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Essentials of Cemented Knee Arthroplasty pp 23–32Cite as

Osteoarthritis and Other Indications for Total Knee Arthroplasty: An East African Perspective

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Abstract

Osteoarthritis (OA) is characterized by degeneration of cartilage and its underlying bone within a joint. Often seen in obese and aged individuals with family history of the condition, it could also follow trauma and other mechanical factors. In obese patients, weight loss is the primary strategy to check the progression of OA. There is no internationally agreed protocol for when to pursue total knee arthroplasty (TKA) in patients with OA or other degenerative joint diseases. But in general, with radiologic evidence for end-stage degenerative knee joint disease, TKA is recommended when there is a continued pain despite an attempt of a 6-month course of nonoperative treatment. The scanty studies done in East Africa showed that the vast majority of TKA is done for patients with OA. Lack of healthcare insurance (i.e., affordability of the surgery) and sociocultural barriers are crucial factors determining the decision to consider TKA. The number of patients requiring TKAs is increasing in East Africa.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia

    Seid Mohammed Yasin

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  1. Seid Mohammed Yasin
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Editors and Affiliations

  1. Department of Orthopaedic Surgery, University of California San Francisco UCSF, San Francisco, CA, USA

    Assoc. Prof. Erik Hansen

  2. Department of Orthopedic Surgery, Medical University of Graz, Graz, Austria

    Prof. Dr. Klaus-Dieter Kühn

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Yasin, S.M. (2022). Osteoarthritis and Other Indications for Total Knee Arthroplasty: An East African Perspective. In: Hansen, E., Kühn, KD. (eds) Essentials of Cemented Knee Arthroplasty. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-63113-3_3

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  • DOI: https://doi.org/10.1007/978-3-662-63113-3_3

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