| Yazarlar |
Tuna Pehlivanoğlu
Türkiye |
|
Halil İbrahim Balcı
Türkiye |
|
Mehmet Demirel
Türkiye |
Dr. Öğr. Üyesi Mehmet Fevzi ÇAKMAK
Kırşehir Ahi Evran Üniversitesi, Türkiye |
|
Önder Yazıcıoğlu
Türkiye |
|
Önder İsmet Kılıçoğlu
Türkiye |
| Özet |
| Objective: The aim of this study was to investigate whether there is an increased risk of anterior kneepain (AKP) after total knee arthroplasty (TKA) without patellar resurfacing in patients with rheumatoidarthritis (RA) versus primary osteoarthritis (OA).Methods: This study was a retrospective review of 388 patients (577 knees) who underwent TKA withoutpatellar resurfacing between 2003 and 2011, with a minimum of 5 years of follow-up. Patients weredivided into two groups: Group OA (273 knees of 206 patients; 83 males, 123 females; mean age: 64.4(47e87) years) and Group RA (304 knees of 182 patients; 92 males, 90 females; mean age: 50.7 (21e72)years). In the clinical evaluation, the knee range of motion (ROM) and several outcome measures such asThe Knee Society Score (KSS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)score, and International Knee Documentation Committee (IKDC) scores were used preoperatively and atthe final follow-up visit. The quality of life was measured using Short Form (SF)-36 MCS and PCS scores.The primary outcome was the frequency and severity of patient-reported AKP. The AKP Scale was used todetermine the severity of AKP.Results: The IKDC raised from 21.62 (range, 13e29.9) preoperatively to 85.1 (range, 80e88) for group OAand from 21.8 (range, 13e29.9) to 85.2 (range, 81e88) for group RA (p < 0.001). The mean KSS improvedfrom 28.35 (range, 22e38) preoperatively to 90.04 (range, 88e95) for group OA and from 21.9 (range, 18e35) preoperatively to 89.7 (range, 86e95) for group RA. The mean WOMAC increased from 20.61(range, 17.4e24.2) preoperatively to 95.7 (range, 90.9e97.7) for group OA (p < 0.001) and from 20.2(range, 16.7e24.2) preoperatively to 95.8 (range, 90.9e98.5) for group RA (p < 0.001). The mean ROMimproved from 80.14 (range, 55e130) preoperatively to 113.17 (range, 95e140) in group OA(P ¼ 0.003) and from 73.4 (range, 10e130) to 112.8 (range 90e140) in group RA (P ¼ 0.003)postoperatively. The frequency of AKP was 8% in Group OA and 7% in Group RA (p ¼ 0.27). For patientswith AKP, the mean AKP Scale was 92.74 (range, 84e98) in Group OA and 93.39 (range, 82e98) in GroupRA (p ¼ 0.3).Conclusion: After TKA without resurfacing the patella, patients with RA were determined to have asimilar risk for AKP as those with OA. |
| Anahtar Kelimeler |
| Makale Türü | Özgün Makale |
| Makale Alt Türü | SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale |
| Dergi Adı | Acta orthopaedica et traumatologica turcica |
| Dergi ISSN | 1017-995X |
| Dergi Tarandığı Indeksler | SCI-Expanded |
| Makale Dili | Türkçe |
| Basım Tarihi | 11-2019 |
| Cilt No | 53 |
| Sayı | 6 |
| Sayfalar | 420 / 425 |
| Doi Numarası | 10.1016/j.aott.2019.07.001 |
| Makale Linki | https://www.sciencedirect.com/science/article/pii/S1017995X19303700 |
| Atıf Sayıları | |
| TRDizin | 1 |
