ObjectiveTo review the literature on quality of life among patients who underwent total knee arthroplasty (TKA) and assess the impact of various associated factors.Methodsthis was a systematic review of the literature in the Medline, Embase, Lilacs and SciELO databases, using the terms: TKA (total knee arthroplasty); TKR (total knee replacement); quality of life; and outcomes. There were no restrictions regarding study design.Results31 articles addressing this topic using various quality-of-life evaluation protocols were selected. SF-36/SF-12, WOMAC and Oxford were the ones most frequently used. The studies made it possible to define that TKA is capable of making an overall improvement in patients’ quality of life. Pain and function are among the most important predictors of improvement in quality of life, even when function remains inferior to that of healthy patients.ConclusionThe factors associated negatively were obesity, advanced age, comorbidities, persistence of pain after the procedure and a lengthy wait for surgery.
r e v b r a s o r t o p . 2 0 1 4;4 9(5):520-527 w w w . r b o . o r g . b r Artigo OriginalQualidade de vida após artroplastia total do joelho: revisão sistemática ଝ
A doença articular degenerativa é, no geral, a principal causa de deficiência física entre idosos. A dor e limitação funcional provocada por essa condição, especialmente nos membros inferiores, apresenta forte correlação com a redução na qualidade de vida (QV) dessas pessoas. No caso da artropatia degenerativa do joelho, a Artroplastia Total do Joelho (ATJ) é a opção terapêutica de escolha para os casos mais graves.
Artigo original: Robson Rocha da Silva, Ayrton André Melo Santos, José de Sampaio Carvalho Júnior, Marcos Almeida Matos. Publicado na Revista Brasileira de Ortopedia; 2014;49(5):520–527.
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