DOI: https://doi.org/10.36347/sasjs.2025.v11i11.001

Pages: 1041-1046

Total knee arthroplasty (TKA) is a highly successful procedure in modern orthopedics. This study evaluates the epidemiological profile, functional and radiological outcomes, and quality of life improvements following TKA in a Moroccan cohort. A retrospective study was conducted on 85 TKAs performed in 73 patients at the Mohammed V Military Teaching Hospital in Rabat between January 2019 and December 2022. Data were collected using a standardized form, and functional assessment was performed using the IKS score, Lequesne index, Parker score, and Jensen index preoperatively and postoperatively. The mean age was 64.5 years, with a female predominance (76.71%). Osteoarthritis was the primary etiology (88.2%). Preoperative scores indicated severe functional impairment (mean IKS: 99/200; mean Lequesne: 17/24). At a mean follow-up of 28 months, a significant improvement was observed: the mean IKS score rose to 171/200 and the mean Lequesne index dropped to 7/24. The quality-of-life assessment showed that 89.04% of patients were satisfied. Complications were rare, primarily stiffness (6 cases). Conclusion: Total knee arthroplasty is a reliable and effective treatment for severe knee osteoarthritis. It provides excellent functional results, significant pain relief, and a marked improvement in patient quality of life, with a high satisfaction rate consistent with international literature.