Effects of Total Knee Arthroplasty on Balance and Fall Risk in Elderly Patients with Severe Gonarthrosis: An Age- and Sex-Matched Comparative Study

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dc.contributor.authorSargin, S.
dc.contributor.authorGuler, N. S.
dc.contributor.authorSahin, N.
dc.contributor.authorAslan, A.
dc.date.accessioned2026-01-24T12:26:39Z
dc.date.available2026-01-24T12:26:39Z
dc.date.issued2022
dc.departmentAlanya Alaaddin Keykubat Üniversitesi
dc.description.abstractBackground: Falls are a severe cause of morbidity and mortality in elderly patients, and gonarthrosis causes a tendency to fall. Total knee arthroplasty (TKA) is a widely used successful surgical procedure for end-stage gonarthrosis. Aims: To investigate whether there is a difference in the frequency of falls, balance and fall risk, and clinical and radiological results in patients with end-stage gonarthrosis with and without TKA. Patients and Methods: This was a single-center, retrospective, case-control study with age- and gender-matched groups. A total of 100 patients over 60 years of age, with end-stage gonarthrosis and who met the inclusion criteria were included in the study. Fall risk was analyzed using the Berg Balance Scale (BBS), TUG tests, and the ITAKI Fall Risk Test. Knee varus angles were measured using standing long-leg radiographs, and radiological gonarthrosis grading was performed. Pain levels and quality of life were assessed using the VAS and WOMAC. Each patient's knee extensor muscle strength and range of motion were measured. Results: WOMAC, ITAKI, TUG test, and VAS scores were significantly higher in the control group than in the TKA group. BBS scores were significantly lower in the control group. Although the number of falls was high in the control group, there was no statistically significant difference between the two groups. Conclusion: The results of this study showed that total knee arthroplasty provided statistically significant improvement in the clinical, radiological, and fall risk results of the patients. Although there was a decrease in the frequency of falls compared to the control group, it was statistically insignificant. In addition, in our study, it was evaluated that the most important risk factor for falling was advanced age.
dc.identifier.doi10.4103/njcp.njcp_1856_21
dc.identifier.endpage1451
dc.identifier.issn1119-3077
dc.identifier.issue9
dc.identifier.pmid36149203
dc.identifier.scopus2-s2.0-85138485255
dc.identifier.scopusqualityQ3
dc.identifier.startpage1445
dc.identifier.urihttps://doi.org/10.4103/njcp.njcp_1856_21
dc.identifier.urihttps://hdl.handle.net/20.500.12868/4839
dc.identifier.volume25
dc.identifier.wosWOS:000864018400010
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherWolters Kluwer Medknow Publications
dc.relation.ispartofNigerian Journal of Clinical Practice
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WoS_20260121
dc.subjectAlignment
dc.subjectbalance
dc.subjectfall Risk
dc.subjectgonarthrosis
dc.subjecttotal knee arthroplasty
dc.titleEffects of Total Knee Arthroplasty on Balance and Fall Risk in Elderly Patients with Severe Gonarthrosis: An Age- and Sex-Matched Comparative Study
dc.typeArticle

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