Department of Orthopaedics and Traumatology, School of Medicine, Balıkesir University, Balıkesir, Turkey.
Dr.Ayten Bozyaka Spastic Children Hospital and Rehabilitation Center, Bursa, Turkey.
Niger J Clin Pract. 2022 Sep;25(9):1445-1451. doi: 10.4103/njcp.njcp_1856_21.
Falls are a severe cause of morbidity and mortality in elderly patients, and gonarthrosis causes a tendency to fall. Total knee arthroplasty (TKA) is a widely used successful surgical procedure for end-stage gonarthrosis.
To investigate whether there is a difference in the frequency of falls, balance and fall risk, and clinical and radiological results in patients with end-stage gonarthrosis with and without TKA.
This was a single-center, retrospective, case-control study with age- and gender-matched groups. A total of 100 patients over 60 years of age, with end-stage gonarthrosis and who met the inclusion criteria were included in the study. Fall risk was analyzed using the Berg Balance Scale (BBS), TUG tests, and the ITAKI Fall Risk Test. Knee varus angles were measured using standing long-leg radiographs, and radiological gonarthrosis grading was performed. Pain levels and quality of life were assessed using the VAS and WOMAC. Each patient's knee extensor muscle strength and range of motion were measured.
WOMAC, ITAKI, TUG test, and VAS scores were significantly higher in the control group than in the TKA group. BBS scores were significantly lower in the control group. Although the number of falls was high in the control group, there was no statistically significant difference between the two groups.
The results of this study showed that total knee arthroplasty provided statistically significant improvement in the clinical, radiological, and fall risk results of the patients. Although there was a decrease in the frequency of falls compared to the control group, it was statistically insignificant. In addition, in our study, it was evaluated that the most important risk factor for falling was advanced age.
跌倒在老年患者中是导致发病率和死亡率的严重原因，而膝关节炎导致跌倒倾向。全膝关节置换术（TKA）是治疗终末期膝关节炎的一种广泛应用的成功手术方法。
研究终末期膝关节炎患者 TKA 与非 TKA 患者在跌倒频率、平衡和跌倒风险以及临床和影像学结果方面是否存在差异。
这是一项单中心、回顾性、病例对照研究，患者按年龄和性别匹配。共纳入 100 名年龄在 60 岁以上、符合纳入标准的终末期膝关节炎患者。使用 Berg 平衡量表（BBS）、TUG 测试和 ITKI 跌倒风险测试分析跌倒风险。通过站立位全长 X 线片测量膝关节内翻角度，并进行放射学分级。使用 VAS 和 WOMAC 评估疼痛水平和生活质量。测量每位患者的膝关节伸肌肌力和活动范围。
对照组的 WOMAC、ITAKI、TUG 测试和 VAS 评分明显高于 TKA 组，BBS 评分明显低于 TKA 组。尽管对照组的跌倒次数较高，但两组之间无统计学差异。
本研究结果表明，全膝关节置换术在患者的临床、影像学和跌倒风险结果方面提供了统计学上的显著改善。与对照组相比，尽管跌倒频率有所下降，但无统计学意义。此外，在我们的研究中，评估认为跌倒的最重要危险因素是年龄较大。
