Risk of falls in patients with knee osteoarthritis undergoing total knee arthroplasty: A systematic review and best evidence synthesis.

Journal of Orthopaedics
Giorgio di Laura FratturaChristian Candrian

Abstract

Falls occur frequently in patients with impaired ambulation and may dramatically affect the elderly population. Aim was to document the incidence of falls in knee osteoarthritis (OA) patients undergoing total knee arthroplasty (TKA), and to identify factors and treatments that may influence the risk of falls. A systematic literature search was conducted on three medical electronic databases, PubMed, PeDRO, and Cochrane Collaboration. The Preferred Reporting Items for Systematic Reviews and Meta-analysis guidelines were used. Risk of bias analysis and best evidence synthesis were performed. The main aspects related to falls were analyzed: prevalence, risk factors, correlation with clinical outcome, effect of treatments. The systematic review identified 11 papers on 1237 patients. Pre-operative fall prevalence ranged from 23% to 63%, while post-operative values ranged from 12% to 38%. Moderate evidence was found on no influence of clinical scales, no BMI differences between "faller" and "non-faller", and on influence of limited pre-operative range of motion. Conflicting evidence was found for sex, history of previous falls, age, kyphosis, muscle weakness, fear of falling, depression, balance, gait impairment. No evidence was foun...Continue Reading

Citations

Nov 5, 2019·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Claudia LoretiLuca Padua
Dec 14, 2019·BMC Musculoskeletal Disorders·Serena Kuangyi ChenC Allyson Jones
May 1, 2021·International Journal of Environmental Research and Public Health·Jung Woo LeeHyo Geun Choi
Jul 1, 2021·The Journal of Bone and Joint Surgery. American Volume·Paul A AndersonJulie A Switzer
Oct 31, 2021·Archives of Orthopaedic and Trauma Surgery·Masato KiyoharaYasuharu Nakashima

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