Role of Total Knee Arthroplasty in Different Joint Diseases- A Retrospective Study

Abstract

Aims: 1. To study the indication of TKA in our setup. 2. To evaluate the results clinically by assessing the functional improvement of the patients with reference to pain, walking ability and range of motion. 3. To study the implications associated with this procedure Materials and Methods: We are reporting the retrospective study and the early results of 28 knees of Total condylar knee arthroplasty using either with or without posterior stabilizing designs. 28 knees in 25 patients who visited the department of orthopaedics at Bowring and Lady Curzon hospitals. Bangalore Medical college. Bangalore, during the year 2001 – 2003. Have been selected with appropriate indications. The patients with severe knee arthritis and intractable pain were screened consecutively to select the patients. The patients with serious medical illness, infected arthritis, haemophilic arthropathy, charcoat arthropathy, and extreme complex deformed knees and follow up less than 6 months were excluded. Of the selected patients, 10 were RA, 14, were OA, and 1 had septic arthritis sequelae. Results: There were 19 (76%) females and 6(24%) males. Right knee predominates (14-56%) than left (8-32%) and bilateral (3- 12%). The unilateral replacement did pose a problem in clinical evaluation and may have an effect on long term results. As two cases could not be followed up after 6months, evaluation was done for 26 knees in 23 patients. Pre-operatively all of our patients had moderate to severe pain and 38.5% had rest pain. Post-operatively only 19% had mild pain. Pre-operatively there were no excellent knees .11.6% of the knees scored good, 26.9 % scored fair and 61.5% scored poor. Post-operatively 65% of the knees scored excellent, 16% good and 19% scored fair Conclusions: Our study of total condylar prosthesis series demonstrates that total condylar prosthesis is reliable, provide pain relief, average 90-95 motion and aood function.