The Role of Total Knee Arthroplasty in Surgery for arthritic Disorders of Knee Joint Conducted at KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, Belgaum

Abstract

Background and Objectives ABSTRACT Total knee arthroplasty is one of the most common orthopedic procedures performed. Because these procedures are elective and expensive and because the prevalence of arthritis is expected to grow substantially as the population ages, these procedures are likely to come under increasing scrutiny. The objectives of the present study were to study the outcomes of total knee arthroplasty in terms of pain relief, joint stability, range of motion and functional outcome and to study various complications following total knee arthroplasty. Methods The present one year descriptive study was conducted in the Department of Orthopaedics, KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, Belgaum during the period of December 2006 to November 2007 on 20 patients with osteoarthritis who were undergoing unilateral total knee replacement. Functional outcome was evaluated with the help of a knee society clinical rating system and Knee Society Roentgenographic Evaluation and scoring system. Results The results of present series are excellent with 86.7% excellent clinical and 88.25% excellent functional results. The improvement in patients that underwent total knee arthroplasty was considered statistically significant ( p < 0.001) based on knee Society knee scoring system. IX Conclusion and interpretation Total knee arthroplasty provides considerable pain relief, range of motion, stability in severely painful, refractory, deformed knees if performed taking into consideration preoperative patient’s selection, intra operative soft tissue balancing, prosthesis alignment and post operative rehabilitation.