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Does TKA improve functional outcome and range of motion in patients with stiff knees?

Title
Does TKA improve functional outcome and range of motion in patients with stiff knees?
Authors
Kim Y.-H.Kim J.-S.
Ewha Authors
김영후김준식
SCOPUS Author ID
김영후scopus; 김준식scopus
Issue Date
2009
Journal Title
Clinical Orthopaedics and Related Research
ISSN
0009-921XJCR Link
Citation
vol. 467, no. 5, pp. 1348 - 1354
Indexed
SCI; SCIE; SCOPUS WOS scopus
Abstract
The main goals of TKA are pain relief and improvement of function and range of motion (ROM). To ascertain whether TKA in patients with stiff knees would relieve pain and improve functional outcome and ROM, we asked four questions: whether (1) Knee Society and WOMAC scores would improve after TKA; (2) poor preoperative ROM would improve after TKA; (3) the revision rate of TKA in stiff knees would be high; and (4) complication rates would be high in these patients after TKA. We retrospectively reviewed 74 patients (86 knees) with stiff knees (mean age, 56.8 years) who underwent TKAs with a condylar constrained or a posterior stabilized prosthesis. The minimum followup was 5 years (mean, 9.1 years; range, 5-12 years). The mean preoperative Hospital for Special Surgery knee score and Knee Society knee and functional scores were 42, 11, and 42 points, respectively, and postoperatively they were 84, 90, and 84 points, respectively. Preoperative and postoperative total WOMAC scores were 73 and 34 points, respectively. One knee (1.2%) had aseptic loosening of the tibial component and 12 knees (14%) had complications. Despite a relatively high rate of complications, most patients had substantial improvement in function. Levels of Evidence: Level III, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence. © 2008 The Association of Bone and Joint Surgeons.
DOI
10.1007/s11999-008-0445-7
Appears in Collections:
의학전문대학원 > 의학과 > Journal papers
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