dc.contributor.author |
Granger, Luke |
|
dc.contributor.author |
Bolam, Scott M |
|
dc.contributor.author |
Sur, Avtar |
|
dc.contributor.author |
Mitchell, Philip |
|
dc.contributor.author |
Hutt, Jonathan |
|
dc.contributor.author |
Sandiford, Nemandra A |
|
dc.coverage.spatial |
Germany |
|
dc.date.accessioned |
2023-05-16T23:55:55Z |
|
dc.date.available |
2023-05-16T23:55:55Z |
|
dc.date.issued |
2022-12 |
|
dc.identifier.citation |
(2022). International Orthopaedics, 46(12), 2815-2820. |
|
dc.identifier.issn |
0341-2695 |
|
dc.identifier.uri |
https://hdl.handle.net/2292/64033 |
|
dc.description.abstract |
<h4>Background</h4>The aim of this study was to define outcomes after total knee arthroplasty (TKA) in lymphoedema and lipoedema patients managed by a multidisciplinary team and daily compression bandaging.<h4>Methods</h4>A retrospective study was performed in a single centre. Between 2007 and 2018, 36 TKA procedures were performed on 28 consecutive patients with a diagnosis of lymphoedema and lipoedema. Oxford Knee Scores (OKS), EuroQol-5D (EQ-5D) scores, satisfaction scores, radiographs, and complications were obtained at the final follow-up. Patients were admitted to the hospital up to two weeks prior to surgery and remained on the ward for daily compression bandaging by the specialist lymphoedema team.<h4>Results</h4>Over the study period, 36 TKAs were performed on 28 patients (5 males, 23 females) with a mean age of 71 years (range 54-90). Of these, 30 TKAs were in patients with lymphoedema, five with lipoedema, and one with a dual diagnosis. Overall, 28 TKAs (21 patients) were available at the final follow-up with a mean follow-up time of 61 months (range 9-138). The mean BMI was 38.5 kg/m<sup>2</sup>. The mean pre-operative and post-operative Oxford Knee Score increased from 18 (range 2-38) to 29 (range 10-54); p < 0.001. EQ-5D score increased from 0.48 (range 0.15-0.80) to 0.74 (0.34-1.00) (p < 0.001). Mean post-operative satisfaction was 7.6/10 (range 2-10), with 89.3% TKAs satisfied. Complications were one (4%, 1/28) deep vein thrombosis, one superficial wound infection, one prosthetic joint infection, one stiff knee requiring manipulation, and one intra-operative femoral fracture.<h4>Conclusions</h4>Lymphoedema and lipoedema should not be seen as barriers to TKA if adopting a multidisciplinary approach. |
|
dc.format.medium |
Print-Electronic |
|
dc.language |
eng |
|
dc.publisher |
Springer Nature |
|
dc.relation.ispartofseries |
International orthopaedics |
|
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
|
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
|
dc.rights.uri |
https://creativecommons.org/licenses/by/4.0/ |
|
dc.subject |
Knee Joint |
|
dc.subject |
Humans |
|
dc.subject |
Osteoarthritis, Knee |
|
dc.subject |
Lymphedema |
|
dc.subject |
Femoral Fractures |
|
dc.subject |
Treatment Outcome |
|
dc.subject |
Arthroplasty, Replacement, Knee |
|
dc.subject |
Retrospective Studies |
|
dc.subject |
Aged |
|
dc.subject |
Aged, 80 and over |
|
dc.subject |
Middle Aged |
|
dc.subject |
Female |
|
dc.subject |
Male |
|
dc.subject |
Lipedema |
|
dc.subject |
Function |
|
dc.subject |
Lipoedema |
|
dc.subject |
Lymphoedema |
|
dc.subject |
Satisfaction |
|
dc.subject |
Total knee arthroplasty |
|
dc.subject |
Arthritis |
|
dc.subject |
Clinical Research |
|
dc.subject |
Prevention |
|
dc.subject |
Rehabilitation |
|
dc.subject |
6.4 Surgery |
|
dc.subject |
6 Evaluation of treatments and therapeutic interventions |
|
dc.subject |
1103 Clinical Sciences |
|
dc.title |
Five-year results after total knee arthroplasty in lymphoedema and lipoedema: encouraging functional and clinical outcomes and low rates of infection. |
|
dc.type |
Journal Article |
|
dc.identifier.doi |
10.1007/s00264-022-05575-y |
|
pubs.issue |
12 |
|
pubs.begin-page |
2815 |
|
pubs.volume |
46 |
|
dc.date.updated |
2023-04-24T07:12:24Z |
|
dc.rights.holder |
Copyright: The authors |
en |
dc.identifier.pmid |
36075971 (pubmed) |
|
pubs.author-url |
https://www.ncbi.nlm.nih.gov/pubmed/36075971 |
|
pubs.end-page |
2820 |
|
pubs.publication-status |
Published |
|
dc.rights.accessrights |
http://purl.org/eprint/accessRights/OpenAccess |
en |
pubs.subtype |
Research Support, Non-U.S. Gov't |
|
pubs.subtype |
research-article |
|
pubs.subtype |
Journal Article |
|
pubs.elements-id |
919927 |
|
pubs.org-id |
Medical and Health Sciences |
|
pubs.org-id |
School of Medicine |
|
pubs.org-id |
Surgery Department |
|
dc.identifier.eissn |
1432-5195 |
|
dc.identifier.pii |
10.1007/s00264-022-05575-y |
|
pubs.record-created-at-source-date |
2023-04-24 |
|
pubs.online-publication-date |
2022-09-08 |
|