STUDY OF FUNCTIONAL OUTCOME OF TOTAL KNEE ARTHROPLASTY USING THE KNEE SOCIETY SCORE IN  OSTEOARTHRITIS, A FIVE YEAR FOLLOW UP.

ARUN VAISHY; MAHENDRA SWAMI

Volume : VI, Issue : IV, April - 2017

STUDY OF FUNCTIONAL OUTCOME OF TOTAL KNEE ARTHROPLASTY USING THE KNEE SOCIETY SCORE IN OSTEOARTHRITIS, A FIVE YEAR FOLLOW UP.

Arun Vaishy, Mahendra Swami

Abstract :

Osteoarthritis is thought to be the most prevalent chronic joint disease. The incidence of osteoarthritis is rising because of the ageing population and the epidemic of obesity. Pain and loss of function are the main clinical features that lead to treatment,including non–pharmacological, pharmacological, and surgical approaches. in surgical approaches total knee arthroplasty most popular method ,our study analyze the clinical, functional of Total Knee Arthroplasty at short term 5 years follow up.

MATERIAL AND METHOD–

This is a retrospective study done on patients who underwent Total Knee Arthroplasty using posterior cruciate substituting design in osteoarthritis . Total of 30 patients of both sex were included in this study. In all the knees Cruciate Substituting design used.The Knee society scoring(KSS) system used most commonly. Follow up period was 1 month,6 month,one year,and five year.

RESULTS–

The age group ranged from 50 to 80 with an average age of 63.6 years.There was no intra op or immediate post op complications. The average pre op KSS score was 28 and post op KSS score at final follow up was 97. The Pre Operative Functional score average was 41.53 and the Post Operative average at five year follow up is 88.49.

DISSCUSION–

The primary objective of our method of knee replacement is to preserve normal kinematics of the knee with an implant whose geometry is compatible with the mechanics of the ligaments and muscles. Since in TKR the

geometry of the femoral component duplicates normal anatomy and the articular surfaces of the tibial component allow unconstrained rotatory and anteroposterior displacement as dictated by the ligaments.With careful attention to surgical technique and balancing the knee, orthopedic surgeons should expect similar results with TKR whether they resurface patella or not. This study has 2 limitations, Short term five year follow–up of clinical results and Number of enrolled patients is small.