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Scholars Journal of Applied Medical Sciences | Volume-4 | Issue-05
Factors affecting post-operative range of motion following total knee arthroplasty in Indian patients
Dr. Sarabjeet Kohli, Dr Nilesh Vishwakarma, Dr ShaivalChauhan, Prof K S Salgotra, Dr Siddhant Jain, Dr Prashant Dumre
Published: May 28, 2016 |
153
103
DOI: 10.36347/sjams.2016.v04i05.023
Pages: 1559-1565
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Abstract
Range of motion is an important determinant of the success of total knee arthroplasty. This study aims to
assess the various demographic factors affecting the postoperative range of motion following total knee arthroplasty
which include age, sex, body mass index, etiology, preoperative range of motion, the timing of surgery and the choice of
implants These results could be used to identify the patients who are prone for decreased range of motion after total knee
arthroplasty. The Materials and methods in this Study was conducted on 254 patients undergoing primary total knee
arthroplasty, accounting for a total of 354 knees, with a follow up period ranging from a minimum of 6 months, going
upto 2 years. The range of motion was assessed periodically and the recordings were statistically analysed to find a
correlation with the above mentioned factors. The Results and conclusion was Age and sex of the patient was not found
to affect the postoperative ROM. A poor pre operative ROM, BMI >25 and presence of rheumatoid arthritis were found
to result in decreased post operative range of motion. The choice of implant (metal backed or all polies) and the timing of
surgery (bilateral single sitting vs staggered) did not appear to be statistically significant in influencing post operative
ROM.