Clinical evaluation of low cost Indian knee prosthesis in government medical colleges

Authors

  • Ansari Muqtadeer Abdul Aziz Department of Orthopaedics, Government Medical College and Hospital, Aurangabad, Maharashtra
  • Pratik Rathod Department of Orthopaedics, Government Medical College and Hospital, Aurangabad, Maharashtra
  • Altamash Patel Department of Orthopaedics, Government Medical College and Hospital, Aurangabad, Maharashtra

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20210965

Keywords:

Clinical and functional outcome, Knee society score, Low cost Indian knee prosthesis, Total knee arthroplasty

Abstract

Background: The clinical and functional outcome of total knee arthroplasty was studied using low cost Indian knee prosthesis called Destiknee by Maxx Company in government medical hospital. The objectives was to do assessment of pain relief, joint mobility and deformity correction post-operatively, pre-operative and post-operative Knee society score comparison.

Methods: Patients included were those who underwent primary total knee arthroplasty in Department of Orthopaedics, GMCH Aurangabad from January 2020 to January 2021. Clinical and functional assessment was done using the Knee society score and x-rays at 3, 6 and 12 months intervals.

Results: At 1 year follow up of 28 knees, there was an improvement in the average pre-op Knee society score of 53.92 to average post-op score of 86.25 and in the range of motion from 80.42 degree to 127.32 degrees and knee flexion deformity improved from 15.25 degrees to 2.17 degrees, all of which had a p value<0.05 are significant statistically. One diabetic patient with poor glycemic control had superficial infection and one developed minor pulmonary embolism which recovered with medical management. Patients had good satisfaction both in unilateral and bilateral TKA.

Conclusions: TKA resulted in significant reduction in knee pain and improvement in the functional ability of patients. The results of this low cost Indian prosthesis in a government rural setup with no laminar airflow with good efficacy and minimal complications are excellent. It was a boon for the rural population suffering from knee pain.

Author Biographies

Ansari Muqtadeer Abdul Aziz, Department of Orthopaedics, Government Medical College and Hospital, Aurangabad, Maharashtra

Department of Orthopaedics, Head of unit and Associate Professor

Pratik Rathod, Department of Orthopaedics, Government Medical College and Hospital, Aurangabad, Maharashtra

Department of Orthopaedics, resident

Altamash Patel, Department of Orthopaedics, Government Medical College and Hospital, Aurangabad, Maharashtra

Department of Orthopaedics, resident

References

Silverwood V, Blagojevic-Bucknall M, Jinks C, Jordan JL, Protheroe J, Jordan KP. Current evidence on risk factors for knee osteoarthritis in older adults: a systematic review and meta-analysis. Osteoarthritis and Cartilage. 2015;23(4):507-15.

Pal CP, Singh P, Chaturvedi S, Pruthi KK, Vij A. Epidemiology of knee osteoarthritis in India and related factors. Indian J Orthop. 2016;50(5):518-22.

Mitchell HL, Hurley MV. Management of chronic knee pain: A survey of patient preferences and treatment received. BMC Musculoskelet Disord. 2008;9:123.

Drewett RF, Minns RJ, Sibly TF. Measuring outcome of total knee replacement using quality of life indices. Ann R Coll Surg Engl. 1992;74(4):286-90.

Healy WL, Della Valle CJ, Lorio R. Complications of total knee arthroplasty: standardized list and definitions of the knee society. Clin Orthop Relat Res. 2013;471:215-20.

David F, Rafael C, Francisco F, Carolina A, Alan G, Jaime C. Clinical and functional outcomes of primary total knee arthroplasty: a South American perspective. Arthroplasty Today. 2019;5(3):368-71.

Fortin PR, Clarke AE, Joseph L, Liang MH, Tanzer M, Ferland D, et al. Outcomes of total hip and knee replacement: preoperative functional status predicts outcomes at six months after surgery. Arthritis Rheum. 1999;42:1722-8.

Scuderi GR, Bourne RB, Noble PC, Benjamin JB, Lonner JH, Scott WN. The new knee society knee scoring system. Clin Orthop Relat Res. 2012;470(1):3-19.

Insall JN, Dorr LD, Scott RD, Scott WN. Rationale of the knee society clinical rating system. Clin Orthop Relat Res. 1989;(248):13-4.

Jacobs CA, Christensen CP. Correlations between knee society function scores and functional force measures. Clin Orthop Relat Res. 2009;467(9):2414-9.

Fortin PR, Penrod JR, Clarke AE, St‐Pierre Y, Joseph L, Bélisle P, et al Timing of total joint replacement affects clinical outcomes among patients with osteoarthritis of the hip or knee. Arthritis Rheumatism. 2002;46: 3327-30.

Stefánsdóttir A, Lidgren L, Robertsson O. Higher early mortality with simultaneous rather than staged bilateral tkas: results from the swedish knee Arthroplasty Register. Clin Orthop Relat Res. 2008;466:3066-70.

Hutchinson JRM, Parish EN, Cross MJ. A comparison of bilateral uncemented total knee arthroplasty-simultaneous or staged? J Bone Joint Surg. 2006;88B(1):40-3.

Mihalko WM. Arthroplasty of the knee. In: Azhar FM, Beaty JH, Canale ST (Eds). Campbell’s Operative Orthopaedics. Thirteenth edition. Philadelphia. Elsevier. 2017:396-534.

Dowsey MM, Choong PFM. The utility of outcome measures in total knee replacement surgery. Int J Rheumatol. 2013;8:98-102.

Wong JM, Khan WS, Chimutengwende-Gordon M,Dowd, GSE. Recent advances in designs, approaches and materials in total knee replacement: literature review and evidence today. Journal of Perioperative Practice. 2011;21(5):165-71.

Losina E, Walensky RP, Reichmann WM, et al. Impact of obesity and knee osteoarthritis on morbidity and mortality in older Americans. Ann Intern Med. 2011;154(4):217-26.

Mathijssen NMC, Verburg H, London NJ, Landsiedl M, Dominkus M. Patient reported outcomes and implant survivorship after Total knee arthroplasty with the persona knee implant system: two year follow up. BMC Musculoskelet Disord. 2019;20(1):97.

Sancheti KH, Laud NS, Bhende H, Reddy G. The INDUS knee prosthesis prospective multicentric trial of a posteriorly stabilized high-flex design: 2 years follow-up. Indian J Orthop. 2009;43(4):367-74.

Levitsky KA, Harris WJ, McManus J, Scott RD. Total knee arthroplasty without patellar resurfacing. Clinical outcomes and long-term follow-up evaluation. Clin Orthop Relat Res. 1993;(286):116-21.

Shaw JA. Hybrid fixation modular tibial prosthesis. Early clinical and radiographic results and retrieval analysis. J Arthroplasty. 1995;10(4):438-47.

Rand JA. Modularity in total knee arthroplasty. Acta Orthop Belg. 1996;62(1):180-6.

Martin SD, McManus JL, Scott RD, Thornhill TS. Press-fit condylar total knee arthroplasty. 5- to 9-year follow-up evaluation. J Arthroplasty. 1997;12(6):603-14.

Bellemans J, Victor J, Westhovens R, Dequeker J, Fabry G. Total knee arthroplasty in the young rheumatoid patient. Acta Orthop Belg. 1997;63(3):189-93.

Aglietti P, Buzzi R, Segoni F, Zaccherotti G. Insall-Burstein posterior-stabilized knee prosthesis in rheumatoid arthritis. J Arthroplasty. 1995;10(2):217-25.

Miyasaka KC, Ranawat CS, Mullaji A. 10- to 20-year followup of total knee arthroplasty for valgus deformities. Clin Orthop Relat Res. 1997;(345):29-37.

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Published

2021-04-26

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Original Research Articles