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KMID : 1144520210330010036
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Knee Surgery & Related Research
2021 Volume.33 No. 1 p.36 ~ p.36
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Surgery-related predictors of kneeling ability following total knee arthroplasty: a systematic review and meta-analysis
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Nadeem Shaheer
Mundi Raman
Chaudhry Harman
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Abstract
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Purpose: Kneeling ability is among the poorest outcomes following total knee arthroplasty (TKA). The purpose of this meta-analysis was to: (1) quantify kneeling ability after TKA; (2) identify surgical approaches and prosthesis designs that improve kneeling ability following TKA; and (3) quantify the effectiveness of these approaches.
Methods: We performed a systematic review in accordance with the PRISMA guidelines of multiple medical databases. Data relating to demographics, TKA technique, prosthesis design, and kneeling-specific outcomes were extracted. Comparative outcomes data were pooled using a random effects model.
Results: Thirty-six studies met the eligibility criteria. The proportion of patients able to kneel increased with longer follow-up (36.8% at a minimum of 1 year follow-up versus 47.6% after a minimum of 3 years follow-up, p?
Conclusion: A large majority of patients are unable to kneel following TKA, although the ability to kneel improves over time. This evidence may facilitate preoperative patient counseling. Variations in choice of incision location and length may affect ability to kneel; however, high-quality randomized trials are needed to corroborate our findings.
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KEYWORD
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Arthroplasty, Kneel, Knee replacement, Primary
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