Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
Osteoarthritis is thought to be the most prevalent chronic joint disease. Osteoarthritis is a term used to describe both a degenerative disease of synovial joints with its accompanying radiographic signs and a clinical syndrome of pain, stiffness and restricted movement of the joints. Over the past 6 decades there have been tremendous advances in the surgical techniques and implant designs, making Total Knee Replacement (TKR) one of the most commonly performed and successful surgeries in terms of clinical and functional outcome. Women, on average, have a higher prevalence of OA than men. In this study we determine the effectiveness of posterior stabilised total knee arthroplasty in patients of severe osteoarthritis and rheumatoid arthritis functionally. We also determine the post operative complications in patients who underwent posterior stabilised total knee arthroplasty. The aim of this study is to evaluate the functional results of a total knee replacement with posterior stabilisation using WOMAC index. To determine how well WOMAC index is used for the following functional outcome assessments. Patients of both sex belonging to the age group of 30‐70 years with severe osteoarthritis and rheumatoid arthritis presenting to the orthopaedic department of our institution. Our prospective observational study is a series of 14 cases of osteoarthritis and rheumatoid arthritis treated by Posterior stabilised Total Knee Arthroplasty. This study was conducted over a period of 2 years i.e., 2022 to 2024. Patients were followed at an interval of 1 month, 3 months, 6 months and 12 months. Outcome was assessed using WOMAC index. Out of the total 14 patients who were treated with posterior stabilized total knee arthroplasty, 5 patients were male and 9 patients were female. Among both male and female patients, based on the WOMAC index, all(100%) had excellent prognosis. Mean WOMAC index before the procedure was 54.00±7.67. The Mean WOMAC score after the procedure was 89.65±0.95 at 6 weeks, 91.56±1.03 at 3 months, 94.36±1.03 at 6 months and 95.70±0.95. The increase in mean WOMAC index were statistically significant compared to pretreatment levels. According to the WOMAC index, total knee replacement surgery significantly improves functional outcome and activities of daily life. This indicates that the patients' quality of life can be greatly enhanced by this treatment. Thus, we may say that for people with knee discomfort or disability, total knee replacement surgery is a worthwhile option.
How to cite this article:
K. Lingaraju, Ejazul Haq Chand, K. Dhanush, Arjun Rao Pawar, N. Praveen Kumar and Shashikiran M. Pyati. A Prospective Study of Functional Outcomes of Posterior Stabilised Total Knee Arthroplasty.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.9.42.48
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.9.42.48