scholarly journals The Levels of Depression, Anxiety and Stress on Pre and Post Knee Arthroplasty Patients

2017 ◽  
Vol 16 (1) ◽  
Author(s):  
Ardilla Hanim Abdul Razak ◽  
Ahmad Hafiz Zulkifly ◽  
Ramli Musa ◽  
Mohd Shukrimi Awang ◽  
Kian Liang Goh
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Psychological Impact ◽  
Well Being ◽  
Degenerative Joint Disease ◽  
Joint Disease ◽  
Major Advance ◽  
Mouth Dryness ◽  
Primary Indication ◽  
Total Knee

Introduction: Total knee arthroplasty represents a major advance in the treatment of degenerative joint disease. It provides excellent restoration of joint function and pain relief. The primary indication for total knee arthroplasty is to relieve pain caused by severe arthritis, with or without significant deformity. This study is to assess psychological impact pre and post arthroplasty. Materials and method: A prospective study on a cohort of patients from June 2010 untill December 2011 admitted to Hospital Tengku Ampuan Afzan for total knee replacement. Cognition tested using DASS21 (Depression Anxiety Stress Scales 21). Questionnaires were distributed 2 days before the operation and 6 months after the operation during clinic follow up. Verbal consent acquired from the patients before giving the questionnaires. Sets of questions are self-administered. Results: As for DASS 21 analysis, pre and post-operative depression was 19.91±4.92 and 6.42±3.64 respectively. Moderate depression became normal post-operative. Questions regarding positive feeling, courage to do things, hope, self- appreciation and the meaning of life were asked pre and post operatively. Pre-operative anxiety was 19.49±4.92 and post-operative anxieties at 6 months were 6.42±3.64. Severe anxiety became normal after 6 months. Patients were asked about mouth dryness, difficulty in breathing on resting, tremor, panicking and unnecessary anxiety pre and post operatively. Post-operative stress improved tremendously from 22.47±4.27 down to 8.56±3.42. Conclusion: As a conclusion, total knee arthroplasty is well accepted in Malaysia. It improves patients’ social and emotional well-being. With the current advancement in total knee arthroplasty, surgeons not only looking into the post-operative physical function, they also look after the cognitive function as the outcome measure of total knee arthroplasty.

scholarly journals Periprosthetic fractures of the knee: a comprehensive review

2019 ◽  
Vol 30 (3) ◽  
pp. 387-399 ◽  
Author(s):  
Vadim Benkovich ◽  
Yuri Klassov ◽  
Boris Mazilis ◽  
Shlomo Bloom
Keyword(s):  
Knee Arthroplasty ◽  
Rare Complication ◽  
Treatment Options ◽  
Degenerative Joint Disease ◽  
Joint Arthroplasty ◽  
Joint Disease ◽  
Periprosthetic Fractures ◽  
Complex Injury ◽  
Life Threatening ◽  
Total Knee

AbstractDemographic changes have resulted in an increase in the number of older patients diagnosed with degenerative joint disease. Developments in the field of joint arthroplasty allow a broader population to improve their lifestyles. An increased demand for knee arthroplasty has led to a rise in operations performed worldwide. Although there has been a constant propagation of technology and an increase in medical staffing at a professional level, many patients still encounter complications. Though rare, these factors may lead to life-threatening scenarios and a devastating effect on the success of the operation. One such rare complication includes periprosthetic fractures around the knee, a complex injury which requires a cautious and experienced approach. In this review, we analyze the prevalence, risk factors and classification, investigation and treatment options for periprosthetic fractures with total knee arthroplasty.

Effect of articular disease and total knee arthroplasty on knee joint-position sense

1983 ◽  
Vol 50 (3) ◽  
pp. 684-687 ◽  
Author(s):  
R. L. Barrack ◽  
H. B. Skinner ◽  
S. D. Cook ◽  
R. J. Haddad
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Total Joint Replacement ◽  
Position Sense ◽  
Joint Position Sense ◽  
Joint Disease ◽  
Control Group ◽  
Young Control ◽  
Significant Difference ◽  
Total Knee

Joint proprioception in the human knee has been studied using two previously described tests. Threshold of detection of slow, constant, passive motion and ability to reproduce angles to which the knee was passively placed were accurately measured. A group of postoperative total knee arthroplasty (TKA) patients were examined. All patients also had documented articular disease in the unoperated knee. Results were compared to age-matched controls. In addition, a young control group was studied for comparison to both groups. A significant difference was seen between the young control group and the older control group in both tests performed. Age-matched controls and the postoperative patients demonstrated an even greater difference. There was, however, no difference between the operated and unoperated knee among the TKA patients. It is concluded that joint proprioception declines to some degree with normal aging. A more marked decline is associated with degenerative joint disease. Total joint replacement, however, did not lead to a further decrease in sensation.

scholarly journals Expectativas del paciente ante la artroplastia total de rodilla

2020 ◽  
pp. 1-7
Author(s):  
EMILIO FERRANDO-MESEGUER ◽  
MARIFE MINGUEZ-REY ◽  
DAMIAN MIFSUT-MIEDES ◽  
ANTONIO SILVESTRE-MUÑOZ ◽  
FRANCISCO GOMAR-SANCHO
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Social Life ◽  
Well Being ◽  
Care Process ◽  
Main Indication ◽  
Total Knee ◽  
Postoperative Improvement ◽  
Subsequent Improvement ◽  
Process Material

Introduction: Total knee arthroplasty is one of the most performed orthopedic surgeries and its incidence is increasing, being the main indication in pathologies such as osteoarthritis and rheumatoid arthritis when these do not respond to conservative treatment. In addition, in recent years the opinion and satisfaction of patients regarding the intervention has become particularly important, being an essential part of the care process. Material and methods: A study has been carried out in the present work with 30 patients undergoing surgery for total knee arthroplasty. They responded to two surveys, one on the importance they attached to different aspects related to pain, mobility and social life before the operation, and another on the degree of improvement they had experienced after the intervention. Subsequently, an analysis of the frequency of response has been prepared, as well as a study on the existence of significant differences between preoperative importance and postoperative improvement. Results: It has been observed that, for patients, the most important aspects before the intervention are "to have no pain", "to improve their general well-being" and "to improve mobility". Also, the aspects that improve most after the intervention are those related to pain, as well as having more mobility in the knee. No statistically significant differences have been found between theimportance of each expectation and the subsequent improvement.

scholarly journals Feasibility of Ski Mountaineering for Patients Following a Total Knee Arthroplasty: A Descriptive Field Study

2019 ◽  
Vol 16 (9) ◽  
pp. 1582
Author(s):  
Simon Haslinger ◽  
Daniela Huber ◽  
David Morawetz ◽  
Cornelia Blank ◽  
Johanna Prossegger ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Total Joint Replacement ◽  
Statistical Significance ◽  
Stability Index ◽  
Well Being ◽  
Return To Sports ◽  
Long Term Effects ◽  
Longitudinal Models ◽  
Total Knee

Background: Total knee arthroplasty (TKA) is socially relevant due to its high prevalence, high incidence and the affected population. A subpopulation of TKA patients exists that strives to be active and also return to sports after total joint replacement. In this context, a further group of TKA patients is interested in high-impact physical activities and want to proceed with such activities even after surgery. Focusing on winter sports, there is still a lack of evidence on whether ski mountaineering is feasible for this subgroup of patients. Therefore, this feasibility study examines the effects of moderate ski mountaineering on strength, balance, functional abilities and mental health in persons following a TKA. Methods: Eight patients (six males, two females; median age, 63 ± Interquartile range 9 years) with TKA were included in this study. The volunteers, who were pre-selected for a 7-day holiday in Sankt Johann (Tyrol, Austria), participated in five guided ski mountaineering tours. Statistical analyses of non-parametric longitudinal data were performed using analysis of variance. For gait parameters and the Feeling Scale, one-factor longitudinal models were used. Statistical significance was set at the level of p < 0.05. Results: A significant decrease in the S3-Check MFT stability index (p = 0.04), a significant increase in general well-being (p = 0.05), and a trend towards a decrease in general stress (p = 0.1) were detected, while all other parameters were unaffected. Conclusion: A 7-day recreational ski mountaineering holiday had no negative effects on ski-experienced patients with TKA and seemed to increase well-being. Further studies should focus on larger groups and use controlled designs. Additionally, long-term effects should be evaluated.

Total Knee Arthroplasty for Neuropathic Joint Disease After Severe Bone Destruction Eroded the Tibial Tuberosity

Orthopedics ◽  
2012 ◽  
Vol 35 (7) ◽  
pp. e1108-e1111 ◽  
Author(s):  
Kazuya Sugitani ◽  
Yuji Arai ◽  
Hisatake Takamiya ◽  
Ginjiro Minami ◽  
Tetsuo Higuchi ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Bone Destruction ◽  
Tibial Tuberosity ◽  
Joint Disease ◽  
Total Knee

Flares in Patients with Rheumatoid Arthritis after Total Hip and Total Knee Arthroplasty: Rates, Characteristics, and Risk Factors

2018 ◽  
Vol 45 (5) ◽  
pp. 604-611 ◽  
Author(s):  
Susan M. Goodman ◽  
Vivian P. Bykerk ◽  
Edward DiCarlo ◽  
Ryan W. Cummings ◽  
Laura T. Donlin ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Risk Factors ◽  
Total Knee Arthroplasty ◽  
Disease Activity ◽  
Knee Arthroplasty ◽  
Standard Of Care ◽  
Joint Disease ◽  
Total Hip ◽  
American College Of Rheumatology ◽  
Total Knee

Objective.Rates of total knee arthroplasty (TKA) and total hip arthroplasty (THA) remain high for patients with rheumatoid arthritis (RA), who are at risk of flaring after surgery. We aimed to describe rates, characteristics, and risk factors of RA flare within 6 weeks of THA and TKA.Methods.Patients with RA were recruited prior to elective THA and TKA surgery and prospectively followed. Clinicians evaluated RA clinical characteristics 0–2 weeks before and 6 weeks after surgery. Patients answered questions regarding disease activity including self-reported joint counts and flare status weekly for 6 weeks. Per standard of care, biologics were stopped before surgery, while glucocorticoids and methotrexate (MTX) were typically continued. Multivariable logistic regression was used to identify baseline characteristics associated with postsurgical RA flares.Results.Of 120 patients, the mean age was 62 years and the median RA duration 14.8 years. Ninety-eight (82%) met 2010/1987 American College of Rheumatology/European League Against Rheumatism criteria, 53 (44%) underwent THA (and the rest TKA), and 61 (51%) were taking biologics. By 6 weeks, 75 (63%) had flared. At baseline, flarers had significantly higher disease activity (as measured by the 28-joint Disease Activity Score), erythrocyte sedimentation rate, C-reactive protein, and pain. Numerically more flarers used biologics, but stopping biologics did not predict flares, and continuing MTX was not protective. A higher baseline disease activity predicted flaring by 6 weeks (OR 2.12, p = 0.02).Conclusion.Flares are frequent in patients with RA undergoing arthroplasty. Higher baseline disease activity significantly increases the risk. Although more patients stopping biologics flared, this did not independently predict flaring. The effect of early postsurgery flares requires further study.

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