ĐÁNH GIÁ KẾT QUẢ PHẪU THUẬT THAY KHỚP GỐI TẠI BỆNH VIỆN TRƯỜNG ĐẠI HỌC Y DƯỢC CẦN THƠ NĂM 2019 -2021

Abstract

Background: Knee osteoarthritis is a continuous disease. The disease is very common and it is one of the main causes of decreased and loss the motor functions. Total knee replacement is indicated for severe knee osteoarthritis. Objectives: To evaluate total knee replacement surgery results treating severe knee osteoarthritis at the Can Tho University of Medicine and Pharmacy Hospital. Materials and methods: A cross-sectional descriptive study. From 03/2019 to 12/2020, we have done total knee replacement surgery for 58 patients (66 knees) that had the removal of the posterior cruciate ligament, not a patellar replacement. Results: The average age is 64.8 ± 6.9 years old (youngest 50, oldest 82). There were 11 men (16.7%), 55 women (83.3%). 24 left knees and 42 right knees were operated on, 8 patients both knees replaced. The average follow-up time: 11.6 ± 6.4 months. The mean pre‐ and KS (knee score) post‐op were 49.3 ± 8.4 and 74.4 ± 5.8 respectively (p < 0.05). The mean pre‐ and KFS (knee function score) post‐op were 37.7 ± 7.4 and 78.1 ± 3.6 respectively (p < 0.05). The average flexion post-op was 120.70 ± 9.4. 83.6% of cases were very satisfied with the result of surgery. Conclusion: The results of total knee replacement for severe osteoarthritis of knees are good. Total knee replacement reduces pain, improves motor function of the knee, helps to move more stable and brings the quality of life to patients with severely damaged joints.