Prevalence of Pain and General Health Score After Total Knee Arthroplasty; A Cross-Sectional Study

Authors

  • Witchaporn Witayakom Department of Orthopedics, Faculty of Medicine, Khon Kaen University https://orcid.org/0000-0001-7527-5170
  • Rit Apinyankul Department of Orthopedics, Faculty of Medicine, Khon Kaen University
  • Kamolsak Sukhonthamarn Department of Orthopedics, Faculty of Medicine, Khon Kaen University
  • Weerachai Kosuwon Department of Orthopedics, Faculty of Medicine, Khon Kaen University

Keywords:

total replacement, total knee arthroplasty, mental health, pain

Abstract

Background and Objective: Some patients who underwent total knee replacement still have an unfavorable pain. This study aimed to evaluate the pain prevalence, and mental health in these patients.

Methods: This was a descriptive  retrospective study of patients joined the meeting in 2019 at the Srinagarind Hospital. We used questionnaires to evaluate the locations, pain score, and the Thai GHQ-28.

Results: Fifty-three patients, 76 total knee replacements, had anterior knee pain 57.89%. Mean walking pain and Thai GHQ-28 score were 1.49±2.13 and 1.77±2.85, respectively. Walking pain, rest pain, morning stiffness, and stiffness during the day had a low correlation to the social dysfunction subscale (correlation coefficient 0.317,0.307,0.385,0.339; p<0.05). In addition, pain at rest had a moderate correlation to the severe depression subscale (correlation coefficient=0.441, p=0.001)

Conclusion: 58 percent of the patients who underwent total knee replacement still had mild pain, mainly at the anterior area of knees. This pain and stiffness had a low correlation to social dysfunction. Furthermore, pain at rest after knee arthroplasty also had a moderate correlation to severe depression.

Author Biographies

Witchaporn Witayakom, Department of Orthopedics, Faculty of Medicine, Khon Kaen University

Diploma, certificated board Orthopedics

Department of Orthopedics, Faculty of Medicine, Khon Kaen University

Rit Apinyankul, Department of Orthopedics, Faculty of Medicine, Khon Kaen University

Diploma, certificated board Orthopedics

Department of Orthopedics, Faculty of Medicine, Khon Kaen University

Kamolsak Sukhonthamarn, Department of Orthopedics, Faculty of Medicine, Khon Kaen University

Diploma, certificated board Orthopedics

Department of Orthopedics, Faculty of Medicine, Khon Kaen University

Weerachai Kosuwon, Department of Orthopedics, Faculty of Medicine, Khon Kaen University

Diploma, certificated board Orthopedics

Department of Orthopedics, Faculty of Medicine, Khon Kaen University

References

Mihalko WM. Arthroplasty of the knee. In: Azar FM, Beaty JH, editors. Campbell’s Operative Orthopaedics. 14th ed. Philadelphia: Elsevier; 2021:406–84.

Beswick AD, Wylde V, Gooberman-Hill R, Blom A, Dieppe P. What proportion of patients report long-term pain after total hip or knee replacement for osteoarthritis? A systematic review of prospective studies in unselected patients. BMJ Open 2012;2(1):e000435. doi:10.1136/bmjopen-2011-000435

Kahlenberg CA, Nwachukwu BU, McLawhorn AS, Cross MB, Cornell CN, Padgett DE. Patient satisfaction after total knee replacement: a systematic review. HSS J 2018;14(2):192–201. doi:10.1007/s11420-018-9614-8

Wylde V, Beswick A, Bruce J, Blom A, Howells N, Gooberman-Hill R. Chronic pain after total knee arthroplasty. EFORT Open Rev 2018;3(8):461–70. doi:10.1302/2058-5241.3.180004

Elson DW, Jones S, Caplan N, Stewart S, St Clair Gibson A, Kader DF. The photographic knee pain map: locating knee pain with an instrument developed for diagnostic, communication and research purposes. Knee 2011;18(6):417–23. doi:10.1016/j.knee.2010.08.012

Nilchaikovit T, Chakkrit S, Silpakit C. Reliability and validity of the Thai version of the General Health Questionaire. J Psychiatr Assoc Thai 1996;41(1):2–17.

Popovic N, Lemaire R. Anterior knee pain with a posterior-stabilized mobile-bearing knee prosthesis: the effect of femoral component design. J Arthroplasty 2003;18(4):396–400. doi:10.1016/s0883-5403(03)00059-7

van Jonbergen HPW, Scholtes VAB, van Kampen A, Poolman RW. A randomised, controlled trial of circumpatellar electrocautery in total knee replacement without patellar resurfacing. J Bone Joint Surg Br 2011;93-B(8):1054–9. doi:10.1302/0301-620X.93B8.26560

Baliga S, McNair CJ, Barnett KJ, MacLeod J, Humphry RW, Finlayson D. Does circumpatellar electrocautery improve the outcome after total knee replacement?: A prospective, randomised, blinded controlled trial. J Bone Joint Surg Br 2012;94-B(9):1228–33. doi:10.1302/0301-620X.94B9.27662

Smith AJ, Wood DJ, Li MG. Total knee replacement with and without patellar resurfacing: A prospective, randomised trial using the profix total knee system. J Bone Joint Surg Br 2008;90-B(1):43–9. doi:10.1302/0301-620X.90B1.18986

Papakostidou I, Dailiana ZH, Papapolychroniou T, Liaropoulos L, Zintzaras E, Karachalios TS, et al. Factors affecting the quality of life after total knee arthroplasties: a prospective study. BMC Musculoskelet Disord 2012;13(1):116. doi:10.1186/1471-2474-13-116

Thiam WD, Teh JWD, Razak HRBA, Tan HCA. Correlations between functional knee outcomes and health-related quality of life after total knee arthroplasty in an asian population. J Arthroplasty 2016;31(5):989–93. doi:10.1016/j.arth.2015.11.004

Downloads

Published

2023-12-23

How to Cite

1.
Witayakom W, Apinyankul R, Sukhonthamarn K, Kosuwon W. Prevalence of Pain and General Health Score After Total Knee Arthroplasty; A Cross-Sectional Study. SRIMEDJ [Internet]. 2023 Dec. 23 [cited 2024 Dec. 22];38(6):564-9. Available from: https://li01.tci-thaijo.org/index.php/SRIMEDJ/article/view/260218

Issue

Section

Original Articles