IDEAS home Printed from https://ideas.repec.org/a/wly/jocnur/v28y2019i17-18p3222-3232.html
   My bibliography  Save this article

Knee joint function, walking ability and quality of life within 6 weeks after total knee arthroplasty: A prospective cohort study

Author

Listed:
  • Su‐Yu Chang
  • Li‐Hwa Lin
  • Pi‐Chu Lin

Abstract

Aims and objectives To track changes in patients’ knee function, walking ability and quality of life (QOL) before and after knee arthroplasty surgery and explore factors that influenced these parameters. Background The number of days as an inpatient for those who undergo joint replacement operations has been greatly reduced in recent years. However, it remains unclear whether shortening the inpatient time has affected patients’ recovery or their QOL. Design Prospective cohort study. Method In total, 101 participants who underwent total knee arthroplasty (TKA) were enrolled, with data collected preoperatively and at the 2nd and 6th weeks postoperatively. We followed the STROBE checklist to ensure the rigour of our study. Results Forty‐nine participants underwent unilateral TKA (UTKA; 48.5%), and 52 underwent simultaneous bilateral TKA (SBTKA; 51.5%). At the 2nd week postoperatively, knee joint function was significantly worse than that preoperatively. However, these patients did not exhibit significant differences in the EQ‐5D utility index (EQ‐5D UI) compared to their preoperative scores. At the 6th week postoperatively, the knee joint function and EQ‐5D UI were significantly better than preoperative values. Participants who underwent UTKA scored higher on the Oxford knee score (OKS) than did SBTKA participants. However, no significant differences were noted between the two groups for the knee flexion angle, the timed up and go (TUG) test, or the EQ‐5D UI score. Conclusions and suggestions At the postoperative 6th week, participants exhibited improved knee joint function and QOL, but there was no difference in the walking ability compared to preoperative values. At the 6th week after surgery, patients who underwent SBTKA exhibited poorer joint function than did those who underwent UTKA. Relevance to clinical practice. These results can assist nursing staffs and serve as a reference for providing patient education and nursing intervention to TKA patients.

Suggested Citation

  • Su‐Yu Chang & Li‐Hwa Lin & Pi‐Chu Lin, 2019. "Knee joint function, walking ability and quality of life within 6 weeks after total knee arthroplasty: A prospective cohort study," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(17-18), pages 3222-3232, September.
  • Handle: RePEc:wly:jocnur:v:28:y:2019:i:17-18:p:3222-3232
    DOI: 10.1111/jocn.14888
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/jocn.14888
    Download Restriction: no

    File URL: https://libkey.io/10.1111/jocn.14888?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:jocnur:v:28:y:2019:i:17-18:p:3222-3232. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1111/(ISSN)1365-2702 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.