THE PREVALENCE OF ANTERIOR KNEE PAIN (AKP) IN INDIVIDUALS WHO HAD UNDERGONE TOTAL KNEE ARTHROPLASTY (TKA)
Main Article Content
Keywords
total knee arthroplasty, total knee replacement, anterior knee pain
Abstract
Background: Total knee arthroplasty, a commonly used surgical technique to treat knee joint problems, especially osteoarthritis. After knee arthroplasty, anterior knee pain (AKP) is a typical problem that patients experience. This mild to moderate pain continues to be a problem even in situations where patellar resurfacing is not done.
Objective: To determine the prevalence of anterior knee pain in individuals who had undergone total knee arthroplasty.
Study design: A cross-sectional study.
Place and Duration: This study was done at, Zimri Orthopedic Hospital Islamabad Pakistan for the period of one year.
Methodology: The study's sample size of 190 patients was established using the WHO formula for sample size calculation, which was based on an estimated 7% prevalence of anterior knee pain following total knee arthroplasty. Each patient's complete medical history was completely documented. Every person underwent a thorough physical examination as well as the customary preoperative baseline investigations. After surgery, patients remained in the ward under strict observation for five days before being discharged, when it was seen as acceptable.
Results: A total of 190 people were involved in this research. The average age calculated was 48.62 years. The mean BMI was 24.6 kg/m2. The mean pain on VAS at the third follow-up was 1.31. There were a total of 133 male, representing 70% of the total sample, and 57 women, representing 30% of the total sample. At the 3rd follow-up, anterior knee pain was absent in 173 (91.05%) patients while it was present in 17 (8.95%).
Conclusion: Anterior knee pain is a common and clinically significant side effect of total knee arthroplasty or total knee replacement (TKR)
References
2. Ullah G, Khan J, Usmanullah MI, Hanif M, Khan S. Association of Anterior Knee Pain (AKP) in Different Age Groups after Total Knee Replacement (TKR). Pakistan Journal of Medical & Health Sciences. 2023 Feb 26;17(01):369-.
3. Azhar M, Jamal N, Akhtar MW, Alam MM. Original Articles ANTERIOR KNEE PAIN SIX MONTHS AFTER ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION: Memoona Azhar1, Nauman Jamal2, Muhammad Waseem Akhtar3, Muhammad Mahmood Alam4. Journal of Akhtar Saeed Medical & Dental College. 2020 Jul 1;2(3):156-60.
4. Vaishya R, Majeed A. Pain management in total knee replacement. Apollo Medicine. 2012 Dec 1;9(4):323-35.
5. Chodór P, Kruczyński J. Preoperative risk factors of persistent pain following total knee arthroplasty. BioMed Research International. 2022 Dec 15;2022.
6. Chobing H, Yadav A, Panchal S, Pawar E, Gupta D, Shah N. A functional outcome and residual knee pain following total knee arthroplasty: A retrospective study. Hypertension.;47:60-2.
7. Momoli A, Giaretta S, Modena M, Micheloni GM. The painful knee after total knee arthroplasty: evaluation and management. Acta Bio Medica: Atenei Parmensis. 2017;88(Suppl 2):60.
8. Breugem SJ, Haverkamp D. Anterior knee pain after a total knee arthroplasty: what can cause this pain?. World journal of orthopedics. 2014 Jul 7;5(3):163.
9. De Castro RL, Antonio BP, de Castro GC, Bassora FD. Treatment of residual Pain After Total Knee Arthroplasty. Biomedical Journal of Scientific & Technical Research. 2019 Oct 22;22(3):16637-44.
10. Memtsoudis SG, Sun X, Chiu YL, Stundner O, Liu SS, Banerjee S, et al. Perioperative comparative effectiveness of anesthetic technique in orthopedic patients. Anesthesiol. 2013;118(5):1046-58.
11. Barone JE Neuraxial anesthesia decreases joint surgery complications. [Online]. Published on May 10, 2013. Available at https://www.medscape.com/viewarticle/804002
12. Andersen LO, Husted H, Otte KS, Kristensen BB, Kehlet H. A compression bandage improves local infiltration analgesia in total knee arthroplasty. Acta Orthop. 2008;79(6):806-11.
13. Shum CF, Lo NN, Yeo SJ, Yang KY, Chong HC, Yeo SN. Continuous femoral nerve block in total knee arthroplasty: immediate and twoyear outcomes. J Arthroplasty. 2009;24(2):204-9.
14. Ilfeld BM, Mariano ER, Girard PJ, Loland VJ, Meyer RS, Donovan JF, et al. A multicenter, randomized, triple-masked, placebo- controlled trial of the effect of ambulatory continuous femoral nerve blocks on discharge-readiness following total knee arthroplasty in patients on general orthopaedic wards. Pain. 2010;150(3):477-84.
15. Essving P, Axelsson K, Kjellberg J, Wallgren O, Gupta A, Lundin A. Decreased morphine consumption and pain intensity with local infiltration analgesia(LIA) following total knee arthroplasty. Acta Orthop. 2010;81(3):354-60.
16. Harrison L. Bupivacaine effective for knee replacement pain. [Online]. Published on March 14, 2014. Available at https://www.medscape.com/viewarticle/821998
17. Barrington JW, Olugbode O, Lovald S, Ong K, Watson H, Emerson RH Jr. Liposomal Bupivacaine: A Comparative Study of More Than 1000 Total Joint Arthroplasty Cases. Orthop Clin North Am. 2015;46(4):469-77.
18. Connelly JO, Edwards PK, Mears SC, Barnes CL. Technique for Periarticular Local Infiltrative Anesthesia Delivery Using Liposomal Bupivacaine in Total Knee Arthroplasty. J Surg Orthop Adv. 2015;24(4):263-6.
19. Dixit V, Fathima S, Walsh SM, Seviciu A, Schwendt I, Spittler KH, etal. Effectiveness of continuous versus single injection femoral nerve block for total knee arthroplasty: A double blinded, randomized trial. Knee. 2018;25(4):623-30.
20. Labraca NS, Castro-Sánchez AM, Matarán-Peñarrocha GA, ArroyoMorales M, Sánchez-Joya Mdel M, Moreno-Lorenzo C. Benefits of starting rehabilitation within 24 hours of primary total knee arthroplasty: randomized clinical trial. Clin Rehab. 2011;25(6):557-66
Article Sidebar
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
Saeedullah
Consultant Orthopedic Surgeon, Zimri Orthopedic Hospital Islamabad Pakistan.
Faridullah Khan Zimri
Consultant Orthopedic Surgeon, Zimri Orthopedic Hospital Islamabad Pakistan.
Tanveer Sadiq
Consultant Orthopedic Surgeon, Zimri Orthopedic Hospital Islamabad Pakistan.
S Shujaat Ali Shah
Consultant Orthopedic Surgeon, Zimri Orthopedic Hospital Islamabad Pakistan.