RESUMO
Background: osteoarthritis is a degenerative disease affecting both genders and is more prevalent in females. The incidence of osteoarthritis in Saudi Arabia is up to 60%. Management is initially conservative with medications and lifestyle changes. Total knee arthroplasty [TKA] is the surgical option for patients who complain of severe pain and functional disabilities. TKA is correlated with improving quality of life, but despite this evidence, some patients complain of residual symptoms postoperatively which don't meet their pre-operative expectations
Aim of the work: this study aimed to determine health related quality of life of patients after total knee arthroplasty and to assess the psychological factors affecting the patients after the procedure
Methodology: this retrospective cross-sectional study analyzed all the files of patients who underwent unilateral or bilateral TKA in KAUH from 2010-2017. A total of 78 patients were interviewed by phone using the Western Ontario and McMaster Universities Osteoarthritis Index [WOMAC] and short form quality of life [SF-36] questionnaires
Result: a total of 78 patients [60 Females and 18 males] were participated in this study. The mean age was 65.7 years old. In general, 41.6% of the patients were satisfied with their usual daily activity, where on the other hand 5.2% of patients reported poor satisfaction and were much worse than before. 59.7% of the patients reported great improvement in comparison with the previous year and 22.1% of the patients reported a somewhat better improvement. 53.2% reported no limitation in their social life regarding physical activity and emotional problems, while 9.1% had physical and emotional problems interfering with their life
Conclusion: TKA is a very successful and cost effective therapeutic option for treating knee osteoarthritis. Improvement in the quality of life and physical activity of patients supports other conducted previous studies
RESUMO
Background: Distal radius fractures [DRFs] are mainly treated by surgery; however, there is no strong evidence to establish the superiority of one modality over another
Aim: To determine the most efficient surgical procedure in terms of restoring anatomical angles in DRFs
Methods: This retrospective study was conducted at King Abdulaziz University Hospital, Jeddah between 2010 and 2016. It involved 31 patients with DRF treated surgically. All patients were assessed pre-and post-operatively to measure radial height [RH], radial inclination [RI], ulnar variance [UV] and volar tilt [VT] on posteroanterior and lateral radiographs. The Shapiro-Wilk test was performed to determine the normality of measurements
Results: Pre-operative variables, including [RH], [RI], [VT], and [UV], were not significantly different among patients in all treatment groups. In group 1 [closed reduction with K-wire, external fixation, or both], all the pre- and post-treatment variables were significantly different [p < 0.05], except [UV] [p = 0.867]. Conversely, the difference between pre- and post-measurement variables in group 2 [open reduction with plate and screw] was significantly high [p < 0.05]. Further, group 3 [open reduction with K-wire plus plate and screws] and group 4 [open reduction with K-wire plus plate and screws in combination with external fixation] showed no significant difference [p > 0.05]
Conclusion: Open reduction with plate and screws was highly effective in the management of DRFs. However, additional studies are needed to establish an effective management for these fractures