Functional Outcomes of Young Adults Undergoing Total Knee Replacement – a Systematic Review of the Literature and Meta- Analysis

Abstract

Abstract Introduction. With the increase in primary arthroplasties in young patients, various studies have emerged about revision rates, arthrofibrosis and others, but there is nothing about functional results, which is why the research question arises: How are the functional results and the return to work activities of young adult patients (19–65 yo) who undergo primary knee arthroplasty? Methods & materials. A systematic review of the literature was performed using the key words defined by the research group. Data was recorded concerning the type of study and the outcome measurements, complications and real results. Results. 72 articles included. The results show that there is significant variability in the outcomes in the literature on TKA regarding functionality and few reports of return to work activity. There is evidence in favor of intervening young patients, however, new studies should be carried out with standardization of the results. Conclusions. This is a study with an Evidence Level of I; its clinical importance lies in the fact that there are currently no studies focused on determining the functional results and the reinstatement into work for Young adult who undergo primary TKA, and this study offers promising results.