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Quality of Life After TKA for Patients With Juvenile Rheumatoid Arthritis

  • Original Article
  • Published:
Clinical Orthopaedics and Related Research

Abstract

Total knee arthroplasty frequently is required during early adulthood in patients with advanced juvenile rheumatoid arthritis. We queried patients on issues of importance to them, asked whether they were satisfied with surgical outcomes, and ascertained their postoperative status. We retrospectively reviewed 14 adult patients (22 knees) with severe juvenile rheumatoid arthritis who were treated with primary total knee arthroplasty between 1989 and 2001. All patients were evaluated by pain and stiffness visual analog scales, range of motion, the Patient-Specific Index, Hospital for Special Surgery knee score, WOMAC Osteoarthritis Index, EuroQuol in five dimensions, and SF-36 Health Survey. Preoperative scores were assessed by recall. Patients had a minimum followup of 2 years (mean, 8 years; range, 2–13 years). Quality of life improved after TKA as measured by the Patient-Specific Index. Eighteen of 22 patients rated themselves satisfied with the functional outcome of their surgery; all patients were satisfied with pain relief. Final SF-36, EuroQuol in five dimensions, and WOMAC scores were low compared with age-matched population norms. A mean postoperative flexion arc of 77° (range, 30°–130°) was observed. Total knee arthroplasty had a major positive impact on quality of life as reported by patients.

Level of Evidence: Level IV, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.

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Acknowledgments

We thank Dagmar Gross for assistance in the preparation of the manuscript.

Author information

Authors and Affiliations

  1. Hôpital Orthopédique de la Suisse Romande, Centre Hospitalier Universitaire Vaudois, University of Lausanne, 4 avenue Pierre Decker, 1005, Lausanne, Switzerland

    Brigitte M. Jolles MD, MSc

  2. Department of Surgery, Li Ka Shing Knowledge Institute and Martin Family Centre for Arthritis Care and Research, Mobility Program, St Michael’s Hospital, University of Toronto, Toronto, Ontario, Canada

    Earl R. Bogoch MD, FRCSC

Authors
  1. Brigitte M. Jolles MD, MSc
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  2. Earl R. Bogoch MD, FRCSC
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Corresponding author

Correspondence to Brigitte M. Jolles MD, MSc.

Additional information

One of the authors (BMJ) received funding from the Vaud Association Against Rheumatism (Ligue Vaudoise contre le Rhumatisme), Lausanne, Switzerland.

Each author certifies that his or her institution has approved the human protocol for this investigation, that all investigations were conducted in conformity with ethical principles of research, and that informed consent was obtained.

Appendix 1. Questionnaire, including Satisfaction Questions

Appendix 1. Questionnaire, including Satisfaction Questions

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Jolles, B.M., Bogoch, E.R. Quality of Life After TKA for Patients With Juvenile Rheumatoid Arthritis. Clin Orthop Relat Res 466, 167–178 (2008). https://doi.org/10.1007/s11999-007-0010-9

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  • DOI: https://doi.org/10.1007/s11999-007-0010-9

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