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The study aims to examine the excised synovium from the suprapatellar region in osteoarthritic knees during TKA and evaluate the histopathology HP report to know whether discrepant diagnoses affect the Forgotten Joint Score at various time intervals. This is a prospective cohort study. Two hundred female; 40 male end-stage osteoarthritis patients who underwent primary TKA were studied. An inclusion criterion was patient with end-stage osteoarthritis. Clinically and serologically proven rheumatoid arthritis patients were excluded from the study.

The statistical significance was measured with the Chi-square test and two-sample t -test. This discrepant diagnosis if missed and untreated, would have affected the function and long-term survival of the implanted TKA. TKA is highly effective in pain relief and improves function, including daily living. Tremendous advances have been made in the implant designs, refinement of the surgical treatment of TKA, and patient selection.

The forgotten knee is the terminology used to describe a post TKR patient entirely unaware of his knee implant. Various factors like age, sex, BMI, preoperative pain, and preoperative patella symptoms have been studied to see their effect relationship on the achievement of forgotten knee status.