Preserving or replacing the patella during total knee arthroplasty: Does it influence inpatient rehabilitation?
DOI:
https://doi.org/10.25759/spmfr.94Abstract
Objectives: To evaluate the different effects of either patellar preservation or replacement in patients with Knee Osteoarthritis (KO) who underwent Total Knee Arthroplasty (TKA), in the length of stay and functionality after inpatient rehabilitation, in a Physical Medicine and Rehabilitation (PMR) ward.
Methods: A retrospective study was conducted comparing two groups with 10 patients each who underwent TKA with preservation (group A) or replacement (group B) of the patella. The groups had the same prosthesis model and conservation of the posterior cruciate ligament. The study inclusion criteria were primary KO, unilateral primary TKA and postoperative inpatient rehabilitation in a PMR ward. Exclusion criteria included secondary KO, prior lower limb arthroplasty, bilateral surgery and postoperative complications. The groups were matched for race, gender, age and body mass index (BMI). The study analyzed the following parameters: length of stay in the PMR ward and improvements in functionality scales, knee flexibility, muscle strength and autonomy in gait, need for technical aids, transfers and Activities of Daily Living (ADL). Length of rehabilitation in the Orthopedics ward, medical events in the PMR ward, comorbidities and medication were also studied.
Results: The two groups showed statistically significant differences in age (p=0.044) but not in BMI (p=0.880). Groups A and B did not statistically differ in: length of stay in the PMR ward (p=0.569) and improvements in functionality scales (p>0.21), flexibility (p>0.17), muscle strength (p=1) and autonomy in gait, technical aids and ADL (p>0.34). When parameters were evaluated in all 20 patients, there was evidence of statistically significant differences in the records obtained at times of admission and discharge of the PMR ward (p<0.01).
Conclusions: For the study sample, it appears that the option between patellar preservation or replacement during unilateral primary TKA does not influence the length of stay and evolution of functionality after inpatient rehabilitation in a PMR ward. It was found that inpatient rehabilitation leads to improvements in the functionality and autonomy of patients.
Keywords: Arthroplasty, Replacement, Knee; Osteoarthritis, Knee; Rehabilitation
Downloads
How to Cite
Issue
Section
License
Copyright statement
Authors must also submit a copyright statement (as seen below) on article submission.
To the Editor-in-chief of the SPMFR Journal:
The below signed author(s) hereby state that the article
________________________________________ (ref. MFR_________) is
an original unpublished work and all facts stated are a product of the author(s) investigation. This article does not violate any copyright laws or privacy statements. The author(s) also hereby confirm that there is no conflict of interest's issues in this article.
By submitting this article the author(s) agree that after publication all copyrights belong to the SPMFR Journal.
Signed by all authors
Date:
Names (capital letters):
Signatures:
The SPMFR Journal’s contents are follow a Creative Commons licence. After publication the authors can hand out the articles as long as the SPMFR Journal is credited.
