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This retrospective study evaluated the long-term outcomes and quality of life for fourteen adults with severe juvenile rheumatoid arthritis who underwent primary total knee arthroplasty. Patients were assessed using multiple standardized scales, including the SF-36 Health Survey and WOMAC Osteoarthritis Index, with a mean follow-up period of eight years. The results indicated that while all patients reported satisfaction with pain relief and most with functional outcomes, their final health scores remained significantly lower than those of age-matched population norms. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.
Abstract
UnlabelledTotal knee arthroplasty frequently is required during early adulthood in patients with advanced juvenile rheumatoid arthritis. We queried patients on issues of importance to them, asked whether they were satisfied with surgical outcomes, and ascertained their postoperative status. We retrospectively reviewed 14 adult patients (22 knees) with severe juvenile rheumatoid arthritis who were treated with primary total knee arthroplasty between 1989 and 2001. All patients were evaluated by pain and stiffness visual analog scales, range of motion, the Patient-Specific Index, Hospital for Special Surgery knee score, WOMAC Osteoarthritis Index, EuroQuol in five dimensions, and SF-36 Health Survey. Preoperative scores were assessed by recall. Patients had a minimum followup of 2 years (mean, 8 years; range, 2-13 years). Quality of life improved after TKA as measured by the Patient-Specific Index. Eighteen of 22 patients rated themselves satisfied with the functional outcome of their surgery; all patients were satisfied with pain relief. Final SF-36, EuroQuol in five dimensions, and WOMAC scores were low compared with age-matched population norms. A mean postoperative flexion arc of 77 degrees (range, 30 degrees -130 degrees ) was observed. Total knee arthroplasty had a major positive impact on quality of life as reported by patients.Level of evidenceLevel IV, therapeutic study.
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Titre
Quality of life after TKA for patients with juvenile rheumatoid arthritis.
Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Jolles, B.M.
Auteure/Auteur
Bogoch, E.R.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
0009-921X
Statut éditorial
Publié
Date de publication
2008
Volume
466
Numéro
1
Première page
167
Dernière page/numéro d’article
178
Peer-reviewed
Oui
Langue
anglais
Résumé
Total knee arthroplasty frequently is required during early adulthood in patients with advanced juvenile rheumatoid arthritis. We queried patients on issues of importance to them, asked whether they were satisfied with surgical outcomes, and ascertained their postoperative status. We retrospectively reviewed 14 adult patients (22 knees) with severe juvenile rheumatoid arthritis who were treated with primary total knee arthroplasty between 1989 and 2001. All patients were evaluated by pain and stiffness visual analog scales, range of motion, the Patient-Specific Index, Hospital for Special Surgery knee score, WOMAC Osteoarthritis Index, EuroQuol in five dimensions, and SF-36 Health Survey. Preoperative scores were assessed by recall. Patients had a minimum followup of 2 years (mean, 8 years; range, 2-13 years). Quality of life improved after TKA as measured by the Patient-Specific Index. Eighteen of 22 patients rated themselves satisfied with the functional outcome of their surgery; all patients were satisfied with pain relief. Final SF-36, EuroQuol in five dimensions, and WOMAC scores were low compared with age-matched population norms. A mean postoperative flexion arc of 77 degrees (range, 30 degrees -130 degrees ) was observed. Total knee arthroplasty had a major positive impact on quality of life as reported by patients. LEVEL OF EVIDENCE: Level IV, therapeutic study.
Sujets
PID Serval
serval:BIB_D505ED94B588
PMID
Open Access
Oui
Date de création
2008-12-15T18:01:14.927Z
Date de création dans IRIS
2025-05-21T02:32:35Z
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REF.pdf
Version du manuscrit
published
Visibilité
Accès ouvert
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442.15 KB
Format
Adobe PDF
PID Serval
serval:BIB_D505ED94B588.P001
Somme de contrôle
(MD5):44b9d549b4e62f0c03d765887dd2cb25
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