Is it Possible to Recover Cardiac Functions After Total Knee Arthroplasty?

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dc.contributor.authorArslan, Aydın
dc.contributor.authorÇuğlan, Bilal
dc.contributor.authorÖzkurt, Bülent
dc.contributor.authorUtkan, Ali
dc.contributor.authorKorkmaz, Mehmet Fatih
dc.contributor.authorKoca, Tuba Tülay
dc.contributor.authorSevimli, Reşit
dc.date.accessioned2019-02-01T12:00:28Z
dc.date.available2019-02-01T12:00:28Z
dc.date.issued2018-06-21
dc.departmentİstanbul Gelişim Üniversitesien_US
dc.description.abstractBackground: Patients suffering from knee osteoarthritis lead a less active life than their healthy peers. It is well known that insufficient physical activity is the most common cause of chronic diseases. However, there is not enough research to enlighten the effect of increased functional capacity on cardiac functions after Total Knee Arthroplasty (TKA). This study aimed to investigate whether the orthopedic surgeons can predict that the patients will be healthier after TKA in terms of cardiac functions or not? Methods: 109 patients who underwent TKA were prospectively followed for one year. The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and short form 36 (SF-36) surveys, BMI measures, average step count per day, the six-minute walking test (6MWT), the Five-Times-Sit-to-Stand Test (FTSST) and Doppler echocardiography were performed both in the preoperative and postoperative period. Results: After TKA, there was a substantial improvement in terms of WOMAC and SF36 survey scores. The average step count increased from 2199.6±690.8 steps/day to 4124.3±1638.8 steps/day. 6MWT and FTSST improved significantly as well. The average brisk walking time was 174.23±95.11 minutes/week. The means of early and late mitral inflow velocity ratios (E/A and Em/Am ratios) increased from 0.71±0.12 to 0.77±0.13 and from 0.66±0.13 to 0.76± 0.15 at the first year follow-up visit, respectively (p<0.001). Conclusion: In the first year, objective physical capacity measures increased together with the expected improvements in disease-specific and generic measures. After TKA, left ventricular diastolic functions may be considered to have recovered in the light of the healing signs via echocardiography.en_US
dc.identifier.doi10.2174/1874325001812010261en_US
dc.identifier.endpage268en_US
dc.identifier.issn1874-3250
dc.identifier.issue12en_US
dc.identifier.startpage261en_US
dc.identifier.urihttps://hdl.handle.net/11363/1092
dc.identifier.urihttps://doi.org/
dc.identifier.volume2018en_US
dc.language.isoenen_US
dc.publisherThe Open Orthopaedics Journalen_US
dc.relation.ispartofThe Open Orthopaedics Journalen_US
dc.relation.publicationcategoryKategori Yoken_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/us/*
dc.subjectResearch Subject Categories::MEDICINEen_US
dc.titleIs it Possible to Recover Cardiac Functions After Total Knee Arthroplasty?en_US
dc.typeArticleen_US

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