Clinical Demographics Characteristic of Total Knee Arthroplasty at Prof IGNG Ngoerah General Hospital, Bali, Indonesia
DOI:
https://doi.org/10.26911/theijmed.2023.08.02.01Abstract
Background: Total knee arthroplasty (TKA) is a widespread surgical procedure for severe arthritis. By 2030, primary TKA would reach over 1.2 million procedures annually in the United States. In Indonesia, the prevalence of joint disease is about 19.5 million cases. This study aims to evaluate the clinical demographics characteristics of TKA in Prof. Ngoerah General Hospital, Bali, Indonesia.
Subjects and Method: This is a descriptive study using a Cross-Sectional method with a total 57 adult patients undergoing TKA caused by Osteoarthritis grade III/IV in Prof IGNG Ngoerah Hospital from June 2020-June 2022. The dependent variable is the TKA procedure. Independent Variable is Age, gender, grade of knee osteoarthritis, comorbidities, and complications Data from the medical record was collected and stored in a Microsoft Office Excel 365 spreadsheet, the distributive table was analyzed and collected by using SPSS.
Results: Patient characteristic is dominated by an elderly female (84.2%), with age group 61-70 (38.6%). Comorbidities in this study include hypertension (28.1%), type II diabetes (10.5%), and rheumatoid disease (1.8%). The main complication recorded in this study includes joint stiffness (3.5%), and persistent pain (5.3%).
Conclusion: After Total Knee Arthroplasty was performed on 57 patients with a wide range of comorbidities, only a small number of complications occurred. This study implied that TKA could be performed even if the patient had some comorbidities as long as the patient pursued a complete pre and post-operative evaluation algorithm of the procedure.
Keywords: knee arthroplasty, osteoarthritis, human and medicine, rehabilitation
Correspondence: IGN Wien Aryana, Consultant of Sports Medicine, Dept. Orthopaedic and Traumatology, Prof IGNG Ngoerah General Hospital, Faculty of Medicine, Udayana University. Jl. Diponegoro, Dauh Puri Klod. Denpasar City, Bali 80113 Email: wienaryanaortho@gmail.com. Mobile: +62811385263.
Indonesian Journal of Medicine (2023), 08(02): 128-135
https://doi.org/10.26911/theijmed.2023.08.02.01
References
AAOS (2022). Surgical management of Osteoarthritis of the Knee. AAOS
Alrawashdeh W, Eschweiler J, Migliorini F, el Mansy Y, Tingart M, Rath B (2021). Effectiveness of total knee arthroplasty rehabilitation programs: A systematic review and meta-analysis. J Rehabil Med. 53. Doi: 10.2340/165019772827.
Badan Penelitian dan Pengembangan Kesehatan KEMENKES RI (2018). Hasil Utama RISKESDAS 2018.
de Jonge SW, Gans SL, Atema JJ, Solomkin JS, Dellinger PE, Boermeester MA (2017). Timing of preoperative antibiotic prophylaxis in 54,552 patients and the risk of surgical site infection. Medicine (United States) 96. Doi: 10.1097/MD.0000000000006903.
Fatoye F, Yeowell G, Wright JM, Gebrye T (2021). Clinical and cost-effectiveness of physiotherapy interventions following total knee replacement: a systematic review and meta-analysis. Arch Orthop Trauma Surg. 141: 1761–1778. Doi: 10.1007/S00402021037845/FIGURES/3.
Klug A, Gramlich Y, Rudert M, Drees P, Hoffmann R, Weißenberger M, Kutzner KP (2021). The projected volume of primary and revision total knee arthroplasty will place an immense burden on future health care systems over the next 30 years. KSSTA. 29: 3287–3298. Doi: 10.1007/s00167020061547.
Kohn MD, Sassoon AA, Fernando ND (2016). Classifications in brief: kellgrenlawrence classification of osteoarthritis. Clin Orthop Relat Res. 474: 1886–1893. Doi: 10.1007/s1199901647324.
Levin A (2000). Consequences of late referral on patient outcomes. Nephrol Dial Transplant. 15(3): 8–13. Doi: 10.1093/OXFORDJOURNALS.NDT.A027977.
Long H, Liu Q, Yin H, Wang K, Diao N, Zhang Y, Lin J., et al. (2022). Prevalence trends of site-specific osteoarthritis from 1990 to 2019: findings from the global burden of disease study 2019. ACR. 74: 1172–1183. Doi: 10.1002/ART.42089/ABSTRACT.
Lützner J, Hübel U, Kirschner S, Günther KP, Krummenauer F (2011). Long-term results in total knee arthroplasty. A meta-analysis of revision rates and functional outcome. Chirurg. 82: 618624. Doi: 10.1007/S0010401020018.
Matthew Varacallo A, Johanson Affilations NA (2018). Total Knee Arthroplasty.
Pugely AJ, Martin CT, Gao Y, Belatti DA, Callaghan JJ (2014). Comorbidities in patients undergoing total knee arthroplasty: do they influence hospital costs and length of stay? Clin Orthop Relat Res. 472: 3943–3950. Doi: 10.1007/s119990143918x.
RodríguezMerchán EC (2019). The stiff total knee arthroplasty: causes, treatment modalities and results. EFORT Open Rev. 4: 602–610. Doi: 10.1302/20585241.4.180105.
Singh V, Berdis G, Goel A, Shahi A, Oliashirazi A, Singh V, Berdis G., et al. (2019). Stiffness after primary total knee arthroplasty. knee surgery reconstruction and replacement. Doi: 10.5772/INTECHOPEN.89565.
Sloan M, Premkumar A, Sheth NP (2018). Projected volume of primary total joint arthroplasty in the U.S. 2014 to 2030. 100: 1455–1460. Doi: 10.2106/JBJS.17.01617.
Wylde V, Beswick A, Bruce J, Blom A, Howells N, GoobermanHill R (2018). Chronic pain after total knee arthroplasty. EFORT Open Rev. 3: 461–470. Doi: 10.1302/20585241.3.180004.