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Outcomes of Total Knee Replacement: A Prospective Observational Study in Bangladesh

Received: 12 January 2022     Accepted: 28 January 2022     Published: 15 March 2022
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Abstract

World-wide, total knee replacement (TKR) is a standard and definitive treatment option following failed adequate non-operative management of knee. After completing total knee replacement for the patients, it is necessary to assess the clinical and functional outcomes of the procedure. We have very few research-based information outcomes of total knee replacement. Aim of the study: The aim of to this study was to assess the clinical and functional outcomes of total knee replacement in patients with knee osteoarthritis. Methods: This prospective observational study was conducted in the Department of Orthopedics, Shaheed Ziaur Rahman Medical College, Bogura, Bangladesh during the period from March 2019 to December 2019. In total 37 patients with knee osteoarthritis attended and selected for total knee replacement in the mentioned hospital, maintained proper documentations were finalized as the study subjects. The outcomes of the patients were measured in terms of treatment excellent and good rate, incidence rate of complications, KSS, Hss, VAS and NRS scores. All data were processed, analyzed and disseminated by using MS Office and SPSS version 22 as per need. Results: In this study, the mean (±SD) Hss scores of pre and post TKR among the participants were 56.06±4.17 and 89.83±6.76 respectively. The mean (±SD) KSS scores of pre and post TKR among the participants were 54.17±5.27 and 85.79±8.32 respectively. The mean (±SD) VAS scores of pre and post TKR among the participants were 5.54±1.11 and 1.17±0.23 respectively. The mean (±SD) NRS scores of pre and post TKR among the participants were 5.44±1.05 and 1.25±0.33 respectively. In comparing all the scores between pre and post stages the P values were ‘<0.0001’. In analyzing the final outcomes among the participants, we observed that, 27.03%, 45.95%, 21.62% and 5.41% participants got ‘Excellent’, ‘Good’, ‘Acceptable’ and ‘Poor’ results respectively. Conclusion: Total knee replacement (TKR) significantly relieves pain of patients with knee osteoarthritis and ensures improves knee joint function with fewer complications. Considering the prompt healing, less complication and effectiveness of total knee replacement method physicians can take TKR as a prominent treatment option for the knee arthritis patients.

Published in Biomedical Sciences (Volume 8, Issue 1)
DOI 10.11648/j.bs.20220801.18
Page(s) 49-52
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Outcomes, Total Knee Replacement, TKR, VAS, Osteoarthritis

References
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[6] Johnsen MB, Hellevik A, Baste V, Furnes O, Langhammer A, Flugsrud G. Physical activity and the risk of hip or knee replacement due to primary osteoarthritis. A population based co-hort study of 66.863 persons from the HUNT study. Osteoarthritis and Cartilage 2015; 23: A175-A6.
[7] Burnett WD, Kontulainen SA, McLennan CE, Hazel D, Talmo C, Hunter DJ, Wilson DR, John- ston JD. Knee osteoarthritis patients with se- vere nocturnal pain have altered proximal tibial subchondral bone mineral density. Osteoar- thritis Cartilage 2015; 23: 1483-90.
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Cite This Article
  • APA Style

    Mohammad Abdullah Al Muti, Naresh Kumar Roy, Syed Shamsul Arefin, Abdullah Al Mamun, Mohi Uddin Aslam. (2022). Outcomes of Total Knee Replacement: A Prospective Observational Study in Bangladesh. Biomedical Sciences, 8(1), 49-52. https://doi.org/10.11648/j.bs.20220801.18

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    ACS Style

    Mohammad Abdullah Al Muti; Naresh Kumar Roy; Syed Shamsul Arefin; Abdullah Al Mamun; Mohi Uddin Aslam. Outcomes of Total Knee Replacement: A Prospective Observational Study in Bangladesh. Biomed. Sci. 2022, 8(1), 49-52. doi: 10.11648/j.bs.20220801.18

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    AMA Style

    Mohammad Abdullah Al Muti, Naresh Kumar Roy, Syed Shamsul Arefin, Abdullah Al Mamun, Mohi Uddin Aslam. Outcomes of Total Knee Replacement: A Prospective Observational Study in Bangladesh. Biomed Sci. 2022;8(1):49-52. doi: 10.11648/j.bs.20220801.18

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  • @article{10.11648/j.bs.20220801.18,
      author = {Mohammad Abdullah Al Muti and Naresh Kumar Roy and Syed Shamsul Arefin and Abdullah Al Mamun and Mohi Uddin Aslam},
      title = {Outcomes of Total Knee Replacement: A Prospective Observational Study in Bangladesh},
      journal = {Biomedical Sciences},
      volume = {8},
      number = {1},
      pages = {49-52},
      doi = {10.11648/j.bs.20220801.18},
      url = {https://doi.org/10.11648/j.bs.20220801.18},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.bs.20220801.18},
      abstract = {World-wide, total knee replacement (TKR) is a standard and definitive treatment option following failed adequate non-operative management of knee. After completing total knee replacement for the patients, it is necessary to assess the clinical and functional outcomes of the procedure. We have very few research-based information outcomes of total knee replacement. Aim of the study: The aim of to this study was to assess the clinical and functional outcomes of total knee replacement in patients with knee osteoarthritis. Methods: This prospective observational study was conducted in the Department of Orthopedics, Shaheed Ziaur Rahman Medical College, Bogura, Bangladesh during the period from March 2019 to December 2019. In total 37 patients with knee osteoarthritis attended and selected for total knee replacement in the mentioned hospital, maintained proper documentations were finalized as the study subjects. The outcomes of the patients were measured in terms of treatment excellent and good rate, incidence rate of complications, KSS, Hss, VAS and NRS scores. All data were processed, analyzed and disseminated by using MS Office and SPSS version 22 as per need. Results: In this study, the mean (±SD) Hss scores of pre and post TKR among the participants were 56.06±4.17 and 89.83±6.76 respectively. The mean (±SD) KSS scores of pre and post TKR among the participants were 54.17±5.27 and 85.79±8.32 respectively. The mean (±SD) VAS scores of pre and post TKR among the participants were 5.54±1.11 and 1.17±0.23 respectively. The mean (±SD) NRS scores of pre and post TKR among the participants were 5.44±1.05 and 1.25±0.33 respectively. In comparing all the scores between pre and post stages the P values were ‘<0.0001’. In analyzing the final outcomes among the participants, we observed that, 27.03%, 45.95%, 21.62% and 5.41% participants got ‘Excellent’, ‘Good’, ‘Acceptable’ and ‘Poor’ results respectively. Conclusion: Total knee replacement (TKR) significantly relieves pain of patients with knee osteoarthritis and ensures improves knee joint function with fewer complications. Considering the prompt healing, less complication and effectiveness of total knee replacement method physicians can take TKR as a prominent treatment option for the knee arthritis patients.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Outcomes of Total Knee Replacement: A Prospective Observational Study in Bangladesh
    AU  - Mohammad Abdullah Al Muti
    AU  - Naresh Kumar Roy
    AU  - Syed Shamsul Arefin
    AU  - Abdullah Al Mamun
    AU  - Mohi Uddin Aslam
    Y1  - 2022/03/15
    PY  - 2022
    N1  - https://doi.org/10.11648/j.bs.20220801.18
    DO  - 10.11648/j.bs.20220801.18
    T2  - Biomedical Sciences
    JF  - Biomedical Sciences
    JO  - Biomedical Sciences
    SP  - 49
    EP  - 52
    PB  - Science Publishing Group
    SN  - 2575-3932
    UR  - https://doi.org/10.11648/j.bs.20220801.18
    AB  - World-wide, total knee replacement (TKR) is a standard and definitive treatment option following failed adequate non-operative management of knee. After completing total knee replacement for the patients, it is necessary to assess the clinical and functional outcomes of the procedure. We have very few research-based information outcomes of total knee replacement. Aim of the study: The aim of to this study was to assess the clinical and functional outcomes of total knee replacement in patients with knee osteoarthritis. Methods: This prospective observational study was conducted in the Department of Orthopedics, Shaheed Ziaur Rahman Medical College, Bogura, Bangladesh during the period from March 2019 to December 2019. In total 37 patients with knee osteoarthritis attended and selected for total knee replacement in the mentioned hospital, maintained proper documentations were finalized as the study subjects. The outcomes of the patients were measured in terms of treatment excellent and good rate, incidence rate of complications, KSS, Hss, VAS and NRS scores. All data were processed, analyzed and disseminated by using MS Office and SPSS version 22 as per need. Results: In this study, the mean (±SD) Hss scores of pre and post TKR among the participants were 56.06±4.17 and 89.83±6.76 respectively. The mean (±SD) KSS scores of pre and post TKR among the participants were 54.17±5.27 and 85.79±8.32 respectively. The mean (±SD) VAS scores of pre and post TKR among the participants were 5.54±1.11 and 1.17±0.23 respectively. The mean (±SD) NRS scores of pre and post TKR among the participants were 5.44±1.05 and 1.25±0.33 respectively. In comparing all the scores between pre and post stages the P values were ‘<0.0001’. In analyzing the final outcomes among the participants, we observed that, 27.03%, 45.95%, 21.62% and 5.41% participants got ‘Excellent’, ‘Good’, ‘Acceptable’ and ‘Poor’ results respectively. Conclusion: Total knee replacement (TKR) significantly relieves pain of patients with knee osteoarthritis and ensures improves knee joint function with fewer complications. Considering the prompt healing, less complication and effectiveness of total knee replacement method physicians can take TKR as a prominent treatment option for the knee arthritis patients.
    VL  - 8
    IS  - 1
    ER  - 

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Author Information
  • Shaheed Ziaur Rahman Medical College & Hospital, Bogura, Bangladesh

  • Shaheed Ziaur Rahman Medical College & Hospital, Bogura, Bangladesh

  • Shaheed Ziaur Rahman Medical College & Hospital, Bogura, Bangladesh

  • Moulvibazar 250 Bed District Sadar Hospital, Moulvibazar, Bangladesh

  • Shaheed Ziaur Rahman Medical College & Hospital, Bogura, Bangladesh

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