Relationships of cross-sectional area of the thigh muscles before or after total knee arthroplasty with postoperative pain or patient satisfaction: A retrospective, exploratory study

Autor: Yoshihiro Akatsuka, Atsushi Teramoto, Hiroyuki Takashima, Yohei Okada, Kota Watanabe, Toshihiko Yamashita
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology, Vol 33, Iss , Pp 20-24 (2023)
Druh dokumentu: article
ISSN: 2214-6873
DOI: 10.1016/j.asmart.2023.08.006
Popis: Background: It has been suggested that lower limb strength related to persistent postsurgical pain. The aim of the present study was to investigate the relationships of pre-operative or postoperative cross-sectional area (CSA) of the thigh muscles with knee pain or patient satisfaction after total knee arthroplasty (TKA). Methods: Twenty patients who had undergone TKA (3 men and 17 women; mean age 75.2 ± 8.7 years) were included. CSAs of the thigh muscle (THIGH) and quadriceps muscle (QUAD) were retrospectively measured at the CT slice 10-cm superior to the quadriceps tendon insertion at the proximal pole of the patella. THIGH CSA and QUAD CSA to body weight ratios (mm2/kg), THIGH/W and QUAD/W ratios, respectively, were calculated. Knee pain and patient satisfaction postoperatively were also quantified by patient-reported measurements based on the 2011 Knee Society Score (KSS). The correlations between the THIGH/W and QUAD/W ratios and the KSS were evaluated using Spearman's rank correlation coefficient. Results: The preoperative THIGH/W ratio was positively correlated with KSS-pain, (r = 0.58, p
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