AI Article Synopsis
- The study examines how the COVID-19 lockdown affected the recovery of patients undergoing total knee arthroplasty (TKA), with a specific focus on postoperative outcomes like pain and mobility.
- Researchers compared 41 patients who had TKA during the lockdown to 47 patients who had the procedure prior to the pandemic, analyzing several health indicators such as the WOMAC score and length of hospital stay.
- Results showed that the lockdown group had significantly worse recovery outcomes after six months, highlighting the need for better physiotherapy protocols during potential future lockdowns to ensure optimal postoperative care.
Article Abstract
Introduction: To help combat the SARS-CoV-2 (COVID-19) pandemic, elective inpatient procedures have been reduced. The authors hypothesized that a nationwide lockdown would negatively affect the postoperative outcome after total knee arthroplasty (TKA) due to reduced physiotherapy as well as restrictions in external facilities of physiotherapy and rehabilitation.
Materials And Methods: We conducted a retrospective, comparative study including 41 patients who had undergone primary TKA during the first lockdown of the COVID-19 pandemic from March 2020 to April 2020 and a comparable control group consisting of 47 patients with a minimum follow-up of 6 months before the COVID-19 pandemic from 2019. Relevant end points were the visual analogue scale (VAS) for pain, Knee Society Function Score (KSS), Oxford Knee Score (OKS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and range of motion (ROM).
Results: The lockdown group had a significantly worse outcome compared to the control group 6 months after TKA regarding WOMAC (p = 0.001), KSS (p < 0.001), OKS (p < 0.001), and length of hospital stay (p < 0.001). We found no statistically significant difference between the groups in ROM (p = 0.132), KSFS (p = 0.933), VAS at rest (p = 0.9.22), and exercise (p = 0.304).
Conclusion: The COVID-19 pandemic negatively affected early clinical outcome parameters of elective primary TKA at 6 months of follow-up due to restrictions in postoperative care. We believe that standardized protocols for physiotherapy will improve clinical outcomes for TKA in the event of future lockdowns and underline the importance of appropriate postoperative care during this pandemic.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9436162 | PMC |
| http://dx.doi.org/10.1007/s00402-022-04597-w | DOI Listing |
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