Prevalence and rehabilitation factors associated with chronic pain after total knee arthroplasty in Jordan.

IF 2 3区医学 Q2 ORTHOPEDICS

International Orthopaedics Pub Date : 2025-03-13 DOI:10.1007/s00264-025-06489-1

Mohammad Yabroudi, Ayah Al-Adwan, Zakariya Nawasreh

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引用次数: 0

Abstract

Purpose: Total knee arthroplasty (TKA) is a highly effective treatment for osteoarthritis patients unresponsive to conservative therapies. Chronic postsurgical pain (CPSP) following TKA is understudied, with approximately 20% of patients reporting chronic pain. This cross-sectional study conducted in Jordan aims to (1) determine the prevalence of chronic knee pain after TKA in the Jordanian population and (2) identify associations between demographics and rehabilitation factors with chronic pain.

Methods: Data were collected from 90 Jordanian patients post-TKA. Demographics (age, gender, BMI, and smoking) and rehabilitation factors (pre-operative sessions, post-operative sessions, and duration) were recorded. Statistical analyses included descriptive statistics and 95% confidence intervals. Independent t-tests and Chi-square analyses were used to determine the differences between those with and without chronic pain. Pearson correlations were used to determine the association between demographic and rehabilitation factors with the prevalence of chronic pain.

Results: Ninety patients were included in the study with an average age of 60.3 ± 10.1 years. The prevalence of chronic post-TKA pain in Jordan was 57.8% (52/90), (95% CI: 46.9-68%). No significant differences were found in demographics and pre-operative rehabilitation. Chronic pain was significantly associated with post-operative rehabilitation sessions and duration (r =.349, p =.001) (r =.342, p =.001, respectively. Patients with chronic pain received fewer post-operative rehabilitation sessions (P <.001) and had shorter rehabilitation durations (P <.001) compared to patients without chronic pain.

Conclusion: Chronic pain after TKA is highly prevalent in Jordan (57.8%), with reduced rehabilitation engagement strongly linked to its occurrence. Optimizing post-operative rehabilitation protocols may mitigate CPSP risk among Jordanian TKA patients.

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约旦全膝关节置换术后慢性疼痛的发生率和相关康复因素。

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来源期刊

International Orthopaedics 医学-整形外科

CiteScore

5.50

自引率

7.40%

发文量

360

审稿时长

1 months

期刊介绍： International Orthopaedics, the Official Journal of the Société Internationale de Chirurgie Orthopédique et de Traumatologie (SICOT) , publishes original papers from all over the world. The articles deal with clinical orthopaedic surgery or basic research directly connected with orthopaedic surgery. International Orthopaedics will also link all the members of SICOT by means of an insert that will be concerned with SICOT matters. Finally, it is expected that news and information regarding all aspects of orthopaedic surgery, including meetings, panels, instructional courses, etc. will be brought to the attention of the readers. Manuscripts submitted for publication must contain a statement to the effect that all human studies have been approved by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki. It should also be stated clearly in the text that all persons gave their informed consent prior to their inclusion in the study. Details that might disclose the identity of the subjects under study should be omitted. Reports of animal experiments must state that the "Principles of laboratory animal care" (NIH publication No. 85-23, revised 1985) were followed, as well as specific national laws (e.g. the current version of the German Law on the Protection of Animals) where applicable. The editors reserve the right to reject manuscripts that do not comply with the above-mentioned requirements. The author will be held responsible for false statements or for failure to fulfil the above-mentioned requirements.