Residual knee pain and functional outcome following total knee arthroplasty in osteoarthritic patients

Verfasser / Beitragende:
[Nazrul Nashi, Choon Hong, Lingaraj Krishna]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/6(2015-06-01), 1841-1847
Format:
Artikel (online)
ID: 605456356
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024 7 0 |a 10.1007/s00167-014-2910-z  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-2910-z 
245 0 0 |a Residual knee pain and functional outcome following total knee arthroplasty in osteoarthritic patients  |h [Elektronische Daten]  |c [Nazrul Nashi, Choon Hong, Lingaraj Krishna] 
520 3 |a Purpose: Total knee arthroplasty (TKA) is a successful and safe elective operation in managing patients with severe osteoarthritis of the knee. However, the presence of residual knee pain (RKP) post-TKA can adversely affect patient satisfaction and functional outcome. Hence, the aim of this paper is to identify the incidence, progression of knee pain, functional outcome post-TKA and possible predictive factors for the development of RKP post-TKA. Methods: A retrospective review of 357 patients was conducted with a minimum follow-up period of 2years. Predictive factors reviewed include the patients' demographics, co-morbidities, type of implants and patellar management. For functional outcome, the patient's Knee Society Score (KSS) and Western Ontario and McMaster Universities Index of Osteoarthritis scores were analysed. To determine presence and severity of RKP, the sub-score for pain in the KSS was utilised. Results: In total, 31.1 and 28.9% of the patients were found to have RKP at 1 and 2years, respectively, though their functional outcome scores continued improving from 1year. Ischaemic heart disease (IHD) patients were more likely to have RKP and poorer functional outcome at 1year. Males and patients with posterior-stabilised implants were found to have better functional outcome at 1 and 2years, respectively. Conclusions: Almost a third of the patients continued to have RKP at 2years post-TKA, with factors such as gender, presence of IHD and implant type significantly associated with the development of RKP and/or poorer functional outcome scores. By recognising the incidence and predictive factors for RKP, physicians will be able to better manage their patients' expectations and optimise their pre-morbid status pre-operatively. Level of evidence: III. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a Residual knee pain  |2 nationallicence 
690 7 |a Total knee arthroplasty  |2 nationallicence 
690 7 |a Functional outcomes  |2 nationallicence 
690 7 |a Osteoarthritis  |2 nationallicence 
700 1 |a Nashi  |D Nazrul  |u University Orthopaedic, Hand and Reconstructive Microsurgery Cluster, National University Hospital, 1E Kent Ridge Road, 119228, Singapore, Singapore  |4 aut 
700 1 |a Hong  |D Choon  |u University Orthopaedic, Hand and Reconstructive Microsurgery Cluster, National University Hospital, 1E Kent Ridge Road, 119228, Singapore, Singapore  |4 aut 
700 1 |a Krishna  |D Lingaraj  |u University Orthopaedic, Hand and Reconstructive Microsurgery Cluster, National University Hospital, 1E Kent Ridge Road, 119228, Singapore, Singapore  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/6(2015-06-01), 1841-1847  |x 0942-2056  |q 23:6<1841  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-2910-z  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-014-2910-z  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Nashi  |D Nazrul  |u University Orthopaedic, Hand and Reconstructive Microsurgery Cluster, National University Hospital, 1E Kent Ridge Road, 119228, Singapore, Singapore  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hong  |D Choon  |u University Orthopaedic, Hand and Reconstructive Microsurgery Cluster, National University Hospital, 1E Kent Ridge Road, 119228, Singapore, Singapore  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Krishna  |D Lingaraj  |u University Orthopaedic, Hand and Reconstructive Microsurgery Cluster, National University Hospital, 1E Kent Ridge Road, 119228, Singapore, Singapore  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/6(2015-06-01), 1841-1847  |x 0942-2056  |q 23:6<1841  |1 2015  |2 23  |o 167