Total Knee Arthroplasty in Elderly Patient: A Case Report and Literature Review

Introduction: Osteoarthritis is a dynamic and metabolically active disease that involves all tissue components of the joint, bone, cartilage, synovium, muscle, and ligament. Currently, total knee arthroplasty (TKA) is the most common reason for in patient hospitalization; 3 million women and 1.7 million men have undergone knee arthroplasty.
Case Presentation: We report, A male 65-year-old, slightly non-obese Balinese male with an atraumatic progressive painful of his left knee. The patient had become limited to minimal house activity. He required a walker and/or wheelchair for independent mobility at home. According to physical examination and imaging revealed end stage of osteoarthritis, and we performed total knee arthroplasty. The patient had a good postoperative recovery and was discharged to a rehabilitation facility to continue his therapy. He returned to her home after a week post-surgery and walked independently in non-weight-bearing with a walker. Rehabilitation was continued, initially within the home and then outside the home.
Discussion: Treatment designed for knee OA should aim to relieve pain, improve function, and limit disabilities. Knee OA treatment is usually driven by the patient’s symptoms and the potential to improve quality of life.
Conclusion: Total knee arthroplasty is a frequently performed and successful operation. The complications though not common, are challenging to address and require early recognition and intervention with an appropriate referral to a dedicated arthroplasty surgeon with the requisite expertise for revision surgery when necessary to obtain a favorable clinical outcome

Key words: Osteoarthritis, Knee, Total Knee Arthroplasty, Elderly age, Case report..