ASSOCIATION OF TOTAL KNEE ARTHROPLASTY WITH PREVIOUS KNEE ARTHROSCOPY:  A PROSPECTIVE, OBSERVATIONAL-COHORT STUDY

Anant  Akash; Kumar  Rahul; Nilesh Kumar  Agrawal; Santosh  Kumar

doi:10.51168/sjhrafrica.v5i12.1504

Authors

Anant Akash Senior Resident, Department of Orthopaedics, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India
Kumar Rahul Senior Resident, Department of Orthopaedics, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India
Nilesh Kumar Agrawal Senior Resident, Department of Orthopaedics, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India
Santosh Kumar Professor and Head, Department of Orthopaedics, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India

DOI:

https://doi.org/10.51168/sjhrafrica.v5i12.1504

Keywords:

Knee arthroscopy, Knee arthroplasty, Total Knee Replacement

Abstract

Background

Before undergoing total knee arthroplasty (TKA), patients with symptomatic degenerative knee changes who are not yet candidates for TKA may undergo a knee arthroscopy (KA). At least 14 million Americans suffer from symptomatic osteoarthritis (OA) of the knee joint, making it a very common condition.

Objectives

The purpose of this study was to determine whether having had a knee arthroscopy in the past was linked to a higher risk of revision following total knee replacement.

Materials and methods

It was a prospective, observational-cohort study that took place at the Indira Gandhi Institute of Medical Sciences (IGIMS), Patna, Bihar, India. The study has been conducted for one year. The study took into account the data from 50 patients in total. Among all patients, 25 patients underwent KA before TKA, while other 25 participants were not undergoing KA before TKA.

Results

The average age of participants in the knee arthroscopy group was 55.6±12.9, while the average age of participants in the no knee arthroscopy group was 61.3±11.8. Most of the enrolled participants were female. Various other co-morbidities were assessed in both groups, including diabetes, hypertension, liver disease, anemia, alcohol dependency, smoking, depression, obesity, and chronic kidney disease. Post-operative stiffness and peri-prosthetic joint infection were found to be statistically significant.

Conclusion

An increased 2-year TKA revision rate is highly correlated with prior KA. Osteoarthritis was the most frequent cause of arthroscopy.

Recommendation

Further similar studies need to be done to assure the outcome of risk of revision after a previous knee arthroscopy.

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