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Physical Function After Total Knee Replacement: An Observational Study Describing Outcomes in a Small Group of Women From China and the United States

      Highlights

      • It is not known to what extent physical function after total knee replacement may differ between China and the United States.
      • Despite having worse physical function before total knee replacement, the China group had greater gains in walking endurance and similar gains in repeated chair stands than did the U.S. group after surgery.

      Abstract

      Objective

      To describe physical function before and six months after Total Knee Replacement (TKR) in a small sample of women from China and the United States.

      Design

      Observational.

      Setting

      Community environment.

      Outcomes

      Both groups adhered to the Osteoarthritis Research Society International (OARSI) protocols for the 6-minute walk and 30-second chair stand. We compared physical function prior to TKR and 6 months after using linear regression adjusted for covariates.

      Participants

      Women (N=60) after TKR.

      Interventions

      Not applicable.

      Results

      Age and body mass index in the China group (n=30; 66y and 27.0kg/m2) were similar to those in the U.S. group (n=30; 65y and 29.6kg/m2). Before surgery, the China group walked 263 (95% confidence interval [CI], −309 to −219) less meters and had 10.2 (95% CI, −11.8 to −8.5) fewer chair stands than the U.S. group. At 6 months when compared with the U.S. group, the China group walked 38 more meters, but this difference did not reach statistical significance (95% CI, −1.6 to 77.4), and had 3.1 (95% CI, −4.4 to −1.7) fewer chair stands. The China group had greater improvement in the 6-minute walk test than did the U.S. group (P<.001).

      Conclusions

      Despite having worse physical function before TKR, the China group had greater gains in walking endurance and similar gains in repeated chair stands than did the U.S. group after surgery.

      Keywords

      List of abbreviations:

      BMI (body mass index), CI (confidence interval), OA (osteoarthritis), TKR (total knee replacement)
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