Kneeling ability after total knee replacement

[摘要] The primary reasons that patients elect to undergo total knee replacement (TKR) are to gain improvements in pain and walking ability.1 However, patients often have high expectations of the outcome of their TKR and want more from their operation than pain relief and improvement in basic mobility.2 This includes a return to important higher function activities, such as kneeling.1–3 The majority of patients expect to be able to kneel after TKR,2,4,5 however, these expectations are frequently not met,1,6 with between 50% and 80% of patients reporting that they have difficulty kneeling or do not kneel in the months and years after TKR.7–14 An inability to kneel can have a detrimental impact on many activities and areas of life and is a source of dissatisfaction. Despite this, kneeling ability after TKR is an underacknowledged outcome, and has received little attention in the research literature. The aim of this instructional review article is to raise awareness of this problematic outcome and provide a comprehensive overview of prevalence, impact, aetiology, management and directions for future research.

[学科分类] 神经科学

[关键词] kneeling;outcomes;total knee replacement