» Articles » PMID: 35652014

Epidemiological and Clinical Profile of Patients Submitted to Total Knee Arthroplasty

Overview
Publisher Thieme
Specialty Orthopedics
Date 2022 Jun 2
PMID 35652014
Authors
Affiliations
Soon will be listed here.
Abstract

 To define the epidemiological profile and the associated comorbidities of patients submitted to total knee arthroplasty (TKA) in two reference hospitals.  During the present cross-sectional observational study, 294 patients submitted to TKA were evaluated in 2 tertiary care hospitals. The diagnosis of self-reported comorbidities was collected by direct interview. The Functional Comorbidity Index (FCI) and the 5-Factor Modified Frailty Index (mFI-5) were calculated. The incidence of comorbidities and their relationship with the calculated indexes were evaluated.  Most of the patients in the sample were women (  = 0.000) between the seventh and eighth decades of life. Systemic arterial hypertension was the most common pathology, followed by obesity and diabetes mellitus. The FCI presented a direct relationship with females (  = 0.038) and obesity (  < 0.001). The mFI-5 was only associated to obesity (  = 0.022), demonstrating a higher chance of complications in this group.  Patients undergoing TKA are essentially carriers of clinical comorbidities that can negatively influence functional results and compromise the safety of the procedure. The identification of risk factors can contribute to the safety and better selection of TKA candidates.

Citing Articles

Impact of the COVID-19 pandemic on the complete rehabilitation journey of hip fracture patients in Italy: From surgical admission to rehabilitation facility discharge.

Elhadidy H, Politano G, Onorati R, Catozzi D, Gianino M PLoS One. 2024; 19(7):e0305966.

PMID: 38990821 PMC: 11238963. DOI: 10.1371/journal.pone.0305966.

References
1.
Adie S, Harris I, Chuan A, Lewis P, Naylor J . Selecting and optimising patients for total knee arthroplasty. Med J Aust. 2019; 210(3):135-141. DOI: 10.5694/mja2.12109. View

2.
Zanasi S . Innovations in total knee replacement: new trends in operative treatment and changes in peri-operative management. Eur Orthop Traumatol. 2011; 2(1-2):21-31. PMC: 3150806. DOI: 10.1007/s12570-011-0066-6. View

3.
Skou S, Roos E, Laursen M, Rathleff M, Arendt-Nielsen L, Simonsen O . A Randomized, Controlled Trial of Total Knee Replacement. N Engl J Med. 2015; 373(17):1597-606. DOI: 10.1056/NEJMoa1505467. View

4.
Parvizi J, Shohat N, Gehrke T . Prevention of periprosthetic joint infection: new guidelines. Bone Joint J. 2017; 99-B(4 Supple B):3-10. DOI: 10.1302/0301-620X.99B4.BJJ-2016-1212.R1. View

5.
Bjorgul K, Novicoff W, Saleh K . Evaluating comorbidities in total hip and knee arthroplasty: available instruments. J Orthop Traumatol. 2010; 11(4):203-9. PMC: 3014469. DOI: 10.1007/s10195-010-0115-x. View