, Thomas BJ, Kilgus DJ. et al. Differences between patients’ and physicians’ evaluations of outcome after total hiparthroplasty. J Bone Joint Surg Am 1996 Jun;78:835–38.
5. Bach CM, Nogler M, Steingruber IE, Ogon M, Wimmer C, Go¨belG. Et al. Scoring systems in total knee arthroplasty. Clin Orthop Relat Res. 2002 Jun;399:184–196.
6. Davies AP. Rating systems for total knee replacement. Knee.2002 Dec;9:261–266.
7. Kreibich DN, Vaz M, Bourne RB, Rorabeck CH, Kim P, HardieR. Et al. What is the best way of assessing outcome after total knee replacement? Clin Orthop Relat Res.1996 Oct;331:221–225.
8. Kurtz SM, Lau E, Ong K, Zhao K, Kelly M, Bozic KJ. Future young patient demand for primary and revision joint replacement: national projections from 2010 to 2030. Clin Orthop Relat Res.2009 Oct;467:2606–2612.
9. Insall JN, Dorr LD, Scott RD, Scott WN. Rationale of the Knee Society Clinical Rating System. Clin Orthop Relat Res. 1989 Nov;248:13–14.
10. Kort NP, Bemelmans YFL, Schotanus MGM Outpatient surgery for unicompartmental knee arthroplasty is effective and safe. Knee Surg Sports Traumatol Arthrosc. 2017 Sep;25(9):2659-2667. doi:10.1007/s00167-015-3680-y.
11. Aynardi M, Post Z, Ong A, Orozco F, Sukin DC. Out-patient surgery as a means of cost reduction in total hip arthro-plasty: a case-control study. HSS J 2014 Oct;10(3):252–255.
12. Dervin GF, Madden SM, Crawford-Newton BA, Lane AT, Evans HC. Outpatient unicompartment knee arthroplasty with indwelling femoral nerve catheter. J Arthroplasty. 2012 Jun;27(6):1159–1165.
13. Den Hartog YM, Mathijssen NM, Vehmeijer SB. Total hip arthroplasty in an outpatient setting in 27 selected patients. Acta Orthop. 2015;86(6):667–670.
14. Dennis DA, Komistek RD, Stiehl JB. Range of motion after total knee arthroplasty: the effect of implant design and weight-bearing conditions. J Arthroplasty.1998 Oct;13:748.
15. Mancuso CA, Graziano S, Briskie LM, Peterson MG, Pellicci PM, Salvati EA. Et al. Randomized trials to modify patients’ preoperative expectations of hip and knee arthroplasties. Clin Orthop Relat Res. 2008 Feb;466:424–431.
16. Mancuso CA, Sculco TP, Wickiewicz TL, Jones EC, Robbins L, Warren RF. Et al. Patients’ expectations of knee surgery. J Bone Joint Surg. Am. 2001 Jul;83:1005–1012.
17. Ma¨ntyselka¨ P, Kumpusalo E, Ahonen R, Takala J. Patients’ versus general practitioners’ assessments of pain intensity in primary care patients with non-cancer pain. Br J Gen Pract. 2001 Dec;51:995–997.
18. Gill GS, Chan KC, Mills DM. 05 to 18 years follow up study of cemented total knee arthroplasty for patients 55 years old or younger. J Arthroplasty.1995 Jan;10:598-602.
19. Farahini H, Moghtadaei M, Bagheri A, Akbarian E. Factors Influencing Range of Motion after Total Knee Arthroplasty. Iran Red Crescent Med J. 2012 Jul;14(7):417-21.
20. Yaratapalli SR, Jambu N, Chittaranjan BS. Functional and radiological outcome of total knee replacement in varus deformity of the knee. Int J CurrMicrobiol App Sci. 2015;4(4):934-8.
21. Kadam RV, Yadav S, Chhallani A, Sharma C. Prospective study of clinical and functional outcome of total knee replacement in osteoarthritic knee. Int J Res Orthop 2016 Dec;2:240-4.
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Published
2018-08-15
How to Cite
Ahmad, S., Ahmad, I., Kamran, A., Shah, H. A., & Khan, M. A. (2018). Outcome of Total Knee Replacement in Terms of Knee Society and Functional Score. Journal of Pakistan Orthopaedic Association, 30(02), 44–48. Retrieved from https://jpoa.org.pk/index.php/upload/article/view/204
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