Evaluating Public Perceptions and Attitudes Toward Total Knee Arthroplasty: A Cross-Sectional Study in Saudi Arabia.

BACKGROUND: Total knee arthroplasty is a surgical procedure used to address knee conditions, including osteoarthritis, that cause persistent pain and impaired joint function. While total knee arthroplasty is effective, misconceptions and knowledge gaps exist among the general public, particularly in Saudi Arabia. METHODS: This cross-sectional study, conducted in Al-Ahsa, Saudi Arabia, utilized an online survey to assess public perception of total knee arthroplasty. A questionnaire was developed, validated, and administered to participants aged 18 and above with a history of chronic knee pain. Data were analyzed for associations between knowledge and perception scores and sociodemographic factors. RESULTS: Out of 704 participants, the majority exhibited poor knowledge (74.1%) of total knee arthroplasty. Factors influencing knowledge included age, education, income, knowing someone who had total knee arthroplasty, hearing about total knee arthroplasty, receiving total knee arthroplasty information, and awareness of total knee arthroplasty indications. Sociodemographic characteristics such as gender, marital status, and perceptions about total knee arthroplasty prevalence did not significantly impact knowledge scores. CONCLUSION: This study reveals a significant knowledge and perception gap among the public in Al-Ahsa, Saudi Arabia, regarding total knee arthroplasty. Tailored education initiatives for patients with chronic knee pain are urgently needed to dispel misconceptions and provide accurate information about total knee arthroplasty. Collaborative efforts between policymakers, healthcare providers, and public health authorities are essential for improving public understanding, enhancing healthcare decision-making, and reducing the burden on healthcare systems.

Isolated Capitulum-Trapezoid Coalition: An Unusual Cause of Wrist Pain.

Chronic wrist pain presents a diagnostic challenge, demanding a comprehensive understanding of its multifactorial etiology. This case report focuses on wrist coalition, an infrequent orthopedic condition characterized by abnormal articulations between carpal bones, often associated with prolonged wrist discomfort. A 45-year-old man with a two-year history of persistent left wrist pain, with no previous history of trauma or systemic illness, had a localized tenderness in the left carpal region with a restricted range of motion, and diminished grip strength on physical examination. Initial investigations, including autoimmune profiles and plain radiographs, were inconclusive. Magnetic resonance imaging ultimately identified a coalition between the capitulum and the trapezoid. A multidisciplinary team recommended a conservative approach, resulting in a positive response and symptomatic improvement during follow-up. This case report contributes valuable insights to the limited literature on isolated capitulum and trapezoid coalition, highlighting the significance of considering such rare orthopedic entities in the comprehensive evaluation of chronic wrist pain.