Patient Satisfaction after Primary Knee Arthroplasty in Indian Scenario

Authors: Pal CP* and Yajuvendra KS

DOI: 10.23880/jobd-16000143

Volume 1, Issue 8

Abstract

Introduction: Arthritis is one of the leading causes of disability in India and Osteoarthritis (OA) is the most common type
of arthritis found in Indian population. Total knee arthroplasty reliably reduces pain and improves health-related quality
of life. Dissatisfaction still remains in some patients even after excellent results. The purpose of this study was to assess
muscle strength, range of motion (ROM), and functional performance of patients prospectively from before to after TKA.
Research method: This was a prospective cohort study of twenty three patients undergoing TKA, evaluated at 2 weeks
preoperatively, as well as at 1, 3, and 6 months postoperatively. Patients were evaluated by WOMAC score and a question
for satisfaction: How much satisfied he/she is with his arthroplasty? Answer was asked in dissatisfied, neutral, satisfied
at follow up at 6 months.
Results: The mean WOMAC score was better after 6 months postoperatively from preoperatively. Out of twenty three,
78.26% (18) were satisfied, 17.40 % (4) were neutral and 4.34(1) was dissatisfied.
Discussion: TKA has been shown to be safe and effective in addressing end-stage osteoarthritis of the knee. But not all
patients are satisfied after this procedure. Various studies have noted that only 82–89% patients express satisfaction.
According to our study patient satisfaction after primary total knee arthroplasty was 78.26% and a significant
improvement in WOMAC score.

Keywords:

Arthroplasty; Flexion; Indian population

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