Evaluation of the functional outcome of total knee replacement in rural population
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 3
Abstract
Total knee replacement (TKR) is a surgical procedure with predictable outcomes. Rural areas have less specialized doctors and facilities and the people may not understand the various protocols associated with surgeries. This observational study intended to review the outcome of total knee replacements performed in a rural population and evaluate the postoperative clinical, functional and radiological results in the replaced knees and the preoperative and postoperative lower limb alignment correction achieved and the incidence of early complications. We selected 26 people (30 knees) from the outdoor clinic who gave their informed consent for the study and satisfied our criteria. They were evaluated using the knee society score (KSS), preoperatively and postoperatively at the 3 months follow up and the data was analysed using the statistical program for social sciences (SPSS). In our study we observed that the mean knee society score improved from 29 to 83.4 and the mean functional score improved from 35 to 83.5. The knee flexion range increased from 56.20 to 1110. Postoperatively all knees were aligned in valgus except for 3 knees. Complication rate was 6.6%. We found a significant increase in the knee society score after total knee replacement compared to the preoperative scores. We conclude that total knee replacement is a reliable and safe modality of treatment and can be performed in the rural population with results comparable to the other global studies.
Authors and Affiliations
Dr. Arun HS, Dr. SV Anil Kumar, Dr. N Rajyalakshmi Reddy, Dr. PV Manohar, Dr. JS Nagakumar
Keywords
Related Articles
- EP ID EP499581
- DOI 10.22271/ortho.2017.v3.i3g.78
- Views 104
- Downloads 0
Effectiveness of eight plate in correcting angular deformity around knee: A study at tertiary care hospital
Background: Angular deformity around the knee is the common problem in growing childs. Genu valgum & Genu varum causes short term & long term effects on knees like Patellar maltracking, Osteoarthritis, ligament laxity &...
A study on clinical, functional and radiological outcome of high velocity tibial plateau fractures managed by dual plating
Tibial plateau fractures are intra-articular fractures of major weight bearing joint [1]. These fractures represent a wide spectrum of severity which ranges from simple injuries with predictably excellent outcome after n...
Evaluation of surgical management of metacarpal fractures – A prospective clinical study
Introduction: Metacarpal fractures constitutes between 14-28% of all visits to the hospital following trauma. Too often these metacarpal fractures are neglected or treated as minor injuries and results in major disabilit...
Evaluation of role of fibula in functional outcome of tibial plateau fractures
Introduction: Tibial plateau fractures occur due to a combination of axial loading and varus/valgus applied forces leading to articular depression, malalignment and an increased risk of posttraumatic osteoarthritis (OA)....
Functional outcome of distal end radius fractures treated with periarticular locking plates
Introduction: Currently, the majority of intra-articular fractures of the distal radius are managed by the volar approach. It is useful to have a family of plates to address this complex fracture pattern from both a vola...