Customised, individually made total knee arthroplasty shows promising 1-year clinical and patient reported outcomes
| Autor: | Nicole Vogel, Markus P. Arnold, Céline S. Moret, Michael T. Hirschmann |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Knee Joint Visual analogue scale medicine.medical_treatment Knee replacement Satisfaction Osteoarthritis Customised individually made 03 medical and health sciences 0302 clinical medicine Patient satisfaction medicine Humans Orthopedics and Sports Medicine Prospective Studies Knee Arthroplasty Range of Motion Articular Prospective cohort study Arthroplasty Replacement Knee 030222 orthopedics patient-specific implants business.industry 030229 sport sciences General Medicine Osteoarthritis Knee medicine.disease Patient reported outcome measures Treatment Outcome Total knee arthroplasty Knee Society Score Orthopedic surgery Physical therapy Surgery Patient-reported outcome Female business Range of motion Knee Prosthesis |
| Zdroj: | Archives of Orthopaedic and Trauma Surgery |
| ISSN: | 1434-3916 0936-8051 |
| Popis: | Introduction Customised individually made (CIM) implants for total knee arthroplasty (TKA) were introduced about 10 years ago. These implants aim to reduce the risk of prosthesis-related issues resulting from anthropometric differences between different knees. The purpose of this study was to analyse the short-term clinical outcome and patient reported outcome measures (PROMs) of a specific CIM implant, the ORIGIN® knee replacement system (Symbios, Yverdon-les-Bains, Switzerland), which was introduced in 2018. Materials and methods This is a prospective cohort study of patients undergoing primary posterior-stabilised (PS) CIM TKA using the specific ORIGIN® knee replacement system, (Symbios, Yverdon-les-Bains, Switzerland). TKAs were performed from February 2019 to October 2020. Data was collected preoperatively and postoperatively at 4 and 12 months. Outcome measures included the objective part of the Knee Society Score (KSS) with the range of motion (ROM) and the following PROMs: the Knee injury and Osteoarthritis Outcome Score (KOOS), the Forgotten Joint Score (FJS-12), the EuroQol, five dimensions, three levels (EQ-5D-3L) with the EuroQol visual analogue scale (EQ-VAS) and patient satisfaction. Differences in pre- to preoperative data were assessed with paired sample t tests. A p value Results Twenty-five CIM TKA (20 patients, 8 female) were included. The mean age at surgery was 66 years (SD, 6.9). At 4 and 12 months, significant improvements in the KSS (p p p p p Conclusions The present study demonstrated significant improvements in the KSS and specific PROMs 1 year after CIM TKA. This study suggests that CIM TKA is a safe and suitable option, which can yield good clinical outcome and PROMs at least during short-term follow-up. |
| Databáze: | OpenAIRE |
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