“A Study to assess the effectiveness of structured teaching programme on knowledge regarding early ambulation on Total Knee Replacement patients in Apollo Specialty Hospitals, Jayanagar, Bangalore (India).”

Registration ID: IJNRD_309806

Published ID: IJNRD2510231

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Hareesh M S

Structured Teaching material, TKA, TKR

Total knee arthroplasty (TKA) results in a high degree of patient satisfaction, as it provides patients with considerable medium- and long-term benefits in terms of quality of life, pain relief and function. Nevertheless, the literature reports that up to 30% of patients are dissatisfied. This dissatisfaction is directly related to the patients’ quality of life, which they deem insufficient. Their quality of life depends on many physical, behavioural, social and psychological factors that are not taken into account by functional outcome scores. After describing the principles of quality of life evaluation after TKA, we will assess the effects of patient-related factors, the surgical technique and postoperative program through an exhaustive review of the literature. Patient expectations after TKA will then be outlined, particularly return to work and return to sports1.Total arthroplasty of the knee to address symptomatic osteoarthritis has become increasingly common as the population ages. Many operative treatment approaches exist and should be attempted before surgical intervention is considered. Surgical alternatives to total knee arthroplasty also exist and may be appropriate. These include osteotomy, unicompartmental arthroplasty, and patellofemoral joint arthroplasty. Though suitable for some patients, these less invasive procedures have reduced survivorship at 10 years when compared with total knee arthroplasty. The primary indication for knee replacement is pain that significantly reduces walking tolerance, impairs ability to perform activities of daily living, and interferes with sleep. Patient-related factors that can affect the success of knee replacement include obesity, comorbidities, and unrealistic expectations for total pain relief and joint function. Absolute contraindications to knee arthroplasty include active knee sepsis and severe untreated or untreatable peripheral arterial disease. Total knee replacement may be considered for patients of any age once a diagnosis of osteoarthritis is confirmed clinically and radiographically, the patient continues to experience moderate to severe pain and poor quality of life despite an extended course of non-operative treatment, and no contraindications exist. Referral before the patient’s disease reaches an extremely advanced stage leads to better outcomes. While usually beneficial, knee arthroplasty is a major surgical procedure with possible complications and risk of failure to provide the desired result. An understanding of the many patient-related factors that can greatly affect outcome and patient satisfaction is essential2.Purpose End-stage knee osteoarthritis (OA) results in total knee arthroplasty (TKA) surgery. The decision to perform TKA is not well defined, resulting in variation of indications among orthopaedic surgeons. Non-operative treatment measures are often not extensively used. Aim of this study was to investigate factors influencing the decision to perform TKA by Dutch orthopaedic surgeons. Methods Three case vignettes, each case divided into two versions, being identical except for information on age (younger and older age), pain (mild and severe pain) or radiological OA (low and high grade) were developed. A questionnaire including these three case vignettes was sent to 599 Dutch orthopaedic surgeons, who were randomised to either one of the two versions. The orthopaedic surgeons were asked whether TKA would be the next step in treatment. Furthermore, from a list of patient factors they were asked how strong these factors would influence the decision to perform TKA3.

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Hareesh M S (October-2025). “A Study to assess the effectiveness of structured teaching programme on knowledge regarding early ambulation on Total Knee Replacement patients in Apollo Specialty Hospitals, Jayanagar, Bangalore (India).”. INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT, 10(10), c269-c277. https://ijnrd.org/papers/IJNRD2510231.pdf

Volume 10 Issue 10, October-2025

Pages : c269-c277

Paper Reg. ID: IJNRD_309806

Published Paper Id: IJNRD2510231

Research Area: Others area

Author Type: Indian Author

Country: Bangalore, Karnataka, India

Published Paper PDF: https://ijnrd.org/papers/IJNRD2510231.pdf

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