Bilateral Simultaneous Total Knee Arthroplasty in Elderly Patients with Severe Osteoarthritis of Knee Joint in a Tertiary Care Hospital: A Descriptive Cross-sectional Study

Kc, Kapil Mani; Rc, Dirgha Raj; Marahatta, Suman Babu; Niroula, Ankit

doi:10.31729/jnma.5742

Cited by 3 publications

(8 citation statements)

References 20 publications

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“…We had very few total joint replacement candidates compared to the developed world that might be because of lack of awareness, increased cost of implants, and no insurance policy. 15 Most of our patients with TKR were simultaneous bilateral replacements which we found to be safe, effective with early functional recovery, higher patient satisfaction, and cost-effective in properly selected candidates similar to K.C KM et al 16 On geographical variation, most of our patients were local from Chitwan followed by nearby districts Nawalparasi, Makwanpur and some of them were far from Chitwan like Syanja, Rukum and Kathmandu.…”

Section: Discussionmentioning

confidence: 59%

Demography of Total Joint Replacement Surgeries Performed in a Tertiary Care Hospital: A Cross-sectional Survey

Thapa¹,

Kandel

Panta

et al. 2021

J Nepal Med Assoc

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Introduction: Total joint replacement of hip and knee is considered as one of the most successful orthopedic surgeries in the twenty-first century because of the only solution to end-stage arthritis of these joints. The real burden of the problem is yet to be established in developing countries like Nepal. This study aims to describe the demographic findings of the joint replacement surgeries among total lower limb surgeries in a tertiary care hospital. Methods: This cross-sectional survey was conducted using the hospital records of 73 total joint replacement surgeries of the lower limb in the Department of Orthopedics of a tertiary care hospital from November 2016 to November 2020. Ethical approval was taken from the Institutional Review Committee (reference number: 077/78-011). Convenience sampling was done. Data analysis was done using the Statistical Package for the Social Sciences version 20. Point estimate at 95% Confidence Interval was calculated along with frequency and percentage for binary data. Results: There were 73 total joint replacement of hips and knees. Of which, 32 (43.84%) total hip replacements were done in which one (3.13%) patient had a simultaneous bilateral hip replacement in single-stage and the other one (3.13%) had two-stage bilateral hip replacement. Forty one (56.16%) total knee replacements were done in which 18 (24.65%) had a simultaneous bilateral knee replacement and five (6.85%) had a unilateral knee replacement. Conclusions: Total joint replacements of the hip were more common among the lower limb surgeries.

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Section: Discussionmentioning

confidence: 59%

Demography of Total Joint Replacement Surgeries Performed in a Tertiary Care Hospital: A Cross-sectional Survey

Thapa¹,

Kandel

Panta

et al. 2021

J Nepal Med Assoc

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“…Studies have reported substantial improvements in ROM following TKA for FFD using stepwise algorithms for correction. 9,34,35 Correcting fixed deformities in TKA has been shown to provide effective pain relief and functional improvement. 35 Quah et al observed a significant reduction in pain scores postoperatively, with many patients experiencing pain relief and improved functional outcomes.…”

Section: Clinical Outcomesmentioning

confidence: 99%

“…9,34,35 Correcting fixed deformities in TKA has been shown to provide effective pain relief and functional improvement. 35 Quah et al observed a significant reduction in pain scores postoperatively, with many patients experiencing pain relief and improved functional outcomes. Several studies have reported on patient satisfaction following surgical correction.…”

Section: Clinical Outcomesmentioning

confidence: 99%

“…Overall, the clinical outcomes of correcting FFD in TKA indicate significant improvements in ROM, pain relief, functional status, and patient satisfaction. 34,35 Complications While TKA performed in patients with FFD generally yields favorable outcomes, it is important to consider potential complications. 2 Understanding these potential complica-tions enables surgeons to anticipate and manage them effectively.…”

Section: Clinical Outcomesmentioning

confidence: 99%

“…The correction of FFD in TKA aims to restore proper joint alignment, improve ROM, and alleviate pain. 34,35 One of the primary objectives in correcting fixed deformities is to improve the ROM of the knee joint. Studies have reported substantial improvements in ROM following TKA for FFD using stepwise algorithms for correction.…”

Section: Clinical Outcomesmentioning

confidence: 99%

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Correction of Sagittal Deformity with Bone Resection and Soft Tissue Releases

Stephens

Lombardi

2023

J Knee Surg

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Fixed flexion deformities (FFD) present several unique challenges in total knee arthroplasty (TKA) and require careful consideration to achieve optimal outcomes. FFD alters normal knee biomechanics and increases energy expenditure (1). They may be attributed to both bony deformities and fibrosed soft tissues, which must be addressed in stepwise fashion at the time of surgery. A literature review was conducted utilizing key words “fixed flexion deformity TKA”. This review article aims to discuss the anatomy and pathology, preoperative evaluation, classification system, surgical techniques for addressing deformity, implant selection considerations, postoperative protocols, clinical outcomes, and potential complications associated with correcting FFD. By comprehensively addressing these aspects, surgeons can optimize surgical planning and improve outcomes in patients with FFD undergoing TKA.

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Results of Surgical Correction of Fixed Flexion Deformity during Total Knee Arthroplasty in Patient of Knee Osteoarthritis: A Comprehensive Review

Easa El-Sharkawy,

M. El-Sharkawy,

A. Mashhour

et al. 2023

Benha Journal of Applied Sciences

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Background: Fixed flexion deformity (FFD) is a common manifestation of knee osteoarthritis (OA) that significantly impacts patients' functional abilities and quality of life. Surgical correction of FFD during total knee arthroplasty (TKA) aims to restore joint alignment and improve range of motion. However, a comprehensive understanding of the outcomes and factors influencing the success of this procedure is essential. Objectives: This review article aims to provide a comprehensive overview of the results of surgical correction of FFD during TKA in patients with knee OA. It examines the surgical techniques used, evaluates functional outcomes, pain relief, and range of motion improvements, and assesses the reported rates of complications. Additionally, the durability of the correction and its impact on patient satisfaction and quality of life are explored. Factors influencing long-term success or failure of the procedure are identified. Conclusions: Surgical correction of FFD during TKA has shown promising results in terms of functional improvements, pain relief, and range of motion. Patients experience enhanced functional abilities and improved quality of life following surgery. While complications can occur, meticulous surgical techniques, proper patient selection, and adherence to best practices can help minimize their occurrence. Factors such as surgical technique, patient compliance with rehabilitation, implant selection, and patient-specific characteristics influence the long-term success of the procedure.

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Bilateral Simultaneous Total Knee Arthroplasty in Elderly Patients with Severe Osteoarthritis of Knee Joint in a Tertiary Care Hospital: A Descriptive Cross-sectional Study

Cited by 3 publications

References 20 publications

Demography of Total Joint Replacement Surgeries Performed in a Tertiary Care Hospital: A Cross-sectional Survey

Demography of Total Joint Replacement Surgeries Performed in a Tertiary Care Hospital: A Cross-sectional Survey

Correction of Sagittal Deformity with Bone Resection and Soft Tissue Releases

Results of Surgical Correction of Fixed Flexion Deformity during Total Knee Arthroplasty in Patient of Knee Osteoarthritis: A Comprehensive Review

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