Outcomes of Total Knee Arthroplasty in Patients with Bleeding Disorders
Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2017, Vol 19, Issue 4
Abstract
Background. Advanced haemophilic arthropathy is a possible complication in patients with congenital bleeding disorders. This study aimed to assess treatment outcomes after primary total knee arthroplasty in this group of patients. Material and methods. A total of 60 primary total knee arthroplasties were performed in the period 2011-2014. The study ultimately included 40 knee replacements in 35 patients. The average follow-up period was 19.4 months (max. 32, min. 12), with patients followed up for a period shorter than 12 months excluded from the study. The average age of the patients was 36.7 years (min. 27, max. 72). Types of inherited bleeding disorders among the study population were as follows: 82% with haemophilia A, 15% with haemophilia B and 1% with Von Willebrand disease. Pain intensity was assessed before the surgery and at a 12-month follow-up visit using VAS. The patients completed the OKS and WOMAC questionnaires before the surgery and at the 12-month follow-up visit. Functional evaluation of the patients was performed using KSS before the TKA and 12 months after the knee replacement surgery. Results. The pain intensity was considerably reduced 12 months after the surgery. VAS scores averaged 7.4 pts (SD 1.6) before TKA and 1.6 pts (SD 1.7) after the surgery. A significant improvement in patients’ functioning was recorded. The average WOMAC score was 33 pts (SD 26) before the operation and 72.7 pts (SD 23.4) after TKA. Similar results were obtained for OKS: 20.9 pts (SD 7.3) before knee replacement and 41.2 pts (SD 2.4) after the surgery. The average KSS score before TKA was 29.2 pts (SD 22.8) and 71.5 pts (SD 9.5) after 12 months. Conclusions. 1. Total knee arthroplasty is a very good therapy for patients with advanced haemophilic arthropathy. 2. TKA considerably reduces pain intensity in patients. 3. TKA considerably improves patients’ functioning in daily life. 4. Patients are very satisfied with the outcomes of this procedure.
Authors and Affiliations
Jakub Szmyd, Jerzy Mirosław Jaworski, Paweł Kamiński
Keywords
Related Articles
- EP ID EP222102
- DOI 10.5604/01.3001.0010.4645
- Views 84
- Downloads 0
Radial Extracorporeal Shockwave Therapy and Ultrasound Therapy in the Treatment of Tennis Elbow Syndrome
Background. Both ultrasound and radial shockwave therapies are used to treat tennis elbow syndrome. The aim of this study was to compare the therapeutic efficacy of both therapies by assessing the reduction in pain inten...
Leczenie rozległych ubytków obu kości podudzi transportem wewnętrznym ponad gwoździem śródszpikowym - opis przypadku.
Przedstawiamy przypadek 16-letniej pacjentki, która doznała obrażeń wielomiejscowych i wielonarządowych, jako następstwo potrącenia przez samochód. Dominującym obrażeniem ze strony narządu ruchu było zmiażdżenie obu podu...
Changes of Kinematics Parameters of Pelvis During Walking Under the Influence of Means Facilitates Treatment of Cerebral Palsied Children
Background. Physiological human gait is characterized by tree-dimensional pelvis movements, which make that gait is smooth and does not require excessive energy expendi-ture. In children with cerebral palsy determinants...
Pathomorphism of spiral tibial fractures in computed tomography imaging
Background: Spiral fractures of the tibia are virtually homogeneous with regard to their pathomorphism. The differences that are seen concern the level of fracture of the fibula, and, to a lesser extent, the level of fr...
Post Irradiation Myelopathy: From the Physiatrists' Point of View
We describe two patients who developed a severe spinal cord damage long time after cessation of irradiation therapy. The various and unique rehabilitation medicine aspects are discussed and the literature is surveyed.