| Patients with Type 2 diabetes mellitus have a worse functional outcome post knee arthroplasty: A matched cohort study. | |
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MedLine Citation:
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PMID: 21715174 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Knee arthroplasty provides not only pain relief but also an improvement in function and range of movement. Limited joint mobility is a common complication of diabetes mellitus. We therefore examined functional outcome post total knee arthroplasty in a cohort of subjects with (n=367) and a cohort matched for age, sex, BMI and functional movement at baseline, without diabetes mellitus (n=367). Participants were examined at baseline (pre-operatively), 1, 5 and 10years post TKA. There was no significant difference in fixed flexion, maximal flexion or total range of movement between the two groups at baseline. By 1year the group with diabetes had a significantly lower maximal flexion (p<0.001), total range of movement (p<0.001) and Knee Society Score (p=0.034). Similar results were observed at years 5 (except for the KSS) and 10 post procedure. At 5years post arthroplasty a significant increase was observed in fixed flexion (p=0.026) in the diabetic group. Ten years post arthroplasty yielded similar results. This study demonstrates that the pre-operative presence of diabetes mellitus leads to a worse outcome post knee arthroplasty, although no significant difference was demonstrable in KSS at 5years (p=0.35) suggesting patient satisfaction remains high during this period. |
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Authors:
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Francis Robertson; Jacqueline Geddes; David Ridley; Gordon McLeod; Kenneth Cheng |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-6-27 |
Journal Detail:
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Title: The Knee Volume: - ISSN: 1873-5800 ISO Abbreviation: - Publication Date: 2011 Jun |
Date Detail:
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Created Date: 2011-6-30 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9430798 Medline TA: Knee Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2011 Elsevier B.V. All rights reserved. |
Affiliation:
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Department of General Surgery, Edinburgh Royal Infirmary, Little France, Edinburgh, United Kingdom. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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