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Year 2013, Volume: 5 Issue: 1, 23 - 26, 01.04.2013

Şahin Ö

Abstract

Objective: The aim of this study was to investigate the effect of total knee arthroplasty (TKA) on functional status, and quality of life of individuals with severe knee osteoarthritis (OA) after postoperative one year of TKA. Methods: Twenty-seven volunteered patients with knee OA undergoing TKA were enrolled into the study. Pain levels, functional status, and health related quality of life were evaluated before and after a year of TKA. Pain levels were assessed by visual analog scale (VAS). Functional status was evaluated by Western Ontario and McMaster Universities OA Index (WOMAC), and Lequesne Index, and health related quality of life was assessed by Short Form-36 Questionnaire (SF-36). Results: There were significant improvements in VAS, Lequesne Index, WOMAC scores, and all of subscales of SF-36 Questionnaire in one year after the TKA compared to pretreatment scores (p<0.0001). There was a positive correlation between postoperative Lequesne Index and postoperative WOMAC scores (pain score (r= 0.821, p=0.0001), stiffness score (r=0.634, p=0.0001), and function score (r=0.755, p=0.0001)). There was negative correlation between WOMAC function score and SF-36 physical function score (r= -0.585, p=0.001), and between WOMAC pain score and SF-36 pain score (r= -0.485, p=0.010). Conclusion: TKA decreases pain and positively affects the functional status and quality of life in patients with severe OA in one year after the treatment

Keywords

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References

  • Ling SM, Fried LP, Garrett ES, et al. Knee osteoarthritis compromises early mobility function: The Women’s Health and Aging Study II. J Rheumatol 2003;30(1):114–20.
  • Felson DT, Naimark A, Anderson J, et al. The prevalence of knee osteoarthritis in the elderly: The Framingham Osteoarthritis Study. Arthritis Rheum 1987;30(8):914–8.
  • Guccione AA, Felson DT, Anderson JJ, et al. The effects of specific medical conditions on the functional limitations of the elders in the Framingham study. Am J Public Health 1994;84(3):351–8.
  • Jones CA, Voaklander DC, Johnston DW, et al. Health related quality of life outcomes after total hip and knee arthroplasties in a community based population. J Rheumatol. 2000;27(7):1745-52.
  • Fortin PR, Clarke AE, Joseph L, et al. Outcomes of total hip and knee replacement: preoperative functional status predicts outcomes at six months after surgery. Arthritis Rheum. 1999;42(8):1722-8.
  • Rosneck J, Higuera CA, Tadross N, et al. Managing knee osteoarthritis before and after arthroplasty. Cleve Clin J Med. 2007;74(9):663-71.
  • Macario A, Vitez TS, Dunn B, et al. Hospital costs and severity of illness in three types of elective surgery. Anesthesiology. 1997;86(1):92-100.
  • Hawker G, Wright J, Coyte P, et al. Health-related quality of life after knee replacement. J Bone Joint Surg Am 1998;80(2):163-73.
  • Nunez M, Lozano L, Nunez E, et al. Total knee replacement and health-related quality of life: factors influencing long-term outcomes. Arthritis Rheum. 2009;61(8):1062-9.
  • Çınar C, Alanoğlu E, Sezgin M ve ark. Diz osteoartritli hastalarda total diz artroplastisinin ağrı, fonksiyon ve sağlıkla ilişkili yaşam kalitesine etkisi. Fiziksel Tıp 2003;6(1):1-7.
  • Güven Z. Artroplasti rehabilitasyonu. Editörler: Oğuz H, Dursun E, Dursun N. Tıbbi Rehabilitasyon. İstanbul: Nobel Tıp Kitapevleri, 2004:835-62.
  • Basaran S, Guzel R, Seydaoglu G, et al. Validity, reliability, and comparison of the WOMAC osteoarthritis index and Lequesne algofunctional index in Turkish patients with hip or knee osteoarthritis. Clin Rheumatol. 2010;29(7):749-56.
  • Tüzün EH, Eker L, Aytar A, et al. Acceptability, reliability, validity and responsiveness of the Turkish version of WOMAC osteoarthritis index. Osteoarthritis Cartilage. 2005;13(1):28-33.
  • Koçyiğit H, Aydemir Ö, Fişek G ve ark. Kısa Form-36 (KF-36)'nın Türkçe versiyonunun güvenilirliği ve geçerliliği. İlaç ve Tedavi Dergisi 1999;12(2):102-6.
  • Tüzün F. Osteoartritin Tedavisi. Çeviri editörü: Arasıl T. Kelly Romatoloji. Ankara: Güneş Kitapevi, 2006:1528-40.
  • Kreibich DN, Vaz M, Bourne RB, et al. What is the best way of assessing outcome after total knee replacement? Clin Orthop Relat Res. 1996;(331):221-5.
  • Parent E, Moffet H. Comparative responsiveness of locomotor tests and questionnaires used to follow early recovery after total knee arthroplasty. Arch Phys Med Rehabil. 2002;83(1):70-80.
  • Escobar A, Quintana JM, Bilbao A, et al. Responsiveness and clinically important differences for the WOMAC and SF-36 after total knee replacement. Osteoarthritis Cartilage. 2007;15(3):273-80.
  • Nunez M, Nnuez E, del Val JL, et al. Health-related quality of life in patients with osteoarthritis after total knee replacement: factors influencing outcomes at 36 months of follow-up. Osteoarthritis Cartilage. 2007;15(9):1001-7.
  • Chana R, Shenava Y, Nicholl AP, et al. Five- to 8-year results of the uncemented Duracon total knee arthroplasty system. J Arthroplasty. 2008;23(5):677-82.
  • Baumann C, Rat AC, Osnowycz G, et al. Satisfaction with care after total hip or knee replacement predicts self-perceived health status after surgery. BMC Musculoskelet Disord. 2009;10:150.
  • Rat AC, Guillemin F, Osnowycz G, et al. Total hip or knee replacement for osteoarthritis: mid-and long- term quality of life. Arthritis Care Res (Hoboken). 2010;62(1):54-62.
  • Robertsson O, Dunbar MJ. Patient satisfaction compared with general health and disease-specific questionnaires in knee arthroplasty patients. J Arthroplasty. 2001;16(4):476-82.

Total Diz Artroplasti Tedavisinin Sağlıkla İlişkili Yaşam Kalitesi, Ağrı ve Fonksiyon Üzerine Etkisi: Birinci Yıl Sonuçları

Year 2013, Volume: 5 Issue: 1, 23 - 26, 01.04.2013

Şahin Ö

Abstract

Amaç: Bu çalışmanın amacı, şiddetli diz osteoartriti (OA) olan olgularda total diz artroplasti (TDA) tedavisinin, bir yıl sonra olguların fonksiyonel durumuna ve yaşam kalitesine olan etkilerini incelemektir. Gereç ve Yöntem: TDA planlanan 27 hasta çalışmaya alındı. TDA’dan önce ve TDA’ dan bir yıl sonra görsel analog skala (VAS) ile ağrı düzeyleri, Western Ontario ve McMaster Üniversiteleri OA İndeksi (WOMAC) ve Lequesne İndeksi ile fonksiyonel durumları, ve Kısa Form-36 Ölçeği (SF-36 Ölçeği) ile sağlıkla ilişkili yaşam kaliteleri (SİYK) değerlendirildi. Bulgular: TDA’dan bir yıl sonra değerlendirilen VAS ağrı skorunda, Lequesne İndeksinde, WOMAC skorlarında ve SF-36 Ölçeği skorlarının hepsinde cerrahi öncesine göre istatistiksel olarak anlamlı bir düzelme vardı (p<0.0001). Cerrahi sonrası Lequesne İndeksi ile WOMAC skorları (ağrı skoru (r= 0.821, p=0.0001), sertlik skoru (r=0.634, p=0.0001) ve fonksiyon skoru (r=0.755, p=0.0001)) arasında pozitif bir korelasyon, WOMAC fonksiyon skoru ile SF-36 fiziksel fonksiyon skoru arasında (r= -0.585, p=0.001) ve WOMAC ağrı skoru ile SF-36 ağrı skoru arasında (r= -0.485, p=0.010) negatif bir korelasyon vardı. Sonuç: TDA ile şiddetli diz OA’sı olan olgularda, bir yıl sonra olguların ağrısında azalma, fonksiyonel durumlarında ve yaşam kalitelerinde iyileşme gözlenmektedir

Keywords

Osteoartrit Diz Artroplasti Yaşam Kalitesi Rehabilitasyon

References

  • Ling SM, Fried LP, Garrett ES, et al. Knee osteoarthritis compromises early mobility function: The Women’s Health and Aging Study II. J Rheumatol 2003;30(1):114–20.
  • Felson DT, Naimark A, Anderson J, et al. The prevalence of knee osteoarthritis in the elderly: The Framingham Osteoarthritis Study. Arthritis Rheum 1987;30(8):914–8.
  • Guccione AA, Felson DT, Anderson JJ, et al. The effects of specific medical conditions on the functional limitations of the elders in the Framingham study. Am J Public Health 1994;84(3):351–8.
  • Jones CA, Voaklander DC, Johnston DW, et al. Health related quality of life outcomes after total hip and knee arthroplasties in a community based population. J Rheumatol. 2000;27(7):1745-52.
  • Fortin PR, Clarke AE, Joseph L, et al. Outcomes of total hip and knee replacement: preoperative functional status predicts outcomes at six months after surgery. Arthritis Rheum. 1999;42(8):1722-8.
  • Rosneck J, Higuera CA, Tadross N, et al. Managing knee osteoarthritis before and after arthroplasty. Cleve Clin J Med. 2007;74(9):663-71.
  • Macario A, Vitez TS, Dunn B, et al. Hospital costs and severity of illness in three types of elective surgery. Anesthesiology. 1997;86(1):92-100.
  • Hawker G, Wright J, Coyte P, et al. Health-related quality of life after knee replacement. J Bone Joint Surg Am 1998;80(2):163-73.
  • Nunez M, Lozano L, Nunez E, et al. Total knee replacement and health-related quality of life: factors influencing long-term outcomes. Arthritis Rheum. 2009;61(8):1062-9.
  • Çınar C, Alanoğlu E, Sezgin M ve ark. Diz osteoartritli hastalarda total diz artroplastisinin ağrı, fonksiyon ve sağlıkla ilişkili yaşam kalitesine etkisi. Fiziksel Tıp 2003;6(1):1-7.
  • Güven Z. Artroplasti rehabilitasyonu. Editörler: Oğuz H, Dursun E, Dursun N. Tıbbi Rehabilitasyon. İstanbul: Nobel Tıp Kitapevleri, 2004:835-62.
  • Basaran S, Guzel R, Seydaoglu G, et al. Validity, reliability, and comparison of the WOMAC osteoarthritis index and Lequesne algofunctional index in Turkish patients with hip or knee osteoarthritis. Clin Rheumatol. 2010;29(7):749-56.
  • Tüzün EH, Eker L, Aytar A, et al. Acceptability, reliability, validity and responsiveness of the Turkish version of WOMAC osteoarthritis index. Osteoarthritis Cartilage. 2005;13(1):28-33.
  • Koçyiğit H, Aydemir Ö, Fişek G ve ark. Kısa Form-36 (KF-36)'nın Türkçe versiyonunun güvenilirliği ve geçerliliği. İlaç ve Tedavi Dergisi 1999;12(2):102-6.
  • Tüzün F. Osteoartritin Tedavisi. Çeviri editörü: Arasıl T. Kelly Romatoloji. Ankara: Güneş Kitapevi, 2006:1528-40.
  • Kreibich DN, Vaz M, Bourne RB, et al. What is the best way of assessing outcome after total knee replacement? Clin Orthop Relat Res. 1996;(331):221-5.
  • Parent E, Moffet H. Comparative responsiveness of locomotor tests and questionnaires used to follow early recovery after total knee arthroplasty. Arch Phys Med Rehabil. 2002;83(1):70-80.
  • Escobar A, Quintana JM, Bilbao A, et al. Responsiveness and clinically important differences for the WOMAC and SF-36 after total knee replacement. Osteoarthritis Cartilage. 2007;15(3):273-80.
  • Nunez M, Nnuez E, del Val JL, et al. Health-related quality of life in patients with osteoarthritis after total knee replacement: factors influencing outcomes at 36 months of follow-up. Osteoarthritis Cartilage. 2007;15(9):1001-7.
  • Chana R, Shenava Y, Nicholl AP, et al. Five- to 8-year results of the uncemented Duracon total knee arthroplasty system. J Arthroplasty. 2008;23(5):677-82.
  • Baumann C, Rat AC, Osnowycz G, et al. Satisfaction with care after total hip or knee replacement predicts self-perceived health status after surgery. BMC Musculoskelet Disord. 2009;10:150.
  • Rat AC, Guillemin F, Osnowycz G, et al. Total hip or knee replacement for osteoarthritis: mid-and long- term quality of life. Arthritis Care Res (Hoboken). 2010;62(1):54-62.
  • Robertsson O, Dunbar MJ. Patient satisfaction compared with general health and disease-specific questionnaires in knee arthroplasty patients. J Arthroplasty. 2001;16(4):476-82.
There are 23 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Şahin Ö This is me

Publication Date April 1, 2013
Published in Issue Year 2013 Volume: 5 Issue: 1

Cite

APA Ö, Ş. (2013). Total Diz Artroplasti Tedavisinin Sağlıkla İlişkili Yaşam Kalitesi, Ağrı ve Fonksiyon Üzerine Etkisi: Birinci Yıl Sonuçları. Konuralp Medical Journal, 5(1), 23-26.
AMA Ö Ş. Total Diz Artroplasti Tedavisinin Sağlıkla İlişkili Yaşam Kalitesi, Ağrı ve Fonksiyon Üzerine Etkisi: Birinci Yıl Sonuçları. Konuralp Medical Journal. April 2013;5(1):23-26.
Chicago Ö, Şahin. “Total Diz Artroplasti Tedavisinin Sağlıkla İlişkili Yaşam Kalitesi, Ağrı Ve Fonksiyon Üzerine Etkisi: Birinci Yıl Sonuçları”. Konuralp Medical Journal 5, no. 1 (April 2013): 23-26.
EndNote Ö Ş (April 1, 2013) Total Diz Artroplasti Tedavisinin Sağlıkla İlişkili Yaşam Kalitesi, Ağrı ve Fonksiyon Üzerine Etkisi: Birinci Yıl Sonuçları. Konuralp Medical Journal 5 1 23–26.
IEEE Ş. Ö, “Total Diz Artroplasti Tedavisinin Sağlıkla İlişkili Yaşam Kalitesi, Ağrı ve Fonksiyon Üzerine Etkisi: Birinci Yıl Sonuçları”, Konuralp Medical Journal, vol. 5, no. 1, pp. 23–26, 2013.
ISNAD Ö, Şahin. “Total Diz Artroplasti Tedavisinin Sağlıkla İlişkili Yaşam Kalitesi, Ağrı Ve Fonksiyon Üzerine Etkisi: Birinci Yıl Sonuçları”. Konuralp Medical Journal 5/1 (April 2013), 23-26.
JAMA Ö Ş. Total Diz Artroplasti Tedavisinin Sağlıkla İlişkili Yaşam Kalitesi, Ağrı ve Fonksiyon Üzerine Etkisi: Birinci Yıl Sonuçları. Konuralp Medical Journal. 2013;5:23–26.
MLA Ö, Şahin. “Total Diz Artroplasti Tedavisinin Sağlıkla İlişkili Yaşam Kalitesi, Ağrı Ve Fonksiyon Üzerine Etkisi: Birinci Yıl Sonuçları”. Konuralp Medical Journal, vol. 5, no. 1, 2013, pp. 23-26.
Vancouver Ö Ş. Total Diz Artroplasti Tedavisinin Sağlıkla İlişkili Yaşam Kalitesi, Ağrı ve Fonksiyon Üzerine Etkisi: Birinci Yıl Sonuçları. Konuralp Medical Journal. 2013;5(1):23-6.