Does stature of female affect Knee Injury and Osteoarthritis Outcome Score following knee arthroplasty surgery: an observational pilot study

Abstract Background Knee osteoarthritis (OA) occurs frequently in females. So far, no study has evaluated postoperative outcome measures in females based on body height. We aimed to evaluate postoperative pain relief and Knee Injury and Osteoarthritis Outcome Score (KOOS) at 6 months in women follow...

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Main Authors: Vanita Ahuja, Karnjot Gill, Deepak Thapa, Sonika Bishnoi, Sudhir Garg, Souvik Nandi
Format: Article
Language:English
Published: SpringerOpen 2023-01-01
Series:Ain Shams Journal of Anesthesiology
Subjects:
Online Access:https://doi.org/10.1186/s42077-023-00299-6
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author Vanita Ahuja
Karnjot Gill
Deepak Thapa
Sonika Bishnoi
Sudhir Garg
Souvik Nandi
author_facet Vanita Ahuja
Karnjot Gill
Deepak Thapa
Sonika Bishnoi
Sudhir Garg
Souvik Nandi
author_sort Vanita Ahuja
collection DOAJ
description Abstract Background Knee osteoarthritis (OA) occurs frequently in females. So far, no study has evaluated postoperative outcome measures in females based on body height. We aimed to evaluate postoperative pain relief and Knee Injury and Osteoarthritis Outcome Score (KOOS) at 6 months in women following total knee arthroplasty (TKA). In this prospective, observational pilot study, 20 women, 50–70 years, American Society of Anesthesiologist (ASA) physical status I and II, undergoing TKA surgery were enrolled. The patients were allocated to Group I (n = 10), women with a height less than 153 cm, and Group II (n= 10), women with a height greater than 153 cm. All patients received paracetamol, diclofenac, and epidural analgesia postoperatively for up to 72 h. The primary outcome was a comparison of KOOS scores from preoperative baseline value to 6 months following TKA. Results The baseline demographics, KOOS, waist-hip ratio, and knee range of motion were similar. The height mean ± standard deviation (SD) (range) in Group I was 149.85 ± 3.28 (142.5–152.5) cm versus 157.25 ± 2.99 (155–165) cm in Group II, p = 0.001. KOOS score improved in patients of both Groups I and II as compared to the respective baseline. At 6 months, the KOOS pain score improved to 96.50 ± 3.14 [94.26–98.74 (89–100)] in Group I as compared to 89.40 ± 6.45 [84.79–94.01 (81–100)] in Group II, p value = 0.02. Conclusions Postoperative KOOS pain score at 6 months was superior in short stature versus normal stature women following TKA surgery.
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spelling doaj.art-9c7dae268ae045cd81fda6374b8d82052023-02-05T12:05:16ZengSpringerOpenAin Shams Journal of Anesthesiology2090-925X2023-01-011511710.1186/s42077-023-00299-6Does stature of female affect Knee Injury and Osteoarthritis Outcome Score following knee arthroplasty surgery: an observational pilot studyVanita Ahuja0Karnjot Gill1Deepak Thapa2Sonika Bishnoi3Sudhir Garg4Souvik Nandi5Department of Anaesthesia and Intensive Care, Government Medical College and HospitalDepartment of Anaesthesia and Intensive Care, Government Medical College and HospitalDepartment of Anaesthesia and Intensive Care, Government Medical College and HospitalDepartment of Anaesthesia and Intensive Care, Government Medical College and HospitalDepartment of Orthopaedics, Government Medical College and HospitalDepartment of Anaesthesia and Intensive Care, Government Medical College and HospitalAbstract Background Knee osteoarthritis (OA) occurs frequently in females. So far, no study has evaluated postoperative outcome measures in females based on body height. We aimed to evaluate postoperative pain relief and Knee Injury and Osteoarthritis Outcome Score (KOOS) at 6 months in women following total knee arthroplasty (TKA). In this prospective, observational pilot study, 20 women, 50–70 years, American Society of Anesthesiologist (ASA) physical status I and II, undergoing TKA surgery were enrolled. The patients were allocated to Group I (n = 10), women with a height less than 153 cm, and Group II (n= 10), women with a height greater than 153 cm. All patients received paracetamol, diclofenac, and epidural analgesia postoperatively for up to 72 h. The primary outcome was a comparison of KOOS scores from preoperative baseline value to 6 months following TKA. Results The baseline demographics, KOOS, waist-hip ratio, and knee range of motion were similar. The height mean ± standard deviation (SD) (range) in Group I was 149.85 ± 3.28 (142.5–152.5) cm versus 157.25 ± 2.99 (155–165) cm in Group II, p = 0.001. KOOS score improved in patients of both Groups I and II as compared to the respective baseline. At 6 months, the KOOS pain score improved to 96.50 ± 3.14 [94.26–98.74 (89–100)] in Group I as compared to 89.40 ± 6.45 [84.79–94.01 (81–100)] in Group II, p value = 0.02. Conclusions Postoperative KOOS pain score at 6 months was superior in short stature versus normal stature women following TKA surgery.https://doi.org/10.1186/s42077-023-00299-6OsteoarthritisKnee Injury and Osteoarthritis Outcome ScoreTotal knee arthroplastyVisual analog scalePain
spellingShingle Vanita Ahuja
Karnjot Gill
Deepak Thapa
Sonika Bishnoi
Sudhir Garg
Souvik Nandi
Does stature of female affect Knee Injury and Osteoarthritis Outcome Score following knee arthroplasty surgery: an observational pilot study
Ain Shams Journal of Anesthesiology
Osteoarthritis
Knee Injury and Osteoarthritis Outcome Score
Total knee arthroplasty
Visual analog scale
Pain
title Does stature of female affect Knee Injury and Osteoarthritis Outcome Score following knee arthroplasty surgery: an observational pilot study
title_full Does stature of female affect Knee Injury and Osteoarthritis Outcome Score following knee arthroplasty surgery: an observational pilot study
title_fullStr Does stature of female affect Knee Injury and Osteoarthritis Outcome Score following knee arthroplasty surgery: an observational pilot study
title_full_unstemmed Does stature of female affect Knee Injury and Osteoarthritis Outcome Score following knee arthroplasty surgery: an observational pilot study
title_short Does stature of female affect Knee Injury and Osteoarthritis Outcome Score following knee arthroplasty surgery: an observational pilot study
title_sort does stature of female affect knee injury and osteoarthritis outcome score following knee arthroplasty surgery an observational pilot study
topic Osteoarthritis
Knee Injury and Osteoarthritis Outcome Score
Total knee arthroplasty
Visual analog scale
Pain
url https://doi.org/10.1186/s42077-023-00299-6
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