Functional outcome of patients with osteoarthrosis of knee in and around chidambaram treated with total knee arthroplasty – prospective and retrospective analysis

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Author: 
Senthil Kumar S, Senthilnathan A, Balamurugavel P.S, Prabhakar R and Viswanathan M

Introduction: Osteoarthrosis is the commonest of all joint diseases. Degenerative arthritis of the knee is a common affliction in our Indian population with major functional, medical, psychosocial and financial effects on the affected person, family and society. Knee replacement provides a way to overcome all afflictions of arthritis and is one of the most successful orthopaedic surgeries with immense patient satisfaction.

Aim of the study: To analyse the functional outcome of patients with Osteoarthrosis of knee in and around Chidambaram treated with Total Knee Arthroplasty based on the range of motion, radiological measures and associated complications.

Materials and methods: This is a prospective study of patients from in and around Chidambaram diagnosed with Osteoarthrosis of the knee joint and treated with Total knee arthroplasty during the period from June 2014 to October 2015 at Rajah Muthiah Medical College Hospital and a retrospective analysis of patients treated with Total knee arthroplasty for OA knee before and on regular follow up at our hospital during the same period. A total of 22 total knee replacements done on 19 patients were included and followed up in the study. The pre operative status and the post operative functional outcome and pain relief of our patients were assessed using the Knee society scoring system and Visual analogue scale respectively.

Results: Eight patients had excellent results, seven patients had good results, two patients had fair results and two had poor results. Fifteen patients were satisfied following their replacements (79%), two patients (10.5%) were not very satisfied and two patients were dissatisfied (10.5%). The commonest complications we encountered were knee stiffness, persistent knee pain, infection and transient foot drop.

Conclusion: The results of total knee arthroplasty on our study population from a rural background and predominantly agarian economy, when treated with standard operative techniques, post operative rehabilitation protocol, proper patient education and lifestyle modification are comparable to that of any other subset of population in the society.

Page: 
56-60
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