Functional outcome following Total Knee Replacement for Inflammatory arthritis of Knee done in patients from 2008 to 2012

Arun Immanuel Muthiah, D (2014) Functional outcome following Total Knee Replacement for Inflammatory arthritis of Knee done in patients from 2008 to 2012. Masters thesis, Christian Medical College, Vellore.

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Abstract

OBJECTIVES: 1. To evaluate the clinical, functional and radiological outcomes after TKR for inflammatory arthropathy performed in CMCH. 2. To identify potential factors that affect the functional outcome after TKR for Rheumatoid Arthritis. METHODS: Patients who had TKR for RA during the period 2008-2013, in Orthopaedics Unit III were recruited for the study after informed consent. American Knee Society scores and functional scores were used for the assessment. Pre operative scores were obtained from previous medical records. Anteroposterior and lateral view radiographs of the involved knee were taken. Paired t test was done to determine the significance in changes between the pre-operative and postoperative scores. Bivariate analysis using Spearman correlation and logistic regression analysis was performed to assess the influence of various factors like age, BMI, use of steroids, methotrexate and duration of disease on the post-operative knee scores. RESULTS: 1. Significant improvement (p 0.000) was observed between the pre operative (57.3) and post operative (97.4) Knee Society scores, as well as improvement in functional scores from 36.3 preoperative to 85.2 points post operatively after TKR. 2. Steroid usage had a significant positive correlation. 3. Duration of disease and involvement of the other joint had a significant negative correlation to post-operative functional scores. 4. Average age of patients at the time of TKR was 54 years, all were in stage IV disease, and the majority were women (n=20).

Item Type: Thesis (Masters)
Uncontrolled Keywords: total knee replacement ; rheumatoid arthritis ; knee society score ; functional score ; steroid ; methotrexate.
Subjects: MEDICAL > Orthopaedics
Depositing User: Devi S
Date Deposited: 24 Jun 2018 14:28
Last Modified: 24 Jun 2018 14:28
URI: http://repository-tnmgrmu.ac.in/id/eprint/8585

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