FUNCTIONAL OUTCOME OF TOTAL KNEE REPLACEMENT AND SATISFACTION IN SAUDI PATIENT AT TERTIARY CENTER IN WESTERN REGION: A COHORT STUDY

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Published: 2017-07-22

Page: 72-78


HATIM MOHAMMED A. ALSHAREEF *

King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia

HUSSEIN MESFER H. ALSHAMRANI

College of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia

KHALID ALI A. ALSHEHRI

College of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia

AHMED HASSAN A. ALHASAN

College of Medicine, University of Jeddah, Jeddah, Saudi Arabia

AHMED ABDU A. ALHARBI

College of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia

AMER MOHAMMED A. ALSHAREEF

Ibn Sina National College, Jeddah, Saudi Arabia

MOHAMMED ABDULWAHAB ALJUHANI

King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia

AHMED MOHAMED FATHI ABDOU SROUR

King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia

*Author to whom correspondence should be addressed.


Abstract

Objectives: The objective of this study was to assess the outcomes and the patient satisfaction after total knee replacement (TKR) by Oxford knee score (OKS).

Methods: We included 71 individuals from King Fahad Armed Forces hospital western region of Saudi Arabia who had unilateral and bilateral TKR done in 2009-2010, then assessed their OKS 5 years post-operatively. The estimation of the satisfaction level after TKR was performed by asking individuals the question ‘Are you satisfied with your knee replacement’? and the possible answers were Yes or No.

Results: There were 39 male patients (55%) and 32 female patients (45%), with a mean age of 64.5 (SD 10.9, range 32–90) years. Approximately 94.4% of the patients are above 50 years. The mean OKS in both sex was 32.5 (range, 1-48; SD, 9.9) 5 years post-operatively. Mean OKS in male was 35.2(SD, 9) while mean OKS in female was 27.5 (SD, 10.5).

Only 18 of 71 (25.3%) patients had a score of > 40 (excellent grade of OKS). Thus, 18 of 71 (25.3%) patients reported no or barely any problems with their TKR. 7% of the patients (5 of 71) were unsatisfied with the knee surgery. While 93% of the patients (66 of 71) were satisfied.

Conclusion: Patients who were satisfied with knee replacement had a higher score (better) than unsatisfied patients. The OKS was lower in females. We can say that OKS is a good tool to measure the outcome after TKR and predict the patient satisfaction. Valid patient-reported questionnaires to measure the outcome will be of worth in large multicenter studies that are needed to identify agents affecting the outcomes of TKR. However, with a small sample size, caution must be applied and not over-interpret these data, as the findings might not be extrapolated to all patients.

Keywords: TKR, OKS, sex, age, SD


How to Cite

ALSHAREEF, H. M. A., ALSHAMRANI, H. M. H., ALSHEHRI, K. A. A., ALHASAN, A. H. A., ALHARBI, A. A. A., ALSHAREEF, A. M. A., ALJUHANI, M. A., & SROUR, A. M. F. A. (2017). FUNCTIONAL OUTCOME OF TOTAL KNEE REPLACEMENT AND SATISFACTION IN SAUDI PATIENT AT TERTIARY CENTER IN WESTERN REGION: A COHORT STUDY. Journal of Medicine and Health Research, 2(2), 72–78. Retrieved from https://ikprress.org/index.php/JOMAHR/article/view/3387

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