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A Total knee replacement is an established procedure in management of osteoarthritis and rheumatoid arthritis. we are presenting our experience with this procedure .24 patients underwent TKA at KLE's hospital Belgaum between august 1999 to august 2001,of these three patients underwent bilateral TKR(total 27). The main indication for TKR was OA(17 patients) followed by RA(6 patients and one pateint with post traumatic OA. the follow up period ranged from 6 months to 2 years. Pre operatively each patient assessed clinically and radiologically. The functional disability was recorded according to knee scociety clinical rating system in terms of pain,raange of motion,instability and functional capacity. genu varus was present in 24 patients,maximum correction being 40 degree,fixed flexion deformity in 7 patients maximum was 40degree. Knee instability was present in 2 patients and extension lag in 5 patients. The mean preoperative score was 45 which improved to 90 after surgery. A score of 85-100 represented excellent result. the complications included periprosthetic fracture of femur during manipulation for post-op stiffnessof joint in one patient and foot drop following surgery in one patient which recovered within 4 weeks.On radiological examination over all alignment averaged 4.9 valgus,mean femoral angle was 95 degree and mean tibial angle 90 degree. Mean femoral flexion was 12 degree. Mean lateral tibial angle 87.5 degree. no radiolucencies seen after two year follow up. This report reveals 81.5% excellent, 14% good And 3.7%fair clinical result. there were no poor results.

A prospective study to evaluate the efficacy of Total Knee Arthroplasty conducted at KLE's hospital and MRC Belgaum