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Original Article

J Pak Ortho Assoc.. 2018; 30(1): 17-20


Factors Related Unwillingness of Osteoarthritic Patients for Total Knee Arthroplasty

Sajjad Ahmad; Israr Ahmad; Syed Hammad Ali Shah Banori; Asadullah Jan; M. Waqar; M. Waqar.

Abstract
Objective: To knows about the factors related to unwillingness of knee osteoarthritis patients to undergo Total Knee Arthroplasty.
Methods: A cross sectional study was carried out at Hayatabad medical complex Peshawar from April 2016 to January 2017.Patients with advanced osteoarthritis of knees were interviewed in accordance to a preset questionnaire after taking consent. All data was analyzed by SPSS 21.0 version.
Results: A total of 100 patients were interviewed in which 35 patients were willing to undergo total knee arthroplasty and 65 patients showed unwillingness towards total knee arthoplasty which included 41.5 % (n= 27) males and 58.4% (n= 38) females with age ranges between 47 to 64 years (mean age 55.23±5.19 years). Out of the total patients 38.46 %( n= 25) were reluctant to total knee arthroplasty due to economic reasons, 24.61 %( n=16) due to social reasons, 21.65% (n=14) due to fear of complications, 15.3 %( n=10) due to religious reasons and 56.9% (n=37) had multiple reasons (economic plus fear of complications).
Conclusion: It was concluded that patient decision making process regarding Total Knee Arthoplasty has numerous consideration like economical and fear of complications on top which should be addressed through proper counseling and awareness regarding the procedure and economical help through allotment of funds on government as well as on hospital basis.

Key words: Total Knee Arthoplasty;Osteoarthritis



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