Bilateral Total Knee Arthroplasty, Postoperative Results and ADL.

概要

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We performed bilateral TKA in 10 patients with gonoarthrosis. Patients were classified into two groups; those living in a residence, and those hospitalized. Clinical results and post-operative ADL scores were then compared between the two groups. The presence of any cardiovascular disease was found to be strongly associated with poorer clinical outcome in both groups. According to the JOA score, very good results were achieved in both groups, and most patients were very satisfied. However improvement in knee expansion was more restricted in the hospitalized group. In regard to ADL, leave hospital, some patients were able to use public transport, and with the aid of a western style toilet rather than a Japanese style one were able to self-toilet themselves. In general, as long as 100 degrees of flexion were achieved, patients could maintain their ADL.
西日本整形・災害外科学会の論文