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Arthroplasty 2019

June 24-25, 2019

Volume 14

Journal of Orthopaedics Trauma Surgery and Related Research


June 24-25, 2019 | Rome, Italy



International Conference on

Daniel A. Cohen, J.Orthop.Trauma Surg.Relat.Res. | Volume 14


The role of patient education in total knee arthroplasty: Does it really matters? A

Brazilian study

Rodrigo Almeida dos Santos

Faculty of Medicine of Barbacena, Brazil

Statement of the Problem:

Osteoarthritis (OA) is a frequently chronic condition related to population aging, obesity and

sports injuries. The knee is the second joint in occurrence of OA leading a functional impairment, pain and/or mechanical

symptoms. Total knee arthroplasty (TKA) has been indicated when symptom’s control has failed and proved to be

a successful treatment. However, up to 20% of patients after knee arthroplasty complain of residual pain, functional

impairment or subjective dissatisfaction. Written and illustrated materials in a preoperative education maximize

knowledge and adhesion to treatment. However, in the third world, illiteracy index is high in the public hospitals. We

describe an orientation method before TKA in which patients are instructed in a differentiated way without the necessity

of reading.

Methodology & Theoretical Orientation:

To improve patient education before TKAwe developed a multidisciplinary

method in which an orthopedic surgeon, a nurse and a physiotherapist give the patients a differentiated orientation

regarding the pre, intra and postoperative issue in a prospective randomized trial of 79 consecutive patients undergoing

primary TKA. Twenty-nine patients received the standard verbal (control group) education and 38 patients received the

differentiated education (intervention group). The patients were evaluated during at least six-month


After a 6-month follow-up period, SF-36 andWOMAC forms,VAS and range of motion improved significantly

in both groups. ROMwas better in the intervention group. Moreover, walk ability (more than 400 meters) was improved

more in the intervention group compared with control group. In the intervention and control groups, respectively, 10.5%

and 31% of patients related the need to use some walking device (p = 0.03).

Conclusion & Significance:

Adifferentiated education with a multidisciplinary team had a positive impact in functional

outcomes, improving ROM and walk ability of patients undergoing total knee arthroplasty in a short-term evaluation.


Rodrigo Santos is a scientific director at the Institute of Traumatology and Orthopedics of Barbacena, Brazil. He is also the head of the

orthopedic department of Santa Casa de Barbacena Minas Gerais and an expert member of the Brazilian Society of Orthopedics and Trau-

matology. He obtained his bachelor's from the College of Medicine of Barbacena in 1996. He accomplished his master´s degree in medicine

by the Federal University of Minas Gerais, Brazil. Presently, he is a professor in the Department of Orthopedics and Traumatology at the

Faculty of Medicine of Barbacena, Brazil.