Functional Knee Score in Knee Osteoarthritis with Tibial Defect Performed Total Knee Arthroplasty with Screw Augmentation

Authors

  • Fajar Baskoro Gardjito Department of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Sebelas Maret/Dr. Moewardi Hospital/Prof. Dr. R. Soeharso Orthopaedic Hospital
  • Arief Indra Perdana Department of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Sebelas Maret/Dr. Moewardi Hospital/Prof. Dr. R. Soeharso Orthopaedic Hospital
  • Ismail Mariyanto Department of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Sebelas Maret/Dr. Moewardi Hospital/Prof. Dr. R. Soeharso Orthopaedic Hospital
  • Mujaddid Idulhaq Department of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Sebelas Maret/Dr. Moewardi Hospital/Prof. Dr. R. Soeharso Orthopaedic Hospital
  • Pamudji Utomo Department of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Sebelas Maret/Dr. Moewardi Hospital/Prof. Dr. R. Soeharso Orthopaedic Hospital

Abstract

Background: Long-standing knee osteoarthritis also is a common cause of severe bone deficiency (especially proximal tibia). Total knee arthroplasty is indicated in patient with knee osteoarthritis who did not able to perform activity daily living. This study aimed to evaluate the functional knee score of the patient with knee osteoarthritis who performed total knee arthroplasty with screw augmentation.

Subjects and Method: This was an analytic observational study conducted at Soeharso Orthopaedic Hospital, Surakarta, Central Java, from January to December 2016. A sample of 30 patients with knee osteoarthritis with tibial defect who performed total knee arthroplasty with screw augmentation was selected for this study. The dependent variable was functional knee score. The independent variable was knee arthroplasty with screw augmentation. Knee function was measured by knee society score. The difference of knee function score between before and after total knee arthroplasty with screw augmentation was analyzed by t test.

Results: There were 30 patients (25 females and 5 males) with age between 54 to 73 years old. Mean of knee society score post operative (mean= 82.7; SD= 6.29) was higher than pre operative (mean= 30.5; SD= 6.74) and it was statistically significant (p=0.001).

Conclusion: Knee society score after total knee arthroplasty with screw augmentation is higher than before surgery.

Keywords: functional knee score, osteoarthritis, screw augmentation

Correspondence: Fajar Baskoro Gardjito, Department of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Sebelas Maret/Dr. Moewardi Hospital/Prof. Dr. R. Soeharso Orthopaedic Hospital. Email: baskovic9237@gmail.com.

Indonesian Journal of Medicine (2018), 3(3): 134-138
https://doi.org/10.26911/theijmed.2018.03.03.02

References

Abdeen AR, Collen SB, Vince KG (2010). Fifteen-Year to 19-Year Follow-Up of the Insall-Burstein-1 Total Knee Arthroplasty. Journal of Arthroplasty, 25(2), 173–178. https://doi.org/10.­1016/j.arth.2009.01.009  Berend ME, Ritter MA, Keating EM, Jackson MD, Davis KE (2014). Use of screws and cement in primary TKA with up to 20 years follow-up. Journal of Arthroplasty, 29(6), 1207–1210. https://doi.org/10.1016/j.arth.2013.12.023  Bilgen MS, Eken G, Guney N (2017). Short-term results of the management of severe bone defects in primary TKA with cement and K-wires. Acta Ortho­paedica et Traumatologica Turcica, 51(5): 388–392. https://doi.org/10.1016/j.aott.2017.02.002.  Kouk S, Rathod PA, Maheshwari AV, Deshmukh AJ (2018). Rotating hinge prosthesis for complex revision total knee arthroplasty: A review of the literature. Journal of Clinical Ortho­paedics and Trauma, 9(1): 29–33. https://doi.org/10.1016/j.jcot.2017.11.020  Rajesh M (2012). Mastering orthopedic techniques - Hoffa Fracture. Master­ing orthopedic techniques.  Ritter MA, Harty LD (2004). Medial screws and cement: A possible mechanical augmentation in total knee arthro­plasty. Journal of Arthro­plasty, 19(5), 587–589. https://doi.org/10.1016/j.­arth.2003.11.009  Singh JA, Gabriel S, Lewallen D (2008). The impact of gender, age, and pre­operative pain severity on pain after TKA. Clinical Orthopaedics and Related Research, 466(11), 2717–2723. https://doi.org/­10.1007/s1­199­9-008-0399-9

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Published

2018-10-10

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