Knee arthroplasty in Kuwait during 25 years: a national presentation and an international review

ABSTRACT

Since 1984, 577 knee arthroplasty operations were performed in Al Razi Orthopedic hospital in Kuwait. An increase in the number of these operations occurred during the last four years and in 2007 there were almost 100 knee arthroplasty operations performed. Six out of seven operated patients were female. The mean age at operation was 67 years for male and 62 years for female patients. The vast majority were of the total knee arthroplasty type. In Sweden, with a total population of almost 10 million people, 10,544 primary knee prosthesis were implanted during 2006. In Kuwait, there is no certain statistics regarding the actual number of knee arthroplasty operations as Kuwaiti patients are also operated in private hospitals within and outside the country. It is estimated that 200 - 300 knee arthroplasty operations are performed annually on Kuwaitis. In order to get better epidemiological data and in order to improve the quality assurance of Knee and Hip arthroplasty operations in Kuwait, we propose that a national register is organised. National registers are in use in many other countries. The main indication for a knee arthroplasty is to relieve knee pain and to improve knee function. The operation allows for an active life-style. An active lifestyle, with more walking, is an advantage not only for the knee, but also for the general health. It also helps to better control other diseases like diabetes and obesity. The use of knee arthroplasties in Kuwait is increasing and the outcome of the procedure is generally favorable. It is not an overstatement to say that a well functioning knee arthroplasty means an increased quality of the whole life