Do foot & ankle assessments assist the explanation of 1 year knee arthroplasty outcomes?
| Autor: | Nigel K Arden, Sanchez-Santos, Antonella Delmestri, Catherine Bowen, Lucy Gates |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Biomedical Engineering Cohort Studies Foot Diseases 03 medical and health sciences 0302 clinical medicine Rheumatology Musculoskeletal Pain medicine Humans Ankle dorsiflexion Orthopedics and Sports Medicine Patient Reported Outcome Measures Prospective Studies 030212 general & internal medicine Arthroplasty Replacement Knee Aged 030203 arthritis & rheumatology Foot business.industry Middle Aged Osteoarthritis Knee Arthroplasty Confidence interval Treatment Outcome medicine.anatomical_structure Relative risk Preoperative Period Physical therapy Female Patient-reported outcome Ankle business Ankle Joint Foot (unit) Oxford knee score |
| Zdroj: | Osteoarthritis and Cartilage. 25:892-898 |
| ISSN: | 1063-4584 |
| Popis: | ObjectiveWhilst a number of risk factors for poor patient reported outcome measures (PROMs) following knee arthroplasty (KA) have been identified, unexplained variability still remains. The role of pre-operative foot and ankle status on such outcomes has not been investigated. The aim of this study was therefore to determine the association of clinical foot and ankle assessments with patient reported outcomes 1 year following KA.DesignOne hundred and fifteen participants from the Clinical Outcomes in Arthroplasty Study (COASt), underwent detailed foot and ankle assessments at baseline, prior to KA (2012–2014) and were followed up for self-reported outcomes 1 year after surgery.ResultsThirty nine percent of subjects reported foot pain at baseline. Mean pre-operative Oxford Knee Score (OKS; 0 [worst] to 48 [best outcome]) was 21 and post-operative OKS score was 38. In fully adjusted analysis pre-operative foot pain was significantly associated with 1 year outcome (risk ratio [RR] 0.78 95% confidence interval [95% CI] 0.62, 0.98). No significant association was observed between ankle dorsiflexion or foot posture and outcome.ConclusionsPatients with pre-operative foot pain are more likely to have poorer clinically important outcomes 1 year following KA than patients without foot pain. Static ankle dorsiflexion and foot posture do not further explain post-operative KA outcomes. Consideration should also be given to address pre-operative foot pain when attempting to achieve a good clinical outcome for KA. |
| Databáze: | OpenAIRE |
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