Assessment of Disuse Osteopenia Syndrome Following Total Knee Replacement Surgery

Document Type : Original Article

Authors

Medical Surgical Nursing Department, Faculty Of Nursing, Cairo University

Abstract

Background: The disuse syndrome after lower extremities disuse is very a common unintended out comes of
orthopedic surgery which can be evaded with proper nursing follow up. Aim: to assess of the disuse osteopenia
syndrome following total knee replacement surgery. Design: An exploratory descriptive research design was utilized
in this study. Setting: study was conducted at orthopedic Department at Kasr El Eini. Sample: A convenient
nonprobability sample of 19 patients was selected. Tools of data collection: Tool; a) Socio-demographic/ medical
Data Sheet, b) Physical Functional Status Assessment Sheet. Results: Lower Extremity Functional Scale (LEFS)
Score; This score demonstrated a statistically significant improvement at 6 months (47.7 ± 17.7) post-operatively
compared to the baseline score of 30.5 (± 15.4) (p<0.01) and The DEXA data reveals a trend of bone loss in the
ipsilateral (affected) limb particularly in the early stages following surgery. The ipsilateral Neck of Femur (NOF)
BMD shows a decrease at the 3 months (0.77 ±0.11) and 6-month (0.79 ±0.11) visits. Conclusion: the current study
which spot some light on unattended detrimental side effect for the total knee replacement therapy which could be
avoided by carful physiotherapy and suitable medication by the nursing team. Recommendation: To follow up
DEXA investigation for patient undergoing TKR surgery and to start the physiotherapy and bone restoring medication
as early as possible.

Keywords

International Egyptian Journal of Nursing Sciences and Research
Volume 6, Issue 3
September 2025
Pages 86-94

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