Ladan Zakeri - Academia.edu (original) (raw)
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Papers by Ladan Zakeri
Purpose: Total Knee Replacement (TKR) is the treatment of choice for severe osteoarthritis with a... more Purpose: Total Knee Replacement (TKR) is the treatment of choice for severe osteoarthritis
with acceptable outcomes regarding pain management, function and quality of life enhancement.
Because many patients require TKR procedure for their both knees, there has always been a
challenge in the choice of simultaneous or consecutive operations. The aim of the present study
was to compare the two protocols based on functional capabilities of patients with osteoarthritis
(OA).
Methods: In this quasi-experimental study, twenty five severe patients with OA candidates for
bilateral TKR (sampled by simple convenient method) were assigned into unilateral (3 men, 9
women) and bilateral (3 men, 10 women) groups based on the preference of the patients for the
surgery procedure. Knee Injury and Osteoarthritis Outcome Score (KOOS) was used to evaluate
functional capabilities of the patients prior to and 6 weeks after the operation and rehabilitation
program. Repeated measures analysis of variance was used for the statistical analysis by SPSS
21 software.
Results: The findings indicated that the KOOS scores of the 2 groups were not significantly
different before or after the interventions. Besides, patients in both groups showed significant
improvement after TKR and the following rehabilitation program (P<0.01 for both groups and
all KOOS subscales).
Conclusion: TKR and the post-operative rehabilitation program could significantly enhance
function of the severe OA patients but no priority for either unilateral or simultaneous bilateral
methods was recognized.
Purpose: Total Knee Replacement (TKR) is the treatment of choice for severe osteoarthritis with a... more Purpose: Total Knee Replacement (TKR) is the treatment of choice for severe osteoarthritis
with acceptable outcomes regarding pain management, function and quality of life enhancement.
Because many patients require TKR procedure for their both knees, there has always been a
challenge in the choice of simultaneous or consecutive operations. The aim of the present study
was to compare the two protocols based on functional capabilities of patients with osteoarthritis
(OA).
Methods: In this quasi-experimental study, twenty five severe patients with OA candidates for
bilateral TKR (sampled by simple convenient method) were assigned into unilateral (3 men, 9
women) and bilateral (3 men, 10 women) groups based on the preference of the patients for the
surgery procedure. Knee Injury and Osteoarthritis Outcome Score (KOOS) was used to evaluate
functional capabilities of the patients prior to and 6 weeks after the operation and rehabilitation
program. Repeated measures analysis of variance was used for the statistical analysis by SPSS
21 software.
Results: The findings indicated that the KOOS scores of the 2 groups were not significantly
different before or after the interventions. Besides, patients in both groups showed significant
improvement after TKR and the following rehabilitation program (P<0.01 for both groups and
all KOOS subscales).
Conclusion: TKR and the post-operative rehabilitation program could significantly enhance
function of the severe OA patients but no priority for either unilateral or simultaneous bilateral
methods was recognized.