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Total Knee Arthroplasty in a Low-Income Country: Short-Term Outcomes from a National Joint Registry.

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Graham, Simon, Moffat, Chipiliro, Lubega, Nicholas, Mkandawire, Nyengo, Burgess, David and Harrison, William J (2018) 'Total Knee Arthroplasty in a Low-Income Country: Short-Term Outcomes from a National Joint Registry.'. JBJS Open Access, Vol 3, Issue 1, e0029.

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Abstract

Background
We describe our 10-year experience with total knee arthroplasty in patients who are included in the Malawi National Joint Registry.

Methods
A total of 127 patients underwent 153 total knee arthroplasties (TKAs) between 2005 and 2015. The mean duration of follow-up was 4 years and 3 months (range, 6 months to 10 years and 6 months). The study group included 98 women and 29 men with a mean age of 65.3 years (range, 24 to 84 years). Nine patients were human immunodeficiency virus (HIV)-positive.

Results
The primary indication for surgery was osteoarthritis (150 knees), and the mean preoperative and postoperative Oxford Knee Scores were 16.81 (range, 4 to 36) and 45.61 (range, 29 to 48), respectively. Four knees (2.6%) were revised because of early periprosthetic joint infection (1 knee), aseptic loosening (1 knee), and late periprosthetic joint infection (2 knees). There were no perioperative deaths. In the group of 9 patients who were HIV-positive, there were no early or late complications and the mean Oxford Knee Score was 47 (range, 42 to 48) at the time of the latest follow-up.

Conclusions
This study demonstrated good short-term results following 153 primary TKAs performed in a low-income country.

Level of Evidence
Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.

Item Type: Article
Subjects: WA Public Health > WA 30 Socioeconomic factors in public health (General)
WA Public Health > Health Problems of Special Population Groups > WA 395 Health in developing countries
WE Musculoskeletal System > WE 100 General works
WE Musculoskeletal System > WE 800 Extremities > WE 870 Knee. Lower leg
Faculty: Department: Clinical Sciences & International Health > Clinical Sciences Department
Clinical Sciences & International Health > International Public Health Department
Digital Object Identifer (DOI): https://doi.org/10.2106/JBJS.OA.17.00029
Depositing User: Stacy Murtagh
Date Deposited: 25 Sep 2018 15:47
Last Modified: 27 Sep 2018 10:04
URI: http://archive.lstmed.ac.uk/id/eprint/9370

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