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J Knee Surg 2011; 24(4): 265-272
DOI: 10.1055/s-0031-1280880
ORIGINAL ARTICLE

© Thieme Medical Publishers

Total Knee Arthroplasty in Patients with Fibromyalgia

Orhan Bican1 , Christina Jacovides1 , Luis Pulido1 , Cheri Saunders1 , Javad Parvizi1
  • 1Department of Orthopaedics, Rothman Institute, Philadelphia, Pennsylvania
Further Information

Publication History

Publication Date:
15 June 2011 (online)

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ABSTRACT

Fibromyalgia has recently emerged as a diagnosis of exclusion for patients with chronic, widespread pain. We investigated the influence of this comorbidity on outcomes of total knee arthroplasty (TKA). We matched 59 patients (90 knees) who underwent primary TKA with a diagnosis of fibromyalgia to control patients who underwent the same surgery. Postoperative satisfaction and functional outcomes were assessed using a Likert scale and the SF-36 survey, respectively. At 3.4 years' follow-up, fibromyalgia patients were less satisfied with TKA than control patients, and had lower preoperative and postoperative SF-36 scores. They demonstrated improvement comparable to that of controls following TKA, however. Fibromyalgia patients appear to show improvement comparable to that of controls following surgery. This syndrome should not be considered a contraindication for surgery.

KEYWORDS

Fibromyalgia - total knee arthroplasty - satisfaction - functional outcomes - chronic pain

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Javad ParviziM.D. FRCS 

Department of Orthopaedics, Rothman Institute, 925 Chestnut Street

5th Floor, Philadelphia, PA 19107

Email: parvj@aol.com

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