DOI: 10.36347/sjams.2022.v10i09.007

Pages: 1457-1462

Introduction: Osteoarthritis (OA) is one of the most common joint disorders with pain, function loss, and disability among the older population. Osteoarthritis (OA) affects millions of people all over the world and accounts for a vast burden of pain, debility, functional limitations, loss of man hour and productivity, disability, and loss of quality life expectancy. Total joint replacement is the most effective and a successful treatment for the elderly patients suffering from end stages of osteoarthritis. Objectives: To study of the awareness and acceptance of total joint replacement surgery among patients suffering from severe osteoarthritis of the hip and knee joints. Methods: A prospective study was contacted at the Department of Ortho Surgery, National Institute of traumatology and orthopedic rehabilitation (NITOR), Dhaka, Bangladesh from January to June 2021. Forty nine (49) patients included in our study. A well-structured questionnaire was administered to the patient requiring information about their biodata, educational level, the joint affected by osteoarthritis, the level of pain using numeric rating scale (NRS), their knowledge of total joint replacement, their willingness to accept total joint replacement, reasons for not accepting the surgery, X-ray findings and radiological classification of the osteoarthritis using Kellgren and Lawrence classification. Results: A total of 49 patients were recruited for the study. The age ranged 13-88years with mean age 48 years ± SD 18.2 years; male and female ratio of 1:1.7. Of the 49 patients recruited for the study 32(65.30%) were aware of the role of total joint replacement in the treatment of osteoarthritis and among these 32(65.3%) (figure1) and among these 29(59.18%) accepted the procedure while 20(40.81%) of them rejected it. Thirty one (34.69%) patients had no knowledge of joint replacement but when they were educated on its relevance in their management 10(32.3%) accepted but 21(67.7%) rejected the surgery.