Descritores: Artroplastia do Joelho; Fraturas do Fêmur; Pseudoartrose; apoio parcial no segundo dia de pós-operatório e fisioterapia precoce), bem como. Descritores: Artroplastia; Joelho; Osteoartrite . Perfil epidemiológico dos pacientes submetidos à artroplastia de joelho do serviço de fisioterapia em hospital. Veja grátis o arquivo Artroplastia total do joelho enviado para a disciplina de Fisioterapia Categoria: Trabalhos – 4 –
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To describe the epidemiological profile, presented deformities, associated comorbidities, and impact on quality of life in patients with knee osteoarthritis. This study was conducted in a philanthropic hospital in Fortaleza from to Data were collected from medical records, epidemiological forms, and by applying the Lequesne index questionnaire, which contains several questions related to pain, discomfort and functional limitation to assess the severity of symptoms.
Females were more prevalent As for comorbidities, Of the total, According to the Lequesne index visioterapia, Females were more prevalent and whites were less prevalent.
The most frequent comorbidity was hypertension. Female and elderly patients have more severe disease according to Lequesne index score, and these findings were statistically significant. O sexo feminino foi o mais prevalente. Esses achados foram estatisticamente significantes. The growing number of procedures such as arthroplasty results from a number of factors such as the aging of the population, the increasing prevalence of rheumatoid arthritis, and increased numbers uoelho obese patients.
The main cause in most patients who undergo this fisiooterapia is osteoarthrosis. Studies suggest that Brazil will have the fifth-largest population on the planet in8 indicating that the frequency of TKA may increase over the next 30 years.
Artroplastia total do joelho
This transversal, descriptive study is based on quantitative data. We included patients with osteoarthritis who were ifsioterapia for surgical treatment and signed the informed consent form. Exclusion criteria were lack of data in the medical records and non-agreement to sign the informed consent form. The study was approved by the institutional review board under number CAAE Initially data such as sex, race, origin, diagnosis, and presenting deformity were collected from the patient medical records for analysis.
In addition, patients filled out an epidemiological form developed by the researchers Annex 1 which collected data such as age, profession, smoking and drinking fosioterapia, wait time prior to surgery, and associated comorbidities such as hypertension and diabetes mellitus. Next, the Lequesne index questionnaire was applied prior to surgery.
This questionnaire assesses pain and functional limitation and classifies patients by score. The severity of the disease in the patient can be classified as follows: For uniform application of the questionnaires, the researchers were trained prior to administration. The patients were recommended for surgical treatment after physical examination and imaging exams performed by orthopedic physicians and radiologists.
At no time during this study did these physicians know the Lequesne index scores for their patients. The initial sample consisted of patients; at the end of the study, the sample was reduced to 60 patients with knee OA because of missing information in the medical records and loss to follow-up.
Patients aged over 65 years were No significant connection was found between these habits and disease severity as measured by the Lequesne scores. According to the Lequesne index, The highest patient score was 23 points, the lowest score was 7, and the average was Many Brazilian studies involving patients who received TKA have found a high prevalence of female patients with an average age ranging from 69 to 79 years.
International studies have found that non-whites namely mixed-race people of African descent and Blacks have more functional limitation due to OA, and non-white women are two times more likely to have knee OA. However, the Lequesne scores did not show that non-white patients were more affected than whites.
Some comorbidities such as hypertension and diabetes were frequently present in patients in this study. Some international studies have described alcohol consumption as often relieving symptoms in patients with OA, but we are very familiar with the risks of this habit in the population in general. Perhaps the fact that most of the sample was female influenced this finding, since the female population is known to drink less alcohol than men.
Some years ago there were some doubts about the effects of cigarette smoking on patients with OA, but a recent meta-analysis showed that smoking did not have a protective effect. Recent studies show that bow-leggedness increases the incidence of OA and increases the progression of medial OA, so an increased prevalence of genu varum is expected in patients with OA of the knee.
The Lequesne questionnaire was developed in France in the s and updated in ; it is used often in Europe and contains several questions for patients to answer about pain, discomfort and function, evaluating the severity of symptoms and degree of physical handicap. It does not contain questions specific to the population of a given country and can therefore be used in any population.
It is intended for patients with OA, and is brief, so responding is not difficult. Furthermore, it is difficult for patients to manipulate their score for their own benefit on this questionnaire, since they do not know which type of response has a higher point value.
Of the total sample, The high score is consistent, because all these patients were referred for surgical treatment. Other patients with very high scores had rheumatoid arthritis as well as OA, and comprised 8. Most patients who seek medical help for this problem are over 65 years of age. Females were more prevalent, and whites were least prevalent. Lequesne index scores were higher in females and in the older patients in the sample, with statistically significant findings.
The Lequesne scores for each patient were consistent with degree of severity recognized by the orthopedists and radiologists who recommended surgical treatment. Artroplastia total de quadril e joelho: Artropastia and obesity in hip and knee arthroplasty: Evaluation of cases. Costs and outcomes of total hip fisioterappia knee joint replacement for rheumatoid arthritis. Total knee arthroplasty in carefully selected patients aged 80 years or older. J Orthop Surg Res.
Epidemiologia da artroplastia total de fisioterapiia e de joelho: Anabolic steroids in patients undergoing total knee arthroplasty. O envelhecimento populacional brasileiro: Rev Bras Geriatr Gerontol.
Rev Bras Clin Med. A meta-analysis of sex differences prevalence, incidence and severity of osteoarthritis. The Johnston County Osteoarthritis Project. Trans Am Clin Climatol Assoc. Racial differences in gait mechanics associated with knee osteoarthritis.
Total knee arthroplasty in a patient with Hoffa fracture pseudarthrosis: case report
Aging Clin Exp Res. Treatment of osteoarthritis in hypertensive patients. Diabetes is a risk factor for knee osteoarthritis progression. Comorbidades em pacientes com osteoartrite: Alcohol consumption in arthritic patients: Beer and wine consumption and risk of knee or hip osteoarthritis: Does smoking protect against osteoarthritis? Meta-analysis of observational studies.
The role of knee alignment in disease progression and functional decline in knee osteoarthritis. Rua Desembargador Floriano Benevides, Each author made significant individual contributions to this manuscript. MJCB performed surgeries and was responsible for outpatient care. All authors performed the bibliographic research, reviewed the manuscript, and contributed to the intellectual concept of the study. This is an open-access article distributed under the terms of the Creative Commons Attribution License.
Services on Demand Journal. Annex 2 For uniform application of the questionnaires, the researchers were trained prior to administration. RESULTS The initial sample consisted of patients; at the end of the study, the sample was reduced to 60 patients with knee OA because of missing information in the medical records and loss to follow-up.
Extremely severe Very severe Severe Moderate Total sample Hypertension Diabetes Hypertension and diabetes Total sample How to cite this article.