Total knee replacement in King Abdullah University Hospital, early results

ABSTRACT

To look at the early results of total knee replacement in King Abdulla university Hospital [KAUH], and decide whether we should continue offering this service or not? We retrieved the files of all patients who underwent total knee joint replacement in KAUH since its commissioning in 2002. WE looked at certain epidemiological factors such as age, sex, weight and risk factors. We explained our preoperative plan, surgical techniques, types of prosthesis inserted, and the complications encountered. The number of patients was 210, while the number of knees replaced were 267 joints. 80% of our patients were females, right and left side knees were replaced equally. The mean age of patients was 63.3 years. While the mean weight was 84.6 kgms. Only thirty patients were free of any co-morbidity, and the rest of them had at least one symptom of co-morbidity. The vast majority of patients have advanced primary osteoarthritis. Mobile bearing prosthesis were mostly used. The complications rate was 20%, most of which were in the form of superficial wound infection. Total knee replacement is a thriving surgery in Jordan, to keep going we must stick to the sound principles. Such a major surgery should be done in specialized centers. So far, we think that our results are satisfying and we will continue doing this type of surgery