Midterm outcome of total knee arthroplasty in East Coast population of Hospital Tengku Ampuan Afzan Kuantan

Introduction: Total knee replacement (TKR) is an excellent advancement in medical treatment which gives good joint function and pain relief for degenerative diseases of joint since it was introduced in Malaysia since 1970. The purpose of this study was to evaluate the midterm functional outcome of p...

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Main Authors:	Noor Rahin, Mohd. Shahidan, Zulkifly, Ahmad Hafiz, Anwar Ali, Harris
Format:	Article
Language:	English
Published:	Kulliyyah of Medicine, International Islamic University Malaysia 2018
Subjects:	R Medicine (General) RD701 Orthopedics
Online Access:	http://irep.iium.edu.my/70970/ http://irep.iium.edu.my/70970/ http://irep.iium.edu.my/70970/1/MRS2018-47.pdf

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recordtype	eprints
spelling	iium-709702019-03-11T03:36:17Z http://irep.iium.edu.my/70970/ Midterm outcome of total knee arthroplasty in East Coast population of Hospital Tengku Ampuan Afzan Kuantan Noor Rahin, Mohd. Shahidan Zulkifly, Ahmad Hafiz Anwar Ali, Harris R Medicine (General) RD701 Orthopedics Introduction: Total knee replacement (TKR) is an excellent advancement in medical treatment which gives good joint function and pain relief for degenerative diseases of joint since it was introduced in Malaysia since 1970. The purpose of this study was to evaluate the midterm functional outcome of patients undergone TKR using the NexGen LPS Flex prosthesis between January 2005 until April 2006 in primary osteoarthritis patients in our local east coast population. Materials and Methods: Forty six patients, 87% female (n=40) and 13% male (n=6), aged 54 to 81 (mean, 69±5.69) years underwent primary TKR using the hi-flex knee prosthesis (Zimmer) performed by two different surgeons were followed up for a minimal of five years. All used the same technique of surgery, medial parapatellar incision, cruciate substitute and cemented. Assesment were made based on the quality of life outcome score (SF-36) and the Oxford-12 knee scoring system questionnaires. Results: Oxford-12 revealed that patients had mild problems in terms of function and pain with the average function and pain score of 14.35±4.21 and 9.28±3.01 compared to a maximum possible score of 35 and 25 respectively. For eight health domains of SF-36, patients had the highest score (i.e. good health) for role emotional (RE), followed by mental health (MH), and social functioning (SF). This resulted in a higher score for mental component summary (MCS) than physical component summary (PCS). Since a low score of Oxford-12 indicates a better state of health compared to high score for SF-36, negative correlation between them was expected. Conclusion: The NexGen LPS-Flex TKR had good midterm functional outcome. Overall, TKR were found to be effective in terms of improvement in health-related quality-of-life dimensions. Kulliyyah of Medicine, International Islamic University Malaysia 2018-12-14 Article NonPeerReviewed application/pdf en http://irep.iium.edu.my/70970/1/MRS2018-47.pdf Noor Rahin, Mohd. Shahidan and Zulkifly, Ahmad Hafiz and Anwar Ali, Harris (2018) Midterm outcome of total knee arthroplasty in East Coast population of Hospital Tengku Ampuan Afzan Kuantan. The International Medical Journal Malaysia, 17 (Supplementary Issue 1). p. 46. ISSN 1823-4631 http://iiumedic.net/imjm/v1/download/vol_17_no_3_supp_1/MRS2018-47.pdf
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	R Medicine (General) RD701 Orthopedics
spellingShingle	R Medicine (General) RD701 Orthopedics Noor Rahin, Mohd. Shahidan Zulkifly, Ahmad Hafiz Anwar Ali, Harris Midterm outcome of total knee arthroplasty in East Coast population of Hospital Tengku Ampuan Afzan Kuantan
description	Introduction: Total knee replacement (TKR) is an excellent advancement in medical treatment which gives good joint function and pain relief for degenerative diseases of joint since it was introduced in Malaysia since 1970. The purpose of this study was to evaluate the midterm functional outcome of patients undergone TKR using the NexGen LPS Flex prosthesis between January 2005 until April 2006 in primary osteoarthritis patients in our local east coast population. Materials and Methods: Forty six patients, 87% female (n=40) and 13% male (n=6), aged 54 to 81 (mean, 69±5.69) years underwent primary TKR using the hi-flex knee prosthesis (Zimmer) performed by two different surgeons were followed up for a minimal of five years. All used the same technique of surgery, medial parapatellar incision, cruciate substitute and cemented. Assesment were made based on the quality of life outcome score (SF-36) and the Oxford-12 knee scoring system questionnaires. Results: Oxford-12 revealed that patients had mild problems in terms of function and pain with the average function and pain score of 14.35±4.21 and 9.28±3.01 compared to a maximum possible score of 35 and 25 respectively. For eight health domains of SF-36, patients had the highest score (i.e. good health) for role emotional (RE), followed by mental health (MH), and social functioning (SF). This resulted in a higher score for mental component summary (MCS) than physical component summary (PCS). Since a low score of Oxford-12 indicates a better state of health compared to high score for SF-36, negative correlation between them was expected. Conclusion: The NexGen LPS-Flex TKR had good midterm functional outcome. Overall, TKR were found to be effective in terms of improvement in health-related quality-of-life dimensions.
format	Article
author	Noor Rahin, Mohd. Shahidan Zulkifly, Ahmad Hafiz Anwar Ali, Harris
author_facet	Noor Rahin, Mohd. Shahidan Zulkifly, Ahmad Hafiz Anwar Ali, Harris
author_sort	Noor Rahin, Mohd. Shahidan
title	Midterm outcome of total knee arthroplasty in East Coast population of Hospital Tengku Ampuan Afzan Kuantan
title_short	Midterm outcome of total knee arthroplasty in East Coast population of Hospital Tengku Ampuan Afzan Kuantan
title_full	Midterm outcome of total knee arthroplasty in East Coast population of Hospital Tengku Ampuan Afzan Kuantan
title_fullStr	Midterm outcome of total knee arthroplasty in East Coast population of Hospital Tengku Ampuan Afzan Kuantan
title_full_unstemmed	Midterm outcome of total knee arthroplasty in East Coast population of Hospital Tengku Ampuan Afzan Kuantan
title_sort	midterm outcome of total knee arthroplasty in east coast population of hospital tengku ampuan afzan kuantan
publisher	Kulliyyah of Medicine, International Islamic University Malaysia
publishDate	2018
url	http://irep.iium.edu.my/70970/ http://irep.iium.edu.my/70970/ http://irep.iium.edu.my/70970/1/MRS2018-47.pdf
first_indexed	2023-09-18T21:40:44Z
last_indexed	2023-09-18T21:40:44Z
_version_	1777413122166882304

Midterm outcome of total knee arthroplasty in East Coast population of Hospital Tengku Ampuan Afzan Kuantan

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