Assessment of Disuse Osteopenia Syndrome Following Total Knee Replacement Surgery | ||
| International Egyptian Journal of Nursing Sciences and Research | ||
| Volume 6, Issue 3, September 2025, Pages 86-94 PDF (255.25 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejnsr.2025.397519.1457 | ||
| Authors | ||
| Basma M. Korany* ; Rehab Mohamed Abdelkader; Mahmoud Hamdy El-Meghawry | ||
| Medical Surgical Nursing Department, Faculty Of Nursing, Cairo University | ||
| Abstract | ||
| Background: The disuse syndrome after lower extremities disuse is very a common unintended out comes of orthopedic surgery which can be evaded with proper nursing follow up. Aim: to assess of the disuse osteopenia syndrome following total knee replacement surgery. Design: An exploratory descriptive research design was utilized in this study. Setting: study was conducted at orthopedic Department at Kasr El Eini. Sample: A convenient nonprobability sample of 19 patients was selected. Tools of data collection: Tool; a) Socio-demographic/ medical Data Sheet, b) Physical Functional Status Assessment Sheet. Results: Lower Extremity Functional Scale (LEFS) Score; This score demonstrated a statistically significant improvement at 6 months (47.7 ± 17.7) post-operatively compared to the baseline score of 30.5 (± 15.4) (p<0.01) and The DEXA data reveals a trend of bone loss in the ipsilateral (affected) limb particularly in the early stages following surgery. The ipsilateral Neck of Femur (NOF) BMD shows a decrease at the 3 months (0.77 ±0.11) and 6-month (0.79 ±0.11) visits. Conclusion: the current study which spot some light on unattended detrimental side effect for the total knee replacement therapy which could be avoided by carful physiotherapy and suitable medication by the nursing team. Recommendation: To follow up DEXA investigation for patient undergoing TKR surgery and to start the physiotherapy and bone restoring medication as early as possible. | ||
| Keywords | ||
| Disuse Osteopenia Syndrome; Total Knee Replacement Surgery | ||
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