A PROSPECTIVE STUDY ON TOTAL KNEE ARTHROPLASTY OUTCOMES IN NORTH OF IRAN
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 47
Abstract
BACKGROUND Total knee arthroplasty is one of the suitable procedures to treat the patients with severe knee arthritis. The aim of this study was to evaluate the outcomes of total knee arthroplasty in Babol, northern Iran, for the first time. MATERIALS AND METHODS In this prospective observational study, all patients who underwent total knee arthroplasty in Rohani and Shahid Beheshti Teaching Hospitals during 2015-2017 were enrolled. Subjects with previous knee replacement, contraindication for major surgeries and failure in follow-up were excluded. To assess the surgery outcomes, we used the Knee Society Score which was categorised by functional score and knee score. Patients were followed up for eighteen months after the operation. The pre- and post-operative scores were compared by SPSS using paired t-test analysis. RESULTS Of 70 patients, 15 (21.4%) were male and others were female. The most common cause of total knee arthroplasty was osteoarthritis (n= 53, 75.7%). Over the six-month follow-up, the patients’ functional score significantly increased from 32.4±30.95 to 66.9±61.31 (p < 0.001). The knee score also had a significant increase from 29.4±74.12 to 83.6±43.02 (p < 0.001). The functional score significantly improved at eighteen months of surgery compared with that measured at six months of surgery (p= 0.044). Thirty-one patients (44.3%) had excellent status based on knee scoring system, 27 patients (38.6%) had good status, 10 patients (14.3%) had fair status and 2 patients (2.8%) had weak status at the final follow-up. CONCLUSION The present study showed that total knee arthroplasty could acceptably improve knee function in patients with knee arthropathy who underwent the surgery, and this can be correlated with their satisfaction.
Authors and Affiliations
Abdolmajid Gharajeh, Nasser Janmohammadi, Seyed Mokhtar Esmaeilnejad-Ganji
Keywords
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- EP ID EP548137
- DOI 10.14260/jemds/2018/1130
- Views 169
- Downloads 0
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