Total knee arthroplasty in patients with fibromyalgia.

J Knee Surg

Department of Orthopaedics, Rothman Institute, Philadelphia, PA 19107, USA.

Published: December 2011

Fibromyalgia has recently emerged as a diagnosis of exclusion for patients with chronic, widespread pain. We investigated the influence of this comorbidity on outcomes of total knee arthroplasty (TKA). We matched 59 patients (90 knees) who underwent primary TKA with a diagnosis of fibromyalgia to control patients who underwent the same surgery. Postoperative satisfaction and functional outcomes were assessed using a Likert scale and the SF-36 survey, respectively. At 3.4 years' follow-up, fibromyalgia patients were less satisfied with TKA than control patients, and had lower preoperative and postoperative SF-36 scores. They demonstrated improvement comparable to that of controls following TKA, however. Fibromyalgia patients appear to show improvement comparable to that of controls following surgery. This syndrome should not be considered a contraindication for surgery.

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0031-1280880DOI Listing

Publication Analysis

Top Keywords

total knee
8
knee arthroplasty
8
control patients
8
fibromyalgia patients
8
improvement comparable
8
comparable controls
8
patients
7
fibromyalgia
5
arthroplasty patients
4
patients fibromyalgia
4

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!