No associations between self-reported knee joint instability and radiographic features in knee osteoarthritis patients prior to Total Knee Arthroplasty: A cross-sectional analysis of the Longitudinal Leiden Orthopaedics Outcomes of Osteo-Arthritis study (LOAS) data

Objectives: There is currently no clear consensus on the benefits of performing simultaneous bilateral total knee arthroplasty (SBTKA) for patients with bilateral knee osteoarthritis. The purpose of this study was to analyze whether SBTKA provides equivalent reduction in pain and functional outcome as comparable with unilateral surgeries (UTKA). Study Design: Cross sectional study. Setting: Ghurki Trust Teaching Hospital, Lahore, Pakistan. Period: January 2013 and July 2016. Material & Methods. 637 TKAs in 386 consecutive patients, who underwent total knee arthroplasty for bilateral knee osteoarthritis between Patients were split into 2 groups: those who underwent unilateral TKA (n=135) and those who underwent simultaneous bilateral TKA (n=251). Knee range of motion, Knee Society Scores (KSS) and knee function scores were obtained preoperatively and 2 or more years postoperatively. Results: Mean±SD flexion was 111.6°± 8.6° for patients in the bilateral group and 110.8°± 9.02° for patients in the unilateral group (p=0.34). Mean±SD KSS was 86.4 ± 9.3 in the bilateral group and 85.34 ± 10.5 in the unilateral group (p=0.236). Mean±SD function score was 83.4± 5.4 in the bilateral group and 80.90 ± 7.2 in the unilateral group (p<0.0001). Conclusion: In properly selected patients deemed fit for bilateral knee surgery, SBTKA provides significantly better functional outcomes compared to UTKA.

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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

Contrast Media & Molecular Imaging ◽

10.1155/2021/6951578 ◽

2021 ◽

Vol 2021 ◽

pp. 1-6

Author(s):

Yunfeng Zhang ◽

Hua Liu

Keyword(s):

Quality Of Life ◽

Total Knee Arthroplasty ◽

Postoperative Pain ◽

Knee Joint ◽

Knee Osteoarthritis ◽

Knee Arthroplasty ◽

Number Of Patients ◽

Total Knee ◽

Preoperative Score

Objective. To explore the safety of total knee arthroplasty (TKA) in the treatment of knee osteoarthritis (KOA) and its impact on patients’ postoperative pain and quality of life. Methods. A total of 60 KOA patients admitted to our hospital from January 2019 to January 2020 were selected as the research objects. The knee joint scores (HSS) before and after TKA were compared, and the patients’ quality of life was evaluated using the Osteoarthritis Index of Western Ontario and McMaster University (WOMAC). At the same time, the number of patients with complications was recorded, and the efficacy of TKA was comprehensively analyzed. Results. The postoperative HSS score was significantly higher than the preoperative score ( P < 0.05 ), the postoperative pain score increased with time, and the pain gradually decreased. The postoperative WOMAC score was significantly lower than the preoperative score ( P < 0.001 ), and the score at 6 months after surgery was significantly lower than that at 3 months after surgery ( P < 0.001 ). There were no complications such as severe prosthesis fracture, secondary sepsis, and patellar tendon rupture, and the total incidence of complications was 11.7%. The effective rate of treatment at 6 months after operation was 98.3%, which was significantly higher than that at 3 months after operation ( P < 0.05 ). Conclusion. Total knee arthroplasty can improve the knee joint function of patients with knee osteoarthritis, with low postoperative pain, low complication rate, and good quality of life for patients. It is worthy of promotion and application.

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Comparison of analgesic effect, knee joint function recovery, and safety profiles between pre-operative and post-operative administrations of meloxicam in knee osteoarthritis patients who underwent total knee arthroplasty

Irish Journal of Medical Science (1971 -) ◽

10.1007/s11845-019-02128-y ◽

2019 ◽

Vol 189 (2) ◽

pp. 535-542 ◽

Cited By ~ 1

Author(s):

Yang Shao ◽

Xiaoyan Zhao ◽

Yu Zhai ◽

Junfeng Yang ◽

Shanfu Wang ◽

...

Keyword(s):

Total Knee Arthroplasty ◽

Knee Joint ◽

Knee Osteoarthritis ◽

Knee Arthroplasty ◽

Analgesic Effect ◽

Joint Function ◽

Function Recovery ◽

Total Knee

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Comparative analysis of quadriceps and hamstrings strength in knee osteoarthritis before and after total knee arthroplasty: a cross-sectional study

Revista Brasileira de Ortopedia (English Edition) ◽

10.1016/j.rboe.2018.02.009 ◽

2018 ◽

Vol 53 (2) ◽

pp. 158-164 ◽

Cited By ~ 1

Author(s):

Naasson Trindade Cavanellas ◽

Victor Rodrigues Amaral Cossich ◽

Eduardo Becker Nicoliche ◽

Marilena Bezerra Martins ◽

Eduardo Branco de Sousa ◽

...

Keyword(s):

Total Knee Arthroplasty ◽

Comparative Analysis ◽

Knee Osteoarthritis ◽

Knee Arthroplasty ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Before And After ◽

Total Knee

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Incidence and risk factors related to fear of falling during the first mobilization after total knee arthroplasty among elderly patients with knee osteoarthritis: a cross‐sectional study

Journal of Clinical Nursing ◽

10.1111/jocn.15731 ◽

2021 ◽

Author(s):

Huaguo Zhang ◽

Wenteng Si ◽

Hongying Pi

Keyword(s):

Risk Factors ◽

Total Knee Arthroplasty ◽

Elderly Patients ◽

Knee Osteoarthritis ◽

Knee Arthroplasty ◽

Fear Of Falling ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Total Knee

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Recognition of Factors of Postoperative Complications of Knee Osteoarthritis Patients and Comprehensive Nursing Intervention

Computational and Mathematical Methods in Medicine ◽

10.1155/2021/1840613 ◽

2021 ◽

Vol 2021 ◽

pp. 1-10

Author(s):

Ying Dong ◽

Pei Zhang ◽

Lidan Fan

Keyword(s):

Quality Of Life ◽

Total Knee Arthroplasty ◽

Blood Loss ◽

Knee Joint ◽

Knee Osteoarthritis ◽

Knee Arthroplasty ◽

Nursing Intervention ◽

Joint Function ◽

Total Knee

Knee osteoarthritis (KOA) is a degenerative joint disease characterized by articular cartilage degeneration, cartilage exfoliation, osteophyte formation, and synovitis. It seriously affects the knee joint function and quality of life of patients. Total knee arthroplasty is now the most frequently used therapy for end-stage knee arthritis because it can successfully modify the line of lower extremities, restore knee joint function, alleviate pain, and enhance patients’ quality of life; nevertheless, it may cause significant trauma and bleeding. It can easily lead to infection and anemia. In this study, the control group chose total knee arthroplasty and the observation group chose total knee arthroplasty combined with PRP. The results showed that the knee joint function score, visual analog score, blood transfusion, total blood loss, total postoperative drainage, and complications in the observation group were superior to those in the control group. Total knee arthroplasty takes a long time and needs a lot of soft tissue incision, which leads to a lot of blood loss and can cause a variety of complications. Gel has been shown in studies to successfully decrease blood loss during and after total knee arthroplasty, enhance knee joint function recovery, and improve patient quality of life. In this paper, the complications and causes of knee osteoarthritis after total knee arthroplasty were studied. Combined with comprehensive nursing intervention for postoperative recovery, it helps to improve the formation of thrombin and calcium ion, which can effectively reduce blood loss, relieve pain, and promote the recovery of knee joint function. This study analyzed the application of total knee arthroplasty combined with gel in the treatment of knee osteoarthritis.

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