scholarly journals Reduction of Falls and Factors Affecting Falls a Year After Total Knee Arthroplasty in Elderly Patients with Severe Knee Osteoarthritis

2016 ◽  
Vol 10 (1) ◽  
pp. 522-531 ◽  
Author(s):  
T. Tsonga ◽  
M. Michalopoulou ◽  
S. Kapetanakis ◽  
E. Giovannopoulou ◽  
P. Malliou ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Elderly Patients ◽  
Knee Osteoarthritis ◽  
Knee Arthroplasty ◽  
Fall Risk ◽  
Prospective Longitudinal Study ◽  
Factors Affecting ◽  
Knee Oa ◽  
Total Knee ◽  
Prospective Longitudinal

Background:Total Knee Arthroplasty (TKA)1is a common surgical treatment for severe knee Osteoarthritis (OA)2, which generally improves pain, physical function, quality of life and possibly fall risk. Fall risk increases for older adults with severe knee OA; however it has not been studied extensively whether this parameter is improved after TKA.Objective:To investigate: a) the history and frequency of falls, including mechanism or causes of falls, injuries sustained from falls reported, activity during falling and location of falls and, b) the factors affecting falls, a year after TKA in elderly patients with severe knee OA.Patients and Method:An observational prospective longitudinal study of 68 patients (11 males and 57 females) was conducted. The frequency of falls was recorded every month after knee replacement for a year period. A year after the TKA patients completed self-administered questionnaires (SF-36, Womac, FOF, ABC, PASE) and were assessed in physical performance tests (TUG and BBS).Results:There was significant improvement in falls frequency (p<0.001), differentiation of falling status to the benefit of non fallers (p<0.001) and risk of serious injuries (p<0.001). The factors that affected falling status was history of falls (p<0.0005), fear of falls (p<0.017) and advanced age, marginally (p<0.097).Conclusion:TKA generally improved a lot of aspects in patients’ life. One of these was the reduction of fall risk, which always co-exists in this population and can cause devastating problems threatening the benefits of the procedure.

A Prospective, Longitudinal Study of Outcomes Following Total Knee Arthroplasty Stratified by Gender

2015 ◽  
Vol 30 (8) ◽  
pp. 1372-1377 ◽  
Author(s):  
Jeffrey J. Cherian ◽  
Mary I. O’Connor ◽  
Kristen Robinson ◽  
Julio J. Jauregui ◽  
Jason Adleberg ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Longitudinal Study ◽  
Knee Arthroplasty ◽  
Prospective Longitudinal Study ◽  
Total Knee ◽  
Prospective Longitudinal

Efficacy of Total Knee Arthroplasty in Elderly Patients With Locomotive Syndrome: a Prospective Longitudinal Study

2021 ◽  
Author(s):  
Toru Ogata ◽  
Keiko Yamada ◽  
Hiromasa Miura ◽  
Kazunori Hino ◽  
Tatsuhiko Kutsuna ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Osteoarthritis ◽  
Knee Arthroplasty ◽  
The Elderly ◽  
Step Test ◽  
Locomotive Syndrome ◽  
Total Knee ◽  
Prospective Longitudinal ◽  
The Impact ◽  
Three Components

Abstract Background: To preserve the ability to perform physical activities among the elderly, the concept of locomotive syndrome and its evaluation method, the locomotive syndrome risk test, have been applied in an integrated manner to capture the decline in mobility resulting from musculoskeletal disorders. During treatment, physicians can use the locomotive syndrome risk test to evaluate the impact of each therapy such as total knee arthroplasty for knee osteoarthritis, a common disorder found in locomotive syndrome. The purpose of this study was to evaluate the impact of total knee arthroplasty in the elderly with respect to locomotive syndrome.Methods: A total of 111 patients were registered at six hospitals prior to total knee arthroplasty and postoperatively followed up for 1 year. Three components of the locomotive syndrome risk test (the two-step test, stand-up test, and geriatric locomotive function scale-25) were assessed together with the EuroQol-5 Dimension scores pre- and postoperatively.Results: Post surgery, all three components of the locomotive syndrome　risk test as well as the EuroQol-5 Dimension utility score showed significant improvements from the baseline (two-step test, 1.01±0.25 to 1.12±0.21; stand-up test, 2.02±1.14 to 2.38±1.20; geriatric locomotive function scale-25, 38.3±15.8 to 18.7±16.6, mean ± standard deviation). The ratio of stage 3 locomotive syndrome patients (progressed stage of decrease in mobility, restricting social engagement) reduced from 82.3% to 33.9% postoperatively. There was no significant difference in the degree of change in the three test scores between the younger (60-74 years) and older (≥75 years) age groups. Conclusions: We found that total knee arthroplasty has a major impact in preventing the progression of locomotive syndrome in patients with knee osteoarthritis. The locomotive syndrome risk test is a feasible tool for longitudinal evaluation of patients with musculoskeletal diseases of varying severity and with multiple symptoms.Trial registration: This study was registered as UMIN000023595 (10/08/2016)

scholarly journals Early Postoperative Measures Predict 1- and 2-Year Outcomes After Unilateral Total Knee Arthroplasty: Importance of Contralateral Limb Strength

2010 ◽  
Vol 90 (1) ◽  
pp. 43-54 ◽  
Author(s):  
Joseph A. Zeni ◽  
Lynn Snyder-Mackler
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Repeated Measures ◽  
Quadriceps Muscle ◽  
Stair Climbing ◽  
Prospective Longitudinal Study ◽  
Age Related ◽  
Functional Scores ◽  
Total Knee ◽  
Prospective Longitudinal

Background Total knee arthroplasty (TKA) has been shown to be an effective surgical intervention for people with end-stage knee osteoarthritis. However, recovery of function is variable, and not all people have successful outcomes. Objective The aim of this study was to discern which early postoperative functional measures could predict functional ability at 1 year and 2 years after surgery. Design and Methods One hundred fifty-five people who underwent unilateral TKA participated in the prospective longitudinal study. Functional evaluations were performed at the initial outpatient physical therapy appointment and at 1 and 2 years after surgery. Evaluations consisted of measurements of height, weight, quadriceps muscle strength (force-generating capacity), and knee range of motion; the Timed “Up & Go” Test (TUG); the stair-climbing task (SCT); and the Knee Outcome Survey (KOS) questionnaire. The ability to predict 1- and 2-year outcomes on the basis of early postoperative measures was analyzed with a hierarchical regression. Differences in functional scores were evaluated with a repeated-measures analysis of variance. Results The TUG, SCT, and KOS scores at 1 and 2 years showed significant improvements over the scores at the initial evaluation (P&lt;.001). A weaker quadriceps muscle in the limb that did not undergo surgery (“nonoperated limb”) was related to poorer 1- and 2-year outcomes even after the influence of the other early postoperative measures was accounted for in the regression. Older participants with higher body masses also had poorer outcomes at 1 and 2 years. Postoperative measures were better predictors of TUG and SCT times than of KOS scores. Conclusions Rehabilitation regimens after TKA should include exercises to improve the strength of the nonoperated limb as well as to treat the deficits imposed by the surgery. Emphasis on treating age-related impairments and reducing body mass also might improve long-term outcomes.

scholarly journals Perioperative management of elderly patients with osteoarthritis requiring total knee arthroplasty

2021 ◽  
pp. 175045892093694
Author(s):  
Jiang An Lim ◽  
Azeem Thahir
Keyword(s):  
Total Knee Arthroplasty ◽  
Elderly Patients ◽  
Knee Osteoarthritis ◽  
Knee Arthroplasty ◽  
Conservative Management ◽  
Perioperative Management ◽  
Functional Limitation ◽  
Cartilage Degeneration ◽  
The Elderly ◽  
Total Knee

Knee osteoarthritis is a common arthritic disease which mainly affects the elderly (≥65 years old) population. As a result of the cartilage degeneration, it can cause a significant amount of pain and functional limitation. In patients who are refractory to conservative management, total knee arthroplasty is being utilised as the last resort in management. In this review, we discuss the perioperative management of elderly patients with osteoarthritis requiring total knee arthroplasty.

scholarly journals Cross-cultural adaptation and validation of the Korean version of the Central Sensitization Inventory in patients undergoing total knee arthroplasty for knee osteoarthritis

PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0242912
Author(s):  
Man Soo Kim ◽  
In Jun Koh ◽  
Chul Kyu Kim ◽  
Keun Young Choi ◽  
Chang Yeon Kim ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Osteoarthritis ◽  
Knee Arthroplasty ◽  
Central Sensitization ◽  
Womac Pain ◽  
Knee Oa ◽  
Womac Function ◽  
Korean Version ◽  
Total Knee ◽  
Central Sensitization Inventory

The purpose of this study was to establish a Korean version of the Central Sensitization Inventory (CSI-K) for Korean-speaking patients facing total knee arthroplasty (TKA) for knee osteoarthritis (OA) and to investigate the psychometric characteristics of the CSI-K. We recruited a total of 269 patients with knee OA who were scheduled to undergo TKA for the study. CSI-K and pain-related outcomes, including the pain visual analog scale (VAS) and the Western Ontario and McMaster Universities OA Index (WOMAC) pain sub-scores, were measured. Since central sensitization (CS) is closely related to the quality of life (QOL) and limited functionality as well as pain, the patient’s function was measured using the WOMAC function sub-scores, and QOL was measured using the EuroQol five-dimension test (EQ-5D). Reliability and validity were evaluated. Exploratory factor analysis (EFA) was conducted to begin the data reduction to validate the existing questionnaire translation. The internal consistency was excellent, with a Cronbach's alpha of 0.941. The test-retest reliability was acceptable-to-excellent with an ICC of 0.888. As expected, the CSI scores correlated strongly with the WOMAC pain scores (r = 0.524, p < 0.001) and moderately with the pain VAS (r = 0.496, p < 0.001), the WOMAC function (r = 0.408, p < 0.001), and the EQ-5D scores (r = 0.437, p < 0.001). EFA resulted in a six-factor model. The findings demonstrate that the CSI was successfully trans-culturally adapted into a simplified Korean version (CSI-K) that was reliable and valid for Korean-speaking patients who awaiting TKA for knee OA.

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