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Muh. Bayuaji M. Ismail Maryanto

Clinical Outcome of Total Knee Replacement in Osteoarthritis Patients at Prof. Dr. R. Soeharso Orthopaedic Hospital Surakarta October 2011 – April 2013. Muh. Bayuaji M. Ismail Maryanto. Background.

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Muh. Bayuaji M. Ismail Maryanto

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  1. Clinical Outcome of Total Knee Replacement in Osteoarthritis Patients at Prof. Dr. R. Soeharso Orthopaedic Hospital SurakartaOctober 2011 – April 2013 Muh. Bayuaji M. Ismail Maryanto

  2. Background • Knee arthroplasty  surgical procedure in which the worn and/or damaged surfaces of the knee joint are replaced with a prosthesis. • Knee OA incidence rate 240/100.000 people/years. • TKR is one of the most common orthopedic procedures (AAOS, 2011)

  3. Background • Performed when all three compartments of the knee are affected by advanced joint disease. • Indications : - Severe chronic pain in the knee that limits everyday activities • Failure to obtain relief from NSAID drugs and injections or physiotherapy. \ (AAOS, 2011)

  4. Alternative Procedurs : - UKA - High Tibial Osteotomy - Mosaic Arthroplasty

  5. Background • Begins 1 day Post OP  getting patient out of bed and method of transfer • Isometric Exercise : gluteal muscles, quadriceps and ankle pumps + deep breathing • SAFTE protocol • Active Exercise : Harmsting muscle  relaxes quadriceps ↓ pain of flexion exercise • Routine CPM is unwarranted (AAOS, 2011)

  6. Background • OKS  short, practical, reliable, valid and sensitive to clinnically important change • Compared with KSS, SF-36, HAQ  OKS fared favourably of reproducibility, internal consistency, validity and responsiveness

  7. METHODS • Type of Study • This study is retrospective study • Sample and population • Sample and population using the patients with Osteoarthritis that had TKR procedure at Soeharso Orthopaedic Hospital Surakarta

  8. METHODS • Inclusion and exclusion Criterias • Inclusions’ criteria: • All of the patient with Osteoarthritis that had Total Knee Replacement procedure at SoeharsoOrthopaedic Hospital Surakarta • Number of Sample • Taken from 51 knee in 36 patients with Osteoarthritis that had TKR procedure at Orthopaedi Prof dr. R. Soeharso Surakarta from October 1st 2011until April 31st 2013 that eligible of the inclusion’s criteria

  9. METHODS • Exclusions’ criteria : • All of the patient with Osteoarthritis that had TKR procedure at Soeharso Orthopaedic Hospital that can’t be further explored because of: • The data is not complete • The patient refuse to continue the study • The patient was dead • The patient can’t be conctacted

  10. Total Knee Replacement

  11. Sex Distribution

  12. Age Distribution Mean : 62.4 y.o

  13. Body Mass Index (BMI) Distribution

  14. Regular Phisiotheraphy Post TKR

  15. Affected Side Distribution

  16. Oxford Knee Score

  17. Conclusion • In this study we found that TKR surgery gives a satisfactory clinical outcome for the osteoarthiriti patients in Soeharso Orthopaedic Hospital, Surakarta

  18. Thank You

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