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Centre for Policy on Ageing | |
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| A prospective observational study of falling before and after knee replacement surgery | | Author(s) | Annette Swinkels, John H Newman, Theresa J Allain |
| Journal title | Age and Ageing, vol 38, no 2, March 2009 |
| Pages | pp 175-180 |
| Source | http://www.ageing.oxfordjournals.org |
| Keywords | Falls ; Mobility ; Orthopaedics ; Longitudinal surveys ; Bristol. |
| Annotation | Knee arthritis is a risk factor for falling. Increasing numbers of people are receiving total knee arthroplasty (TKA), but the natural history of falling before and after TKA is unknown. In this study with 1-year follow-up at the Avon Orthopaedic Centre, Bristol, 24.2% of those undergoing TKA fell in the 3 months before surgery. Post-operative falls rates were 11.7% to 11.8% per quarter in the first year. TKA led to the improvement in balance confidence, but this was not maintained in patients with a history of falling pre-operatively. TKA led to a reduction in depression symptomatology in non-fallers, but not in people who had fallen pre-operatively. Pre-operative falling was predicted by depression symptomatology and pre-operative history of falling. A recent history of falling is common in people undergoing TKA, and about 45% of patients fall again in the year following surgery. Patients being considered for TKA should be asked about falls history and undergo falls risk assessment and intervention. (RH). |
| Accession Number | CPA-090417215 A |
| Classmark | OLF: C4: LKB: 3J: 8AB |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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