Impact of total knee arthroplasty for hemophilic arthropathy on patient-reported outcome measures
Makaleler > Özet · 2019
Yazarlar: Melekper Elcil KAYA BİÇER, ÖZGÜR MERT BAKAN, Fahri ŞAHİN, Can BALKAN, Ramazan Kaan KAVAKLI, Semih AYDOĞDU
HAEMOPHILIA, SCI Expanded İndekslerine Giren Dergi, Uluslararası, 2019, cilt 25, ss 16-17
DOI: 10.1111/hae.13856
Özet
<p>disease of young men affecting their quality of life and functional</p><p>level that may necessitate total knee arthroplasties (TKA) at a relatively</p><p>young age. However, these patients learn to cope with their</p><p>functional deficits resulting from multiple joint involvements. The</p><p>aim of this study was to investigate the impact of TKA on patient-reported</p><p>outcomes of hemophilic arthropathy patients.</p><p>Material and Methods: In this retrospective study, 45 primary</p><p>TKAs of 30 hemophilic patients (mean age at the time of operation</p><p>41.62 ± 13.38), performed between 2002-2018</p><p>that were available</p><p>for final follow-up</p><p>were included. Fifteen patients had bilateral</p><p>TKAs, six were simultaneously performed. Mean follow-up</p><p>was 5.27 ± 4.53 years (range, 1-17).</p><p>Preoperative and postoperative</p><p>range of motion values (ROM), flexion contractures, Knee injury</p><p>and Osteoarthritis Outcome Scores (KOOS) with its subscales</p><p>(pain, symptoms, function in daily living, function in sport and recreation</p><p>and knee-related</p><p>quality of life), Knee Society (KSS) Knee</p><p>& Function Scores, visual analogue scale (VAS) for pain were compared.</p><p>Preoperative and postoperative bleeding complaints were</p><p>questioned. Statistical analyses were performed utilizing SPSS v18.</p><p>Significance level was set at 0.05.</p><p>Results: Contralateral knees of only three patients were asymptomatic;</p><p>29 out of 30 patients had multiple joint involvements.</p><p>Mean ± SD, median(minimum & maximum) values of ROM, flexion</p><p>contractures, KOOS, KSS, and VAS scores are presented in Table 1. All parameters were significantly improved postoperatively.</p><p>23 knees had preoperative bleeding episodes, while six of them continued</p><p>postoperatively. Five knees which were not bleeding preoperatively</p><p>have started during the follow-up;</p><p>34 out of 45 knees were</p><p>devoid of bleeding.</p><p>Conclusions: Hemophilic arthropathy of knee, a fairly common complication</p><p>of a fairly uncommon disease, is a debilitating condition</p><p>which may be reversed successfully with TKAs. Management of the</p><p>knee with TKA results in improvement of both objective and subjective</p><p>outcome measures in mid-term</p><p>follow-up.</p>