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Kneeling ability after total knee arthroplasty. Perception and reality
P A Schai1, A J Gibbon, R D Scott
1New England Baptist Hospital, Boston, Massachusetts, USA.
Clinical Orthopaedics and Related Research
|November 5, 1999
Summary
Many total knee replacement patients can kneel, but fear and pain limit their perceived ability. Counseling on prosthesis safety and pain management can improve functional outcomes after knee arthroplasty.
Area of Science:
- Orthopedics
- Rehabilitation Medicine
- Biomedical Engineering
Background:
- Kneeling is crucial for daily activities but often overlooked post-total knee arthroplasty (TKA).
- Limited research exists on patients' actual and perceived kneeling ability after TKA.
Purpose of the Study:
- To assess patients' perceived and observed kneeling ability after TKA.
- To identify factors influencing kneeling ability post-TKA.
- To evaluate the discrepancy between perceived and observed kneeling function.
Main Methods:
- Surveyed 70 patients (100 TKAs) on perceived kneeling ability.
- Objectively assessed kneeling ability under supervision.
- Collected data on factors affecting kneeling, including pain and fear.
Main Results:
- Perceived kneeling ability was lower than observed ability.
- 49% of patients with perceived inability cited fear of prosthesis damage or lack of information.
- Observed difficulties were linked to scar pain and back issues.
Conclusions:
- Kneeling function requires greater attention in TKA outcomes.
- Patient counseling on prosthesis safety and pain management is vital.
- Addressing scar pain and back problems may enhance post-TKA kneeling function.