Skip to main content

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

  • 312 Accesses

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.

This is a preview of subscription content, access via your institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • DOI: 10.1007/978-3-662-63113-3_3
  • Chapter length: 10 pages
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
eBook
USD   109.00
Price excludes VAT (USA)
  • ISBN: 978-3-662-63113-3
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
Hardcover Book
USD   139.99
Price excludes VAT (USA)
Fig. 3.1
Fig. 3.2
Fig. 3.3

References

  • Akinpelu AO, Maduagwu SM, Odole AC, Alonge TO (2011) Prevalence and pattern of knee osteoarthritis in a North Eastern Nigerian rural community. East African Orthop J 5:48–54

    Google Scholar 

  • Arden N, Nevitt MC (2006) Osteoarthritis: epidemiology. Best Pract Res Clin Rheumatol 20(1):3–25

    CrossRef  Google Scholar 

  • Audrey HX, Abd Razak HR, Andrew TH (2014) The truth behind subchondral cysts in osteoarthritis of the knee. Open Orthop J 8:7–10

    CrossRef  Google Scholar 

  • Bannuru RR, Bierma-Zeinstra SMA, Blanco FJ et al (2019) OARSI guidelines for the non-surgical management of knee, hip, and polyarticular osteoarthritis. Osteoarthr Cartil 27:1578e1589

    CrossRef  Google Scholar 

  • Bellamy N, Campbell J, Robinson V et al (2006) Viscosupplementation for the treatment of osteoarthritis of the knee. Cochrane Database Syst Rev 19(2):CD005321

    Google Scholar 

  • Bezabih B, Wamisho BL (2013) Referrals of Ethiopian orthopedic patients for treatment abroad. COSECSA/ASEA Publication – East Central Afr J Surg 18(1)

    Google Scholar 

  • Bliddal H, Leeds AR, Christensen R (2014) Osteoarthritis, obesity and weight loss: evidence, hypotheses and horizons – a scoping review. Obes Rev 15:578–586

    CAS  CrossRef  Google Scholar 

  • Coleman B, McChesney S, Twaddle B (2005) Does the priority scoring system for joint replacement really identify those in most need? N Z Med J 118(1215):U1463

    PubMed  Google Scholar 

  • Dagne S, Gelaw YA, Abebe Z, Wassie MM (2019) Factors associated with overweight and obesity among adults in Northeast Ethiopia: a cross-sectional study. Diabetes Metab Syndr Obes 12:391–399

    CrossRef  Google Scholar 

  • Davies PSE, Graham SM, Maqungo S, Harrison WJ (2019) Total joint replacement in sub-Saharan Africa: a systematic review. Trop Dr 49(2):120–128

    Google Scholar 

  • Dieppe P, Basler HD, Chard J et al (1999) Knee replacement surgery for osteoarthritis: effectiveness, practice variations, indications and possible determinants of utilization. Rheumatology 38:73–83

    CAS  CrossRef  Google Scholar 

  • Felson DT, Naimark A, Anderson J et al (1987) The prevalence of knee osteoarthritis in the elderly: the Framingham Osteoarthritis Study. Arthritis Rheum 30(8):914–918

    CAS  CrossRef  Google Scholar 

  • Hardorn DC, Holmes AC (1997) The New Zealand priority criteria project. Part 1: overview. Br Med J 314:131–314

    CrossRef  Google Scholar 

  • Hawker GA, Guan J, Croxford R et al (2006) A prospective population-based study of the predictors of undergoing total joint arthroplasty. Arthritis Rheum 54(10):3212–3220

    CrossRef  Google Scholar 

  • Heidari B (2011) Knee osteoarthritis prevalence, risk factors, pathogenesis and features: part I. Caspian J Intern Med 2(2):205–212

    PubMed  PubMed Central  Google Scholar 

  • Heidari B, Abedi H, Firouzjahi A, Heidari P (2010) Diagnostic value of synovial fluid anti-cyclic citrullinated peptide antibody for rheumatoid arthritis. Rheumatol Int 30:1465–1470

    CAS  CrossRef  Google Scholar 

  • Hepper CT, Halvorson JJ, Duncan ST et al (2009) The efficacy and duration of intra-articular corticosteroid injection for knee osteoarthritis: a systematic review of level I studies. J Am Acad Orthop Surg 17(10):638–646

    CrossRef  Google Scholar 

  • Hinton R, Moody RL, Alan W, Thomas SF (2002) Osteoarthritis: diagnosis and therapeutic considerations. Am Fam Physician 65(5):841–848

    PubMed  Google Scholar 

  • Katchy AU, Katchy SC, Ekwedigwe HC, Ezeobi I (2018) Total knee replacement in Nigeria: an assessment of early functional outcome of 68 consecutive knees. Niger J Clin Pract 21:1202–1208

    CAS  PubMed  Google Scholar 

  • Kellgren JH, Lawrence JS (1957) Radiological assessment of osteo-arthrosis. Ann Rheum Dis 16:494e502

    Google Scholar 

  • Kigera JWM, Kimpiatu P (2015) Incidence of early post operative infection after primary total knee arthroplasty at an East African centre. Ann Afr Surg 12:70–72

    Google Scholar 

  • Kim RH, Springer BD, Douglas DA (2011) Knee reconstruction and replacement. In: Flynn F (ed) Orthopaedic knowledge update. American Academy of Orthopaedic Surgeons, Rosemont, IL, pp 469–475

    Google Scholar 

  • Klussmann A, Gebhardt H, Nübling M et al (2010) Individual and occupational risk factors for knee osteoarthritis: results of a case-control study in Germany. Arthritis Res Ther 12:R88

    CrossRef  Google Scholar 

  • Martin JA, Ramakrishnan PA, Lim T et al (2011) Articular cartilage and intervertebral disk. In: Flynn JM (ed) Orthopaedic knowledge update, 10th edn. American Academy of Orthopaedic Surgeons, Rosemont, IL, pp 23–26

    Google Scholar 

  • McAlindon TE, Cooper C, Kirwan JR, Dieppe PA (1993) Determinants of disability in osteoarthritis of the knee. Ann Rheum Dis 52:258–262

    CAS  CrossRef  Google Scholar 

  • Murphy L, Schwartz TA, Helmick CG et al (2008) Lifetime risk of symptomatic knee osteoarthritis. Arthritis Rheum 59(9):1207–1213

    CrossRef  Google Scholar 

  • Niu J, Zhang YQ, Torner J et al (2009) Is obesity a risk factor for progressive radiographic knee osteoarthritis? Arthritis Rheum 61:329–335

    CAS  CrossRef  Google Scholar 

  • O’Connor MI, Hooten EG (2011) Breakout session: gender disparities in knee osteoarthritis and TKA. Clin Orthop Relat Res 469:1883–1885

    CrossRef  Google Scholar 

  • Oosthuizen CR, Takahashi T, Snyckers CH et al (2018) The knee osteoarthritis grading system for arthroplasty. J Arthroplast 34:450e455

    Google Scholar 

  • Peat G, Thomas E, Duncan R et al (2007) Estimating the probability of radiographic osteoarthritis in the older patient with knee pain. Arthritis Rheum 57(5):794–802

    CrossRef  Google Scholar 

  • Singh JA, Vessely MB, Harmsen WS et al (2010) A population-based study of trends in the use of total hip and total knee arthoplasty, 1969–2008. Mayo Clin Proc 85(10):898–904

    CrossRef  Google Scholar 

  • Tateishi H (2001) Indications for total knee arthroplasty and choice of prosthesis. JMAJ 44:153–158

    Google Scholar 

  • Van Manen MD, Nace J, Mont MA (2012) Management of primary knee osteoarthritis and indications for total knee arthroplasty for general practitioners. J Am Osteopath Assoc 112:709–715

    PubMed  Google Scholar 

  • Wegman A, van der Windt D, van Tulder M et al (2004) Nonsteroidal antiinflammatory drugs or acetaminophen for osteoarthritis of the hip or knee? A systematic review of the evidence and guidelines. J Rheumatol 31(2):344–354

    CAS  PubMed  Google Scholar 

  • Zhang Y, Jordan JM (2010) Epidemiology of osteoarthritis. Clin Geriatr Med 26:355–369

    CrossRef  Google Scholar 

  • Zhang W, Moskowitz RW, Nuki G et al (2008) OARSI recommendations for the management of hip and knee osteoarthritis: part II. OARSI evidence-based, expert consensus guidelines. Osteoarthr Cartil 16(2):137–162

    CAS  CrossRef  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and Permissions

Copyright information

© 2022 The Author(s), under exclusive license to Springer-Verlag GmbH, DE, part of Springer Nature

About this chapter

Verify currency and authenticity via CrossMark

Cite this chapter

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

Download citation

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

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-63112-6

  • Online ISBN: 978-3-662-63113-3

  • eBook Packages: MedicineMedicine (R0)