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Do patients need to earn total knee arthroplasty?

Gidwani, Sam, Tauro, Bono, Whitehouse, Sarah L., & Newman, John H. (2003) Do patients need to earn total knee arthroplasty? Journal of Arthroplasty, 18(2), pp. 199-203.

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Abstract

Traditional orthopaedic thinking dictates that performing total knee arthroplasty (TKA) in patients with relatively early stages of osteoarthritis (OA) will lead to a poor outcome. Our goal was to test this perception, using radiologic parameters as a marker of the degree of OA. Our study involved 130 consecutive patients who underwent TKA for OA. The radiographs of each patient were graded according to the Ahlback classification. Outcome was measured prospectively using the Oxford Knee Score (OKS), which was recorded both preoperatively and 1 year after surgery. The degree of radiologic OA changes preoperatively was not found to influence the outcome of surgery at 1 year, with all patient groups improving to a similar extent. In addition, as has been seen in previous studies, no correlation was found between symptoms of OA and radiologic appearances. The results of this study would support a re-evaluation of traditional orthopaedic practice. This conclusion coincides with other recent work that suggests that TKA is underused and is performed too late in the natural history of OA of the knee

Impact and interest:

8 citations in Scopus
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6 citations in Web of Science®

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ID Code: 5602
Item Type: Journal Article
Additional Information: For more information, please refer to the journal’s website (see link) or contact the author. Author contact details: s.whitehouse@qut.edu.au
DOI: 10.1054/arth.2003.50021
ISSN: 0883-5403
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > CLINICAL SCIENCES (110300) > Orthopaedics (110314)
Divisions: Past > QUT Faculties & Divisions > Faculty of Built Environment and Engineering
Copyright Owner: Copyright 2003 Elsevier
Deposited On: 27 Nov 2006
Last Modified: 29 Feb 2012 23:31

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