Patients More Likely To Report Pain And Minimum Activity After Total Knee Replacement Surgery
A new research found that patients age 45 and younger, and those age 75 and older, report more pain and less activity following the total knee replacement surgery. At the 2016 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS), this research was presented.
As total knee replacement is one of the most famous elective orthopaedic surgeries, so it has extensively widespread from 2000 to 2009 by 20%, among patients with ages 45 to 64 by 188% and 65 to 84 by 89%. "Knee replacement is a common, successful surgery in orthopaedics," told Randa Elmallah, MD, lead study author and research fellow working under the supervision of Michael Mont, MD, at Sinai Hospital's Rubin Institute in Baltimore. However, despite comparable clinical results, "some patients are not satisfied, and we are trying to explore the potential reasons
In this study, after the surgery researchers assessed the progression of 278 patients (108 men and 170 women) from different seven medical institutions in accordance with five age groups: 45 years and under, ages 45 to 54, 55 to 64, 65 to 74, and 75 years and older. Using various assessment tools such as the Knee Society Scoring system (KSS), Short Form Health Survey (SF-36) and the lower extremity activity scale (LEAS), patients preoperatively and postoperatively rated their status, for instance, pain, motion and levels of activity which connected with daily tasks for seven years.
Improvements were reported in all age groups in terms of motion with no significant differences between age groups. Additionally, maximum pain was reported in age group of 75 and older at sixth weeks and one year after surgery. Lowest activity scores were reported at three month, five and seven years of subsequent surgery in 75 and older and under 45 age groups. Patients with age group 45 to 74 reported remarkably higher function scores as comapred to under 45 group and 75 and older group after two years of surgery. Lastly, patients with an age of 45 and younger reported the lowest functional health and wellbeing.
Dr. Mont said, "Our study points out that surgeons need to thoroughly discuss and manage patient's expectations and recovery, particularly with patients at either end of the age spectrum".