Gender-Specific Total Knee Arthroplasty in Singaporean Women
Purpose. To compare the outcome of 145 women who underwent conventional total knee arthroplasty (TKA) with 77 women who underwent gender-specific TKA. Methods. Records of 222 women who underwent primary TKA using a conventional (n=145) or gender-specific (n=77) size E or F prosthesis for end-stage o...
Main Authors: | , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
SAGE Publishing
2015-08-01
|
Series: | Journal of Orthopaedic Surgery |
Online Access: | https://doi.org/10.1177/230949901502300215 |
id |
doaj-ba9f415405f0401a9e6b3ccbe532146b |
---|---|
record_format |
Article |
spelling |
doaj-ba9f415405f0401a9e6b3ccbe532146b2020-11-25T03:02:47ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902015-08-012310.1177/230949901502300215Gender-Specific Total Knee Arthroplasty in Singaporean WomenJason Beng Teck Lim0Hwei Chi Chong1Kevin Ling2Amanda Teo3Seng Jin Yeo4Shi-Lu Chia5Pak Lin Chin6Darren Tay7Ngai Nung Lo8 Department of Orthopaedic Surgery, Singapore General Hospital, Singapore Department of Physiotherapy, Singapore General Hospital, Singapore Department of Orthopaedic Surgery, Singapore General Hospital, Singapore Department of Orthopaedic Surgery, Singapore General Hospital, Singapore Department of Orthopaedic Surgery, Singapore General Hospital, Singapore Department of Orthopaedic Surgery, Singapore General Hospital, Singapore Department of Orthopaedic Surgery, Singapore General Hospital, Singapore Department of Orthopaedic Surgery, Singapore General Hospital, Singapore Department of Orthopaedic Surgery, Singapore General Hospital, SingaporePurpose. To compare the outcome of 145 women who underwent conventional total knee arthroplasty (TKA) with 77 women who underwent gender-specific TKA. Methods. Records of 222 women who underwent primary TKA using a conventional (n=145) or gender-specific (n=77) size E or F prosthesis for end-stage osteoarthritis were reviewed. The gender-specific prosthesis has a narrower mediolateral dimension. Patients were assessed for flexion, Oxford Knee Score, Knee Society function and knee scores, and Short Form–36 Health Survey preoperatively and postoperatively (at 6 months and 2 years). Results. The 2 groups were comparable in terms of age (67.8 vs. 68.1 years, p=0.789), body mass index (28.6 vs. 27.8 kg/m 2 , p=0.189), and preoperative scores. 12 women with conventional TKA and 4 women with gender-specific TKA were lost to follow-up. Compared with women with conventional TKA, women with gender-specific TKA had better flexion at 6 months (116° vs. 121.9°, p=0.007) and 2 years (118.7° vs. 124.6°, p=0.006), better bodily pain score at 2 years (65.1 vs. 72.4, p=0.049), and greater improvement in bodily pain score from baseline to 2 years (30 vs. 38.5, p=0.034). Conclusion. Gender-specific TKA enables better knee flexion and less bodily pain in women who have a high propensity to develop mediolateral overhang of the femoral component.https://doi.org/10.1177/230949901502300215 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Jason Beng Teck Lim Hwei Chi Chong Kevin Ling Amanda Teo Seng Jin Yeo Shi-Lu Chia Pak Lin Chin Darren Tay Ngai Nung Lo |
spellingShingle |
Jason Beng Teck Lim Hwei Chi Chong Kevin Ling Amanda Teo Seng Jin Yeo Shi-Lu Chia Pak Lin Chin Darren Tay Ngai Nung Lo Gender-Specific Total Knee Arthroplasty in Singaporean Women Journal of Orthopaedic Surgery |
author_facet |
Jason Beng Teck Lim Hwei Chi Chong Kevin Ling Amanda Teo Seng Jin Yeo Shi-Lu Chia Pak Lin Chin Darren Tay Ngai Nung Lo |
author_sort |
Jason Beng Teck Lim |
title |
Gender-Specific Total Knee Arthroplasty in Singaporean Women |
title_short |
Gender-Specific Total Knee Arthroplasty in Singaporean Women |
title_full |
Gender-Specific Total Knee Arthroplasty in Singaporean Women |
title_fullStr |
Gender-Specific Total Knee Arthroplasty in Singaporean Women |
title_full_unstemmed |
Gender-Specific Total Knee Arthroplasty in Singaporean Women |
title_sort |
gender-specific total knee arthroplasty in singaporean women |
publisher |
SAGE Publishing |
series |
Journal of Orthopaedic Surgery |
issn |
2309-4990 |
publishDate |
2015-08-01 |
description |
Purpose. To compare the outcome of 145 women who underwent conventional total knee arthroplasty (TKA) with 77 women who underwent gender-specific TKA. Methods. Records of 222 women who underwent primary TKA using a conventional (n=145) or gender-specific (n=77) size E or F prosthesis for end-stage osteoarthritis were reviewed. The gender-specific prosthesis has a narrower mediolateral dimension. Patients were assessed for flexion, Oxford Knee Score, Knee Society function and knee scores, and Short Form–36 Health Survey preoperatively and postoperatively (at 6 months and 2 years). Results. The 2 groups were comparable in terms of age (67.8 vs. 68.1 years, p=0.789), body mass index (28.6 vs. 27.8 kg/m 2 , p=0.189), and preoperative scores. 12 women with conventional TKA and 4 women with gender-specific TKA were lost to follow-up. Compared with women with conventional TKA, women with gender-specific TKA had better flexion at 6 months (116° vs. 121.9°, p=0.007) and 2 years (118.7° vs. 124.6°, p=0.006), better bodily pain score at 2 years (65.1 vs. 72.4, p=0.049), and greater improvement in bodily pain score from baseline to 2 years (30 vs. 38.5, p=0.034). Conclusion. Gender-specific TKA enables better knee flexion and less bodily pain in women who have a high propensity to develop mediolateral overhang of the femoral component. |
url |
https://doi.org/10.1177/230949901502300215 |
work_keys_str_mv |
AT jasonbengtecklim genderspecifictotalkneearthroplastyinsingaporeanwomen AT hweichichong genderspecifictotalkneearthroplastyinsingaporeanwomen AT kevinling genderspecifictotalkneearthroplastyinsingaporeanwomen AT amandateo genderspecifictotalkneearthroplastyinsingaporeanwomen AT sengjinyeo genderspecifictotalkneearthroplastyinsingaporeanwomen AT shiluchia genderspecifictotalkneearthroplastyinsingaporeanwomen AT paklinchin genderspecifictotalkneearthroplastyinsingaporeanwomen AT darrentay genderspecifictotalkneearthroplastyinsingaporeanwomen AT ngainunglo genderspecifictotalkneearthroplastyinsingaporeanwomen |
_version_ |
1724688457735864320 |