Quality of life after total knee arthroplasty: systematic review

  • da Silva R
  • Santos A
  • de Sampaio Carvalho Júnior J
  • et al.
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© 2014 Sociedade Brasileira de Ortopedia e Traumatologia. Objective: To review the literature on quality of life among patients who underwent totalknee arthroplasty (TKA) and assess the impact of various associated factors.Methods: This was a systematic review of the literature in the Medline, Embase, Lilacs andSciELO databases, using the terms: TKA (total knee arthroplasty); TKR (total knee replace-ment); quality of life; and outcomes. There were no restrictions regarding study design.Results: 31 articles addressing this topic using various quality-of-life evaluation proto-cols were selected. SF-36/SF-12, WOMAC and Oxford were the ones most frequentlyused. The studies made it possible to define that TKA is capable of making an overall mprovement in patients quality of life. Pain and function are among the most important predictors of improvement in quality of life, even when function remains inferior to that of healthy patients. Conclusion: The factors associated negatively were obesity, advanced age, comorbidities, persistence of pain after the procedure and a lengthy wait for surgery.




da Silva, R. R., Santos, A. A. M., de Sampaio Carvalho Júnior, J., & Matos, M. A. (2014). Quality of life after total knee arthroplasty: systematic review. Revista Brasileira de Ortopedia (English Edition), 49(5), 520–527. https://doi.org/10.1016/j.rboe.2014.09.007

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