Clinical outcomes and patient satisfaction after total knee arthroplasty: a follow-up of the first 50 cases by a single surgeon
| Autor: | Scott R. Anderson, Travis Scudday, Nirav H. Amin, Jacob A. West |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
musculoskeletal diseases medicine.medical_specialty Medicine (General) patient satisfaction Clinical Research Reports Total knee arthroplasty Biochemistry 03 medical and health sciences 0302 clinical medicine Patient satisfaction R5-920 Surveys and Questionnaires medicine Humans 030212 general & internal medicine Prospective Studies Prospective cohort study Arthroplasty Replacement Knee Aged Postoperative Care Surgeons 030222 orthopedics business.industry Biochemistry (medical) Cell Biology General Medicine Middle Aged Osteoarthritis Knee musculoskeletal system Single surgeon Treatment Outcome learning curve Physical therapy arthroplasty Female business Follow-Up Studies |
| Zdroj: | Journal of International Medical Research, Vol 47 (2019) The Journal of International Medical Research |
| ISSN: | 1473-2300 0300-0605 |
| Popis: | Objective To examine the association between single-surgeon learning curve and clinical outcomes following total knee arthroplasty (TKA). Methods This prospective study included the first consecutive patients undergoing TKA conducted by the same surgeon using the JOURNEY II Bi-Cruciate Stabilized Knee System (Smith & Nephew, Andover, MA, USA). Patients were assessed preoperatively, and at three months and one year postoperatively using Oxford Knee Score (OKS), Knee Society Score (KSS) and Knee Function Score (KFS). Outcomes were statistically analysed using sequential patient cohorts. Results Fifty patients were grouped into five sequential cohorts of 10 patients each. All patients showed significant improvement in postoperative knee scores following TKA. There was a trend toward increased improvement in knee scores in the later patient cohorts, at the three-month and 1-year follow-up. Conclusions The single-surgeon learning curve for minimally invasive TKA had a small effect on knee satisfaction scores at 3 months and 1 year following surgery in the first 50 consecutive cases, and only minor complications were encountered. A larger trial is necessary to draw generalizable conclusions regarding patient outcomes during surgeon learning. |
| Databáze: | OpenAIRE |
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