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Improvements in Sexual Activity After Total Knee Arthroplasty
- Source :
- The Journal of Arthroplasty. 32:1159-1163
- Publication Year :
- 2017
- Publisher :
- Elsevier BV, 2017.
-
Abstract
- Background Sexual limitations in the setting of total knee arthroplasty (TKA) are poorly understood. Methods Surveys were designed to assess preoperative and postoperative sexual function, and limitations were retrospectively administered to 91 sexually active TKA patients at an average of 2.1 years (range, 0.5-4.0) after surgery. Preoperative and postoperative responses were compared using 1-tailed and 2-proportion z tests, with P Results Before TKA, sexual quality and/or frequency was limited in 45% of patients because of their knee. Patients experienced an average 17.1 months (range, 0-60) of sexual limitations before surgery, resulting largely from pain (87%) and diminished range of motion or flexibility (44%). Fifty-five percent of patients reported the need to change their sexual positions to accommodate their knee, with 97% of these patients indicating the need to avoid kneeling during sex. Postoperatively, fewer patients had to adjust their sexual positions to accommodate their knee (55% vs 28%, P = .0005), and avoid bearing weight on the afflicted knee during sex (97% vs 79%, P = .0213). Patients resumed sexual activity after an average of 2.4 months (range, 0-18). Despite these general improvements, 25% of individuals had less sex in the first year after surgery. After 1 year of recovery, however, 60% indicated that they more easily engaged in sexual activity than in the previous year, with 84% of these patients experiencing less pain, and 30% experiencing greater mobility or range of motion. Conclusion TKA does not eliminate sexual limitations, but it significantly decreases kneeling dysfunction and gives patients more liberty in selecting their sexual positions.
- Subjects :
- Male
medicine.medical_specialty
Knee Joint
Sexual Behavior
Total knee arthroplasty
Osteoarthritis
Weight-Bearing
03 medical and health sciences
Sexually active
0302 clinical medicine
Surveys and Questionnaires
medicine
Humans
Orthopedics and Sports Medicine
Postoperative Period
030212 general & internal medicine
Range of Motion, Articular
Arthroplasty, Replacement, Knee
Aged
Retrospective Studies
Aged, 80 and over
030222 orthopedics
business.industry
Kneeling
Middle Aged
Osteoarthritis, Knee
medicine.disease
Surgery
Physical therapy
Female
Range of motion
business
Sexual function
Subjects
Details
- ISSN :
- 08835403
- Volume :
- 32
- Database :
- OpenAIRE
- Journal :
- The Journal of Arthroplasty
- Accession number :
- edsair.doi.dedup.....1fe7050277b8884b4afc0924997ab8e2