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Articles Published Processes
2/4/2026 6:28:24 AM | Browse: 0 | Download: 0
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Received |
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2025-10-14 01:49 |
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Peer-Review Started |
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2025-10-14 01:49 |
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First Decision by Editorial Office Director |
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2025-10-27 09:25 |
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Return for Revision |
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2025-10-27 09:25 |
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Revised |
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2025-10-28 18:32 |
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Publication Fee Transferred |
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Second Decision by Editor |
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2025-11-26 02:37 |
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Second Decision by Editor-in-Chief |
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Final Decision by Editorial Office Director |
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2025-11-26 09:43 |
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Articles in Press |
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2025-11-26 09:43 |
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Edit the Manuscript by Language Editor |
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Typeset the Manuscript |
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2026-01-22 08:52 |
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Publish the Manuscript Online |
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2026-02-04 06:28 |
| ISSN |
2218-5836 (online) |
| Open Access |
This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/ |
| Copyright |
© The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved. |
| Article Reprints |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
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| Permissions |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
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| Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
| Website |
http://www.wjgnet.com |
| Category |
Orthopedics |
| Manuscript Type |
Retrospective Cohort Study |
| Article Title |
Impact of preoperative frailty on complications, readmissions, and functional recovery following total knee arthroplasty in elderly patients
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| Manuscript Source |
Unsolicited Manuscript |
| All Author List |
Muhammad Bilal Yasin, Muhammad Raheel, Muhammad Mustafa Ahmed, Sheharyar Ashfaq, Hamdoon Suharwardy Asim, Mohammed Qasim Rauf, Renad Fahim and Rejina Chhetri |
| ORCID |
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| Funding Agency and Grant Number |
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| Corresponding Author |
Rejina Chhetri, MD, Department of Surgery, Nepalgunj Medical College, Banke Baijanath 1 Chisapani, Kohal 21900, Nepal. rejinachhetri01@gmail.com |
| Key Words |
Total knee arthroplasty; Frailty; Modified Frailty Index; Postoperative complications; Elderly; Pakistan; Knee Society Score; Hospital length of stay; Readmission; Functional recovery |
| Core Tip |
This retrospective cohort study from Pakistan demonstrates that preoperative frailty, assessed by the modified Frailty Index, significantly increases postoperative complications, hospital length of stay, and 90-day readmissions while impairing 1-year functional recovery in elderly patients undergoing total knee arthroplasty. Findings are most applicable to tertiary referral centers in Pakistan. Routine frailty screening could enhance risk stratification and perioperative management in resource-limited settings, addressing challenges like high tuberculosis prevalence to optimize outcomes and reduce healthcare burdens. A practical pathway includes: (1) The modified Frailty Index ≥ 0.27 to flag high-risk; (2) Initiate low-cost prehabilitation (nutritional screening/supplementation, home-based resistance exercises, medication review); and (3) Multidisciplinary review before surgery. |
| Publish Date |
2026-02-04 06:28 |
| Citation |
Yasin MB, Raheel M, Ahmed MM, Ashfaq S, Asim HS, Rauf MQ, Fahim R, Chhetri R. Impact of preoperative frailty on complications, readmissions, and functional recovery following total knee arthroplasty in elderly patients. World J Orthop 2026; 17(2): 115188 |
| URL |
https://www.wjgnet.com/2218-5836/full/v17/i2/115188.htm |
| DOI |
https://dx.doi.org/10.5312/wjo.v17.i2.115188 |
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