Xray of Total Knee Arthroplsty
Duke researches have found that total knee arthroplasty has a positive impact on qualityof life and maintainence of maintenence of independent lifestyles
The surgery was performed for osteoarthritis of the knee. Not only the surgery improved physical functioning but also the motor skills when compared to patients who do not receive TKA.
2272 patients diagnosed with osteoarthritis of the knee were included in the study, , 516 underwent replacement procedures and 1756 did not. The groups were matched on baseline functional status, other health conditions, socioeconomic characteristics, and time before TKA or diagnosis.
Among the patients who underwent TKA, baseline physical functioning measures were taken at an interview before and closest to surgery. For the comparison group, these measures were taken from an interview preceding and closest in time to the year of their first diagnosis with osteoarthritis.
The patients were followed for up to four years and assessed for
- Mobility
- Gross motor skills
- Large muscle activities
- Liimitations in activities of daily living
Acitivities of daily living assessed
- Getting in and out of bed
- Bathe and dress oneself
- Sitting for two hours
- Getting up from a chair
- Stooping
- Kneeling
- Crouching
- Walking
- Climbing stairs
- Pushing and pulling a large object.
The study concluded that otal knee replacement also appears to be a cost-effective procedure across all patient risk groups and offers the potential for extending independence and delays the need for assisted living.
Published in the July 2009 issue of Medical Care
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