A comparative study of clinical effect of total knee arthroplasty in the treatment of primary osteoarthritis and osteoarthritis of Kashin-Beck disease

Objective To evaluate the clinical efficacy of total knee arthroplasty (TKA) in the treatment of primary osteoarthritis (OA) and osteoarthritis of Kashin-Beck disease (KBD). Methods This study enrolled 77 KBD patients (77 knees, KBD-TKA) and 75 OA patients (75 knees, OA-TKA) who underwent TKA from S...

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Published in:International orthopaedics 2020-09, Vol.44 (9), p.1719-1726
Main Authors: Liu, Hui-Min, Wang, Ya-Fei, Wu, Jian-Min, Li, Bo-Yuan, Dong, Feng, Lu, Dai-Feng, Li, Hong-Xi, Zhang, Zhi-Tao, Yu, Cong, Lian, Yong-Yun
Format: Article
Language:English
Subjects:
Arthroplasty, Replacement, Knee - adverse effects
Humans
Kashin-Beck Disease - diagnosis
Kashin-Beck Disease - epidemiology
Kashin-Beck Disease - surgery
Knee Joint - surgery
Medicine
Medicine & Public Health
Original Paper
Orthopedics
Osteoarthritis - surgery
Osteoarthritis, Knee - surgery
Quality of Life
Treatment Outcome
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Summary:Objective To evaluate the clinical efficacy of total knee arthroplasty (TKA) in the treatment of primary osteoarthritis (OA) and osteoarthritis of Kashin-Beck disease (KBD). Methods This study enrolled 77 KBD patients (77 knees, KBD-TKA) and 75 OA patients (75 knees, OA-TKA) who underwent TKA from September 2008 to June 2018. Clinical assessments for each patient were performed pre-operatively and last follow-up. The efficacy measures included the visual analogue scale (VAS) pain score, range of motion (ROM), Hospital for Special Surgery (HSS) score, and short form 36 Health Survey (SF-36) as well as related influencing factors between the two groups. Results All patients were followed up; the follow-up time of KBD-TKA was 14–132 months, with an average of 72.68 ± 37.55 months; OA-TKA was 15–120 months, with an average of 49.2 ± 28.91 months. There was no difference in pre-operative VAS score (7.29 vs. 7.24) and SF-36 (PCS) score (4.87 vs. 5.49) between KBD-TKA and OA-TKA ( P  > 0.05), while compared with OA, KBD-TKA had significantly worse pre-operative ROM (75.48° vs. 82.87°), HSS score (36.40 vs. 41.84), and SF-36 (MCS) score (26.28 vs. 28.73) ( P   0.05), while compared with OA, KBD-TKA had significantly worse SF-36 (PCS) score (36.90 vs. 42.00) and SF-36 (MCS) score (55.16 vs. 59.70) ( P  
ISSN:0341-2695
1432-5195
DOI:10.1007/s00264-020-04542-9