Does obesity, duration of symptoms and pre-operative knee movements amend discharge readiness and outcomes following total knee arthroplasty?
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20214478Keywords:
LOS, BMI, Pre-operative ROM, TKA, RehabilitationAbstract
Background: Total knee arthroplasty (TKA) being the definite procedure in degenerative arthritis of the knee is associated with a high cost that includes the cost of implants and in-hospital length of stay (LOS). Incurring such high costs will put a burden on the patients economically, so the goal being the reduction of hospital stay yet improving the functional outcome with better patient satisfaction.
Methods: The study design is a retrospective analysis of 1022 patients of primary elective TKA, performed in our institution. The targeted indicators were sex, body mass index (BMI), pre-operative knee range of movements (ROM), knee deformity and duration of symptoms were analyzed.
Results: Analyzing these patients, we found the average LOS is 6.4 days, and obesity, pre-op ROM and deformity all play a role to delay the discharge readiness in the patients. Our study showed that LOS after TKA is multifactorial.
Conclusions: In acute setting for readiness of discharge the preoperative knee movements, deformity and patients’ functional abilities can be used to segregate patients who may require close monitoring or intensive physiotherapy.
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