JLUMHS (Nov 2023)
Clinical and Functional Outcome of Total Knee Replacement in Osteoarthritic Knee
Abstract
OBJECTIVE: To assess the functional and clinical outcome of Total Knee Replacement performed for Osteoarthritis of the knee joint by using Knee Score. METHODOLOGY: This Descriptive Prospective case series study was carried out in the Department of Orthopedics and Traumatology, Lady Reading Hospital, Peshawar KPK, from January 2021 to December 2022. Forty patients with a mean age of 61.02±8.88 years and a male-female ratio of 1:2 were included. After optimizing for anaesthesia and surgery, all patients underwent total knee replacement. Preoperative and Postoperative clinical and functional outcomes were assessed. Data was analyzed using SPSS version 21. RESULTS: Of 40 patients, male patients 12(30%), and female patients were 28(70%), with a mean age of 61.02±8.88 year. Clinical score system recorded pre-operatively, 1(2.5%) patient had an excellent result, 5(12.5%) fair, 35(87.5%) poor and no one had a good result. Likewise, in the functional score system of the Knee Society, no patients had excellent scores; 2(5%) patients had good, 2(5%) were fair, and 36(90%) had poor results. Postoperative evaluation by Clinical knee score, 30(75%) excellent, 9(22.5%) good, and 1(2.5%) patient had an infection and had a fair knee clinical score. Postoperative evaluation by Functional knee score, 34(85%) had excellent, 5(12.5%) good, and 1(2.5%) patient had fair knee score. Postoperatively, the clinical and functional knee scores improved significantly more than preoperative scores (P<0.05). CONCLUSION: This study concluded that total Knee replacement in patients with advanced Osteoarthritis of the knee joint is a safe and effective treatment modality, leading to satisfactory clinical and functional outcomes.
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