1. [Total knee replacement in different age groups].
- Author
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Jianlu T, Feng L, Wentao C, Hammouda HIM, Ismailova MS, Shabanova ZA, and Efendieva AS
- Subjects
- Humans, Female, Male, Middle Aged, Aged, Age Factors, Pain Measurement methods, Surveys and Questionnaires, Pain, Postoperative etiology, Pain, Postoperative diagnosis, Pain, Postoperative psychology, Treatment Outcome, Recovery of Function, Arthroplasty, Replacement, Knee methods, Arthroplasty, Replacement, Knee adverse effects, Quality of Life, Osteoarthritis, Knee surgery
- Abstract
Objective: To evaluate the efficacy and quality of life in long-term period (1 year) after total knee replacement in various age groups., Material and Methods: We studied 134 patients after unilateral primary total knee replacement. The KOOS and SF-36 questionnaires were used to assess the therapeutic effect (functionality and symptoms) and quality of life in patients with knee osteoarthritis., Results: At baseline, group I (young patients) had low KOOS pain scores (39.42±16.42), function scores (50.18±19.16) and QoL scores (18.2±15.9) compared to other age groups. A year after surgery, group I (<55 years) had significantly lower KOOS scores of pain, function and quality of life compared to group III (>65 years). Multiple regression analysis showed that age was a significant predictor of pain, but not a function after a year., Conclusion: Total knee replacement gives a noticeable improvement in pain, functionality and quality of life in all age groups. However, there are significant age-related differences in preoperative assessment of pain, quality of life and mental health, as well as in final indicators of postoperative pain and quality of life. Indeed, young patients (<50 years) report more intense pain and worse quality of life. These data may be used in clinical practice to improve decision-making and patient expectations before total knee replacement.
- Published
- 2024
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