Comparison of Pain, Muscle Strength, and Functional Status Following Unicompartmental Knee Arthroplasty, Total Knee Arthroplasty, and Conservative Management of Gonarthrosis.
Arthroplasty
Complication
Gonarthrosis
Knee
Rehabilitation
Unicompartmental
Journal
Indian journal of orthopaedics
ISSN: 0019-5413
Titre abrégé: Indian J Orthop
Pays: Switzerland
ID NLM: 0137736
Informations de publication
Date de publication:
Mar 2022
Mar 2022
Historique:
received:
16
06
2021
accepted:
15
10
2021
entrez:
7
3
2022
pubmed:
8
3
2022
medline:
8
3
2022
Statut:
epublish
Résumé
Treatment options and surgical decision for grade 3-4 gonarthrosis remains controversial. We aimed to compare the pain level, muscle strength, physical performance, lower extremity functions, and other physical activity levels between patients who underwent arthroplasty and those who received conservative management for grade 3-4 gonarthrosis. This prospective analytical observational study was conducted in a tertiary referral hospital. A total of 30 unicompartmental knee arthroplasty (UKA) and 30 total knee arthroplasty (TKA) patients as two different study groups and 30 patients were treated conservatively as the control group were included. The rehabilitation and complication rates were recorded. The values of the range of motion, quadriceps diameter, were measured and also the isokinetic muscle strength, pick-up, repeated sit-to-stand, stair ascending and descending, straight-line walking, timed up and go, and 20-m walk tests, the knee injury and osteoarthritis-outcome-score (KOOS), the hospital for special-surgery-knee-score (HSS), and Oxford-Knee-Score (OKS) were performed. Postoperative rehabilitation and complication rates were significantly higher in the TKA group compared to the UKA group ( The UKA was significantly superior to TKA and conservative treatment concerning pain, muscle strength, and quality of life. IIa.
Sections du résumé
BACKGROUND
BACKGROUND
Treatment options and surgical decision for grade 3-4 gonarthrosis remains controversial. We aimed to compare the pain level, muscle strength, physical performance, lower extremity functions, and other physical activity levels between patients who underwent arthroplasty and those who received conservative management for grade 3-4 gonarthrosis.
METHODS
METHODS
This prospective analytical observational study was conducted in a tertiary referral hospital. A total of 30 unicompartmental knee arthroplasty (UKA) and 30 total knee arthroplasty (TKA) patients as two different study groups and 30 patients were treated conservatively as the control group were included. The rehabilitation and complication rates were recorded. The values of the range of motion, quadriceps diameter, were measured and also the isokinetic muscle strength, pick-up, repeated sit-to-stand, stair ascending and descending, straight-line walking, timed up and go, and 20-m walk tests, the knee injury and osteoarthritis-outcome-score (KOOS), the hospital for special-surgery-knee-score (HSS), and Oxford-Knee-Score (OKS) were performed.
RESULTS
RESULTS
Postoperative rehabilitation and complication rates were significantly higher in the TKA group compared to the UKA group (
CONCLUSIONS
CONCLUSIONS
The UKA was significantly superior to TKA and conservative treatment concerning pain, muscle strength, and quality of life.
LEVEL OF EVIDENCE
METHODS
IIa.
Identifiants
pubmed: 35251511
doi: 10.1007/s43465-021-00549-5
pii: 549
pmc: PMC8854456
doi:
Types de publication
Journal Article
Langues
eng
Pagination
464-472Informations de copyright
© Indian Orthopaedics Association 2021.
Déclaration de conflit d'intérêts
Conflict of interestThere is no conflict of interest.
Références
PLoS One. 2017 May 4;12(5):e0176082
pubmed: 28472068
Osteoarthritis Cartilage. 2019 Nov;27(11):1578-1589
pubmed: 31278997
Gait Posture. 2019 Sep;73:299-304
pubmed: 31401372
Ann Rheum Dis. 2014 Sep;73(9):1659-64
pubmed: 23744977
Arch Orthop Trauma Surg. 2021 Aug;141(8):1361-1372
pubmed: 33512583
Osteoarthritis Cartilage. 2005 Sep;13(9):769-81
pubmed: 15978850
Arthritis Rheum. 2008 Jan;58(1):26-35
pubmed: 18163497
Arthritis Care Res (Hoboken). 2016 Apr;68(4):481-92
pubmed: 26316234
Knee Surg Sports Traumatol Arthrosc. 2015 Jul;23(7):2074-80
pubmed: 24682516
BMJ. 2019 Feb 21;364:l352
pubmed: 30792179
J Rheumatol. 2006 Nov;33(11):2271-9
pubmed: 17013996
BMC Musculoskelet Disord. 2019 Sep 12;20(1):421
pubmed: 31511076
Arthritis Care Res (Hoboken). 2020 Feb;72(2):149-162
pubmed: 31908149
Perm J. 2017;21:16-183
pubmed: 29035179
Ann Rheum Dis. 1957 Dec;16(4):494-502
pubmed: 13498604
Nat Rev Rheumatol. 2021 Jan;17(1):59-66
pubmed: 33116279
Best Pract Res Clin Anaesthesiol. 2020 Sep;34(3):369-382
pubmed: 33004154
Trials. 2013 Sep 12;14:292
pubmed: 24028414
J Bone Joint Surg Br. 2001 Jan;83(1):45-9
pubmed: 11245537
Knee Surg Sports Traumatol Arthrosc. 2015 Dec;23(12):3494-500
pubmed: 25063489
Osteoarthritis Cartilage. 2015 Apr;23(4):507-15
pubmed: 25447976
Bull World Health Organ. 2003;81(9):646-56
pubmed: 14710506
Knee. 2004 Oct;11(5):363-7
pubmed: 15351410
Joint Bone Spine. 2012 May;79(3):291-7
pubmed: 21803633