Prevalence of Podiatric Changes in Patients WHO Underwent Total Knee Replacement – a Cross-Sectional Study

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Vol. 13 No. 1 (2025): 2025 Volume -13 - Issue 1

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January 27, 2025
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Prevalence of Podiatric Changes in Patients WHO Underwent Total Knee Replacement – a Cross-Sectional Study

https://doi.org/10.61096/ijamscr.v13.iss1.2025.36-42
Jessy Grace
P.G. Student, (Musculoskeletal), College of Physiotherapy, Medical Trust Institute of Medical Sciences, Kochi – 682309.
Arun Thachil
Professor, College of Physiotherapy, Medical Trust Institute of Medical Sciences, Kochi – 682309.

Corresponding Author(s) : Arun Thachil

thachilarun@yahoo.com

International Journal of Allied Medical Sciences and Clinical Research, Vol. 13 No. 1 (2025): 2025 Volume -13 - Issue 1

Abstract

Background: Knee osteoarthritis, a chronic condition prevalent among the elderly, often results in considerable pain and mobility challenges. In severe cases, it can cause misalignment of the entire lower limb, contributing to ankle joint deterioration over time. Despite extensive research on foot changes in chronic osteoarthritis patients, the impact of total knee replacement surgery on podiatric changes remains an underexplored area.


Methodology: A total of 135 chronic osteoarthritis knee patients who underwent total knee replacement were evaluated for podiatric changes using various measures. These included cadence in gait analysis, the Windlass test to assess for plantar fasciitis, measurement of inversion and eversion angles using a goniometer, and completion of the Foot and Ankle Disability Index questionnaire.


Result: The prevalence of podiatric changes in patients who underwent total knee replacement was statistically found using SPSS software (SPSS.20). The prevalence of cadence was analysed and found normal for 60% and low for 40% among the sample. The range of motion of ankle inversion and eversion was analysed and it found that no reduction in inversion and 0.7% reduced eversion. The analysis of the Foot and Ankle Disability Index (FADI) in patients after 6 months of Total knee replacement revealed that all samples exhibited normal scores. The prevalence of plantar fasciitis was analysed, and only 1.5% were positive for the windlass test.  


Conclusion: The study revealed that after total knee replacement surgery, a significant portion of subjects experienced a decrease in cadence, while the majority maintained a normal cadence. In terms of the windlass test for plantar fasciitis, only a small change was observed post-surgery, with most subjects continuing to show a negative result, and a very small percentage testing positive. Additionally, there were only minor differences noted in foot inversion and eversion movements, as well as in the Foot and Ankle Disability Index.


           

Keywords

Osteoarthritis Knee joint total knee replacement plantar fasciitis Pain inversion and eversion
1.
Jessy Grace, Arun Thachil. Prevalence of Podiatric Changes in Patients WHO Underwent Total Knee Replacement – a Cross-Sectional Study. Int. J. of Allied Med. Sci. and Clin. Res. [Internet]. 2025 Jan. 27 [cited 2026 Apr. 30];13(1):36-42. Available from: https://ijamscr.com/ijamscr/article/view/1557
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