Quality of life reported by patients with ecchymosis following total knee arthroplasty
Year: 2025
Type: article
Study design: Observational Study
Abstract: Objectives: To explore the early quality of life (QOL), function, and pain of patients with ecchymosis after total knee arthroplasty (TKA) using Patient-Reported Outcome Measures (PROMs), and to investigate the incidence of post-TKA ecchymosis and its potential risk factors under anticoagulant therapy. Methods: This single-center observational study included patients who underwent TKA at our center from June 2022 to June 2023. Data on demographic information, surgical details, pre-operative and post-operative laboratory results, imaging data, etc., were collected. Patients were divided into two groups based on the presence or absence of ecchymosis after TKA: the ecchymosis group and the non-ecchymosis group. Patients' QOL postoperatively was assessed using Visual Analog Scale (VAS), Hospital for Special Surgery (HSS) score, and Rand 36-Item Short Form Health Survey (SF-36). A binary logistic regression model was employed to analyze the risk factors for post-TKA ecchymosis. Results: . There were 60 cases in the ecchymosis group and 78 cases in the non-ecchymosis group, resulting in an incidence of post-TKA ecchymosis of 43.48%. The ecchymosis group demonstrated more significant pain and poorer joint function postoperatively, with significantly lower scores in the SF-36 dimensions and 7 subdomains compared to the non-ecchymosis group. Regression analysis suggested that age may be a risk factor for post-TKA ecchymosis. Conclusions: The incidence of ecchymosis after TKA is high under anticoagulant therapy, leading to increased pain sensitivity, decreased function, and quality of life in patients. Age may be a risk factor for early post-TKA ecchymosis. Incorporating information on ecchymosis into preoperative education and providing appropriate psychological interventions for patients experiencing ecchymosis may be necessary.
Source: Frontiers in Surgery
Authors: Zhibing Gong, Hanglin Qiu, Huantang Zhang, Yanyan Xu, Rongkai Wu, Qianjin Zhang, Hanghui Lin, Zhaoke Wu, Fudong Xu, Zhikun Zhuang, Changyu Huang
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $3,801
OpenAlex ID: W4408417343