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Federal government websites often end in. The site is secure. Preview improvements coming to the PMC website in October Learn More or Try it out now. One of the symptoms annoying patients after total knee replacement TKR is numbness around the operative scar.
Some studies have shown that altering the incision in terms of placement or length may decrease the incidence of numbness. It still remains unknown whether numbness affects patient-reported outcomes. Our secondary objective was to look at the involved zone, area of numbness, and secondary symptoms. We also looked at patient-reported outcome in terms of satisfaction in all groups using a visual analog scale and Forgotten Joint Score.
At 3 months postoperatively, the incidence of numbness was least in the lateral exit group: At 1 year, most patients recovered sensation loss and had similar function. Placement or length of an incision did not significantly affect the incidence of numbness; however, the short incision led to early recovery of numbness. At 1 year of follow-up, most patients did not complain of loss of sensation and had similar functional outcome. Total knee replacement TKR is an extremely successful surgical intervention.
It provides life-altering outcomes for the patient and has tremendous socioeconomic impact on the community. Presently known causes for low patient-reported satisfaction are residual symptoms. The standard incision for TKR is a 15—20 cm vertical incision created in the midline centered over the patella and extending inferiorly till the tibial tuberosity. Its proximal extent varies depending on the difficulty of exposure.