Quality of life after total knee arthroplasty: systematic review

Abstract

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.

Evaluation of Surgical Wound Healing in Orthopedic Patients with Impaired Tissue Integrity According to Nursing Outcomes Classification

“…Corroborating to the findings of this study, similar research showed evidence that BMI is a predictor for THA positive results (Slaven, ) and showed predominant mean age of patients around 59.17 ( SD = 14.7) (Pinto et al., ). Literature suggests as negative factors associated to the postoperative recovery comorbidities, obesity and advanced age (Silva, Santos, Carvalho Júnior, & Matos, ), though this study showed a sample with opposite factors.…”

Comparison of Antagonist Muscle Activity During Walking Between Total Knee Replacement and Control Subjects Using Unnormalized Electromyography

“…Thus, abnormal flexion-extension moment patterns are thought to be associated with aberrant flexor and extensor muscle activity [3] . While successful outcomes have been reported following TKR [4] , significant functional deficits remain post-surgery [5] . In fact, approximately 25% report a fall within the year following TKR surgery [6] .…”

Autopercepção da qualidade de vida de pacientes submetidos à artroplastia total do joelho

“…A doença articular degenerativa, osteoartrose, é, no geral, a principal causa de deficiência física entre idosos. A dor e a limitação funcional provocadas por essa condição, especialmente nos membros inferiores, apresentam forte correlação com a redução na QV dessas pessoas 6,7 .…”

“…Os métodos atuais de avaliação dos resultados da ATJ são baseados principalmente em sinais e sintomas clínicos, no exame físico e na avaliação radiográfica. Esse tipo de avaliação não contempla todos os aspectos do tratamento, já que não é capaz de detectar as reais necessidades e expectativas do paciente, tais como mudanças na QV, nas relações sociais e no seu meio ambiente 6,[8][9][10][11] .…”