World-wide, total knee replacement (TKR) is a standard and definitive treatment option following failed adequate non-operative management of knee. After completing total knee replacement for the patients, it is necessary to assess the clinical and functional outcomes of the procedure. We have very few research-based information outcomes of total knee replacement. Aim of the study: The aim of to this study was to assess the clinical and functional outcomes of total knee replacement in patients with knee osteoarthritis. Methods: This prospective observational study was conducted in the Department of Orthopedics, Shaheed Ziaur Rahman Medical College, Bogura, Bangladesh during the period from March 2019 to December 2019. In total 37 patients with knee osteoarthritis attended and selected for total knee replacement in the mentioned hospital, maintained proper documentations were finalized as the study subjects. The outcomes of the patients were measured in terms of treatment excellent and good rate, incidence rate of complications, KSS, Hss, VAS and NRS scores. All data were processed, analyzed and disseminated by using MS Office and SPSS version 22 as per need. Results: In this study, the mean (±SD) Hss scores of pre and post TKR among the participants were 56.06±4.17 and 89.83±6.76 respectively. The mean (±SD) KSS scores of pre and post TKR among the participants were 54.17±5.27 and 85.79±8.32 respectively. The mean (±SD) VAS scores of pre and post TKR among the participants were 5.54±1.11 and 1.17±0.23 respectively. The mean (±SD) NRS scores of pre and post TKR among the participants were 5.44±1.05 and 1.25±0.33 respectively. In comparing all the scores between pre and post stages the P values were ‘<0.0001’. In analyzing the final outcomes among the participants, we observed that, 27.03%, 45.95%, 21.62% and 5.41% participants got ‘Excellent’, ‘Good’, ‘Acceptable’ and ‘Poor’ results respectively. Conclusion: Total knee replacement (TKR) significantly relieves pain of patients with knee osteoarthritis and ensures improves knee joint function with fewer complications. Considering the prompt healing, less complication and effectiveness of total knee replacement method physicians can take TKR as a prominent treatment option for the knee arthritis patients.
| Published in | Biomedical Sciences (Volume 8, Issue 1) |
| DOI | 10.11648/j.bs.20220801.18 |
| Page(s) | 49-52 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Outcomes, Total Knee Replacement, TKR, VAS, Osteoarthritis
| [1] | McGuigan FX, Hoyack W, Moriarty L, Eng K, Rothman RH. Predicting quality-of-life outcomes following total joint arthro- plasty: limitations of the SF-36 health status questionnaire. J Arthroplasty 1995; 10: 742–7. |
| [2] | Fortin PR, Clarke AE, Joseph L, et al. Outcomes of total hip and knee replacement: preoperative functional status predicts outcomes at six months after surgery. Arthritis Rheum. 1999; 42 (8): 1722-1728. Doi: 10.1002/1529-0131(199908)42:8<1722: AID-ANR22>3.0.CO;2-R. |
| [3] | Chang RW, Pelissier JM, Hazen GB. A cost-effectiveness analysis of total hip arthroplasty for osteoarthritis of the hip. JAMA 1996; 275: 858–65. |
| [4] | Escalante A, Beardmore TD. Predicting length of stay after hip or knee replacement for rheumatoid arthritis. J Rheumatol 1997; 24: 146–52. |
| [5] | Xianyu Zhang, Jian Jiang, Jian Li, Lichun Zhang, Jiajia Xu, Guobao Wu. 2019; Efficacy of total knee arthroplasty on patients with severe knee osteoarthritis. www.ijcem.com /ISSN: 1940-5901/IJCEM0093097. Int J Clin Exp Med 2019; 12 (7): 9217-9223. |
| [6] | Johnsen MB, Hellevik A, Baste V, Furnes O, Langhammer A, Flugsrud G. Physical activity and the risk of hip or knee replacement due to primary osteoarthritis. A population based co-hort study of 66.863 persons from the HUNT study. Osteoarthritis and Cartilage 2015; 23: A175-A6. |
| [7] | Burnett WD, Kontulainen SA, McLennan CE, Hazel D, Talmo C, Hunter DJ, Wilson DR, John- ston JD. Knee osteoarthritis patients with se- vere nocturnal pain have altered proximal tibial subchondral bone mineral density. Osteoar- thritis Cartilage 2015; 23: 1483-90. |
| [8] | Hafezi-Nejad N, Zikria B, Eng J, Carrino JA, De- mehri S. Predictive value of semi-quantitative MRI-based scoring systems for future knee re- placement: data from the osteoarthritis initia- tive. Skeletal Radiol 2015; 44: 1655-62. |
| [9] | Burnett W, Kontulainen S, McLennan C, Hazel D, Talmo C, Hunter D, Wilson D, Johnston J. Pa- tella bone density is lower in knee osteoarthri- tis patients experiencing moderate-to-severe pain at rest. J Musculoskelet Neuronal Interact 2016; 16: 33-9. |
| [10] | Rishi L, Bhandari M, Kumar R. Can bariatric surgery delay the need for knee replacement in morbidly obese osteoarthritis patients. J Minim Access Surg 2018; 14: 13-17. |
| [11] | Arnold JB, Walters JL, Ferrar KE. Does physical activity increase after total hip or knee arthro- plasty for osteoarthritis? A systematic review. J Orthop Sports Phys Ther 2016; 46: 431-42. |
| [12] | Khan HI, Aitken D, Chou L, McBride A, Ding C, Blizzard L, Pelletier JP, Pelletier JM, Cicuttini F, Jones G. A family history of knee joint replace- ment increases the progression of knee radio- graphic osteoarthritis and medial tibial carti- lage volume loss over 10 years. Osteoarthritis Cartilage 2015; 23: 203-9. |
| [13] | Hartrick CT, Kovan JP, Shapiro S. The numeric rating scale for clinical pain measurement: a ratio measure? Pain Pract. 2003; 3 (4): 310-316. doi: 10.1111/j.1530-7085.2003. 03034.x. |
| [14] | Health Record Department, N. O. H., Igbobi, Lagos, 2012, 2013, 2014 Patients’ Record. |
| [15] | Anyaehie, U. E., Eyichukwu, G. O. and Nwadinigwe, C. U. (2017) Total Knee Re- placement in a Resource Constrained Environment: A Preliminary Report. Nigerian Journal of Clinical Practice, 20, 369-375. https://doi.org/10.4103/1119-3077.196117. |
| [16] | Katchy, A. U., Ekwedigwe, H. C. and Ezeobi, I. (2018) Total Knee Replacement in Nigeria: An Assessment of Early Functional Outcome of 68 Consecutive Knees. Ni- gerian Journal of Clinical Practice, 21, 1202-1208. |
| [17] | Radhakrishna, A., Shivananda, S. and Girish, S. (2017) A Study of Clinical and Functional Outcome of Primary Total Knee Arthroplasty Using Posterior Cruciate Substitute Design. International Journal of Research in Orthopaedics, 3, 380-389. https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20171567. |
| [18] | Kuroda, Y., Matsumoto, T., Takayama, K., Ishida, K., Kuroda, R. and Kurosaka, M. (2016) Subjective Evaluation before and after Total Knee Arthroplasty Using the 2011 Knee Society Score. The Knee, 23, 964-967. https://doi.org/10.1016/j.knee.2016.06.008. |
APA Style
Mohammad Abdullah Al Muti, Naresh Kumar Roy, Syed Shamsul Arefin, Abdullah Al Mamun, Mohi Uddin Aslam. (2022). Outcomes of Total Knee Replacement: A Prospective Observational Study in Bangladesh. Biomedical Sciences, 8(1), 49-52. https://doi.org/10.11648/j.bs.20220801.18
ACS Style
Mohammad Abdullah Al Muti; Naresh Kumar Roy; Syed Shamsul Arefin; Abdullah Al Mamun; Mohi Uddin Aslam. Outcomes of Total Knee Replacement: A Prospective Observational Study in Bangladesh. Biomed. Sci. 2022, 8(1), 49-52. doi: 10.11648/j.bs.20220801.18
AMA Style
Mohammad Abdullah Al Muti, Naresh Kumar Roy, Syed Shamsul Arefin, Abdullah Al Mamun, Mohi Uddin Aslam. Outcomes of Total Knee Replacement: A Prospective Observational Study in Bangladesh. Biomed Sci. 2022;8(1):49-52. doi: 10.11648/j.bs.20220801.18
Share This Article
Twitter
Linked In
Facebook
Copy
Download@article{10.11648/j.bs.20220801.18,
author = {Mohammad Abdullah Al Muti and Naresh Kumar Roy and Syed Shamsul Arefin and Abdullah Al Mamun and Mohi Uddin Aslam},
title = {Outcomes of Total Knee Replacement: A Prospective Observational Study in Bangladesh},
journal = {Biomedical Sciences},
volume = {8},
number = {1},
pages = {49-52},
doi = {10.11648/j.bs.20220801.18},
url = {https://doi.org/10.11648/j.bs.20220801.18},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.bs.20220801.18},
abstract = {World-wide, total knee replacement (TKR) is a standard and definitive treatment option following failed adequate non-operative management of knee. After completing total knee replacement for the patients, it is necessary to assess the clinical and functional outcomes of the procedure. We have very few research-based information outcomes of total knee replacement. Aim of the study: The aim of to this study was to assess the clinical and functional outcomes of total knee replacement in patients with knee osteoarthritis. Methods: This prospective observational study was conducted in the Department of Orthopedics, Shaheed Ziaur Rahman Medical College, Bogura, Bangladesh during the period from March 2019 to December 2019. In total 37 patients with knee osteoarthritis attended and selected for total knee replacement in the mentioned hospital, maintained proper documentations were finalized as the study subjects. The outcomes of the patients were measured in terms of treatment excellent and good rate, incidence rate of complications, KSS, Hss, VAS and NRS scores. All data were processed, analyzed and disseminated by using MS Office and SPSS version 22 as per need. Results: In this study, the mean (±SD) Hss scores of pre and post TKR among the participants were 56.06±4.17 and 89.83±6.76 respectively. The mean (±SD) KSS scores of pre and post TKR among the participants were 54.17±5.27 and 85.79±8.32 respectively. The mean (±SD) VAS scores of pre and post TKR among the participants were 5.54±1.11 and 1.17±0.23 respectively. The mean (±SD) NRS scores of pre and post TKR among the participants were 5.44±1.05 and 1.25±0.33 respectively. In comparing all the scores between pre and post stages the P values were ‘<0.0001’. In analyzing the final outcomes among the participants, we observed that, 27.03%, 45.95%, 21.62% and 5.41% participants got ‘Excellent’, ‘Good’, ‘Acceptable’ and ‘Poor’ results respectively. Conclusion: Total knee replacement (TKR) significantly relieves pain of patients with knee osteoarthritis and ensures improves knee joint function with fewer complications. Considering the prompt healing, less complication and effectiveness of total knee replacement method physicians can take TKR as a prominent treatment option for the knee arthritis patients.},
year = {2022}
}
TY - JOUR T1 - Outcomes of Total Knee Replacement: A Prospective Observational Study in Bangladesh AU - Mohammad Abdullah Al Muti AU - Naresh Kumar Roy AU - Syed Shamsul Arefin AU - Abdullah Al Mamun AU - Mohi Uddin Aslam Y1 - 2022/03/15 PY - 2022 N1 - https://doi.org/10.11648/j.bs.20220801.18 DO - 10.11648/j.bs.20220801.18 T2 - Biomedical Sciences JF - Biomedical Sciences JO - Biomedical Sciences SP - 49 EP - 52 PB - Science Publishing Group SN - 2575-3932 UR - https://doi.org/10.11648/j.bs.20220801.18 AB - World-wide, total knee replacement (TKR) is a standard and definitive treatment option following failed adequate non-operative management of knee. After completing total knee replacement for the patients, it is necessary to assess the clinical and functional outcomes of the procedure. We have very few research-based information outcomes of total knee replacement. Aim of the study: The aim of to this study was to assess the clinical and functional outcomes of total knee replacement in patients with knee osteoarthritis. Methods: This prospective observational study was conducted in the Department of Orthopedics, Shaheed Ziaur Rahman Medical College, Bogura, Bangladesh during the period from March 2019 to December 2019. In total 37 patients with knee osteoarthritis attended and selected for total knee replacement in the mentioned hospital, maintained proper documentations were finalized as the study subjects. The outcomes of the patients were measured in terms of treatment excellent and good rate, incidence rate of complications, KSS, Hss, VAS and NRS scores. All data were processed, analyzed and disseminated by using MS Office and SPSS version 22 as per need. Results: In this study, the mean (±SD) Hss scores of pre and post TKR among the participants were 56.06±4.17 and 89.83±6.76 respectively. The mean (±SD) KSS scores of pre and post TKR among the participants were 54.17±5.27 and 85.79±8.32 respectively. The mean (±SD) VAS scores of pre and post TKR among the participants were 5.54±1.11 and 1.17±0.23 respectively. The mean (±SD) NRS scores of pre and post TKR among the participants were 5.44±1.05 and 1.25±0.33 respectively. In comparing all the scores between pre and post stages the P values were ‘<0.0001’. In analyzing the final outcomes among the participants, we observed that, 27.03%, 45.95%, 21.62% and 5.41% participants got ‘Excellent’, ‘Good’, ‘Acceptable’ and ‘Poor’ results respectively. Conclusion: Total knee replacement (TKR) significantly relieves pain of patients with knee osteoarthritis and ensures improves knee joint function with fewer complications. Considering the prompt healing, less complication and effectiveness of total knee replacement method physicians can take TKR as a prominent treatment option for the knee arthritis patients. VL - 8 IS - 1 ER -
Information
Email: