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Improvements in Sexual Activity After Total Knee Arthroplasty
Gregory S Kazarian1, Jess H Lonner1, William J Hozack1
1Department of Orthopaedics, The Rothman Institute at Thomas Jefferson University, Philadelphia, Pennsylvania.
The Journal of Arthroplasty
|December 13, 2016
Summary
Total knee arthroplasty (TKA) improves sexual function for many patients, reducing pain and increasing mobility. While not eliminating all limitations, TKA enhances sexual positions and decreases kneeling difficulties post-surgery.
Area of Science:
- Orthopedic Surgery
- Rehabilitation Medicine
- Sexual Health
Background:
- Sexual limitations are a poorly understood consequence of total knee arthroplasty (TKA).
- Preoperative sexual dysfunction impacts a significant portion of TKA candidates.
Purpose of the Study:
- To assess the impact of TKA on sexual function and limitations.
- To identify specific sexual activities affected by knee osteoarthritis and TKA.
Main Methods:
- Retrospective survey administered to 91 sexually active TKA patients.
- Comparison of preoperative and postoperative sexual function using statistical tests.
Main Results:
- 45% of patients experienced preoperative sexual limitations due to knee pain and reduced range of motion.
- Postoperatively, significant reductions in the need to change sexual positions and avoid kneeling were observed.
- While 25% reported less frequent sex in the first year, 60% experienced easier sexual activity after one year, with reduced pain and improved mobility.
Conclusions:
- Total knee arthroplasty (TKA) does not fully resolve sexual limitations but significantly improves them.
- TKA reduces kneeling dysfunction and offers greater flexibility in sexual positioning for patients.
