Does knee awareness differ between different knee arthroplasty prostheses? A matched, case-control, cross-sectional study

Autor: Anders Troelsen, Morten G Thomsen, Roshan Latifi, Henrik Husted, Thomas Kallemose
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Male
FJS
Sports medicine
Knee Joint
medicine.medical_treatment
0302 clinical medicine
Surveys and Questionnaires
Orthopedics and Sports Medicine
Arthroplasty
Replacement
Knee

030222 orthopedics
education.field_of_study
Rehabilitation
TKA
Awareness
Middle Aged
musculoskeletal system
Biomechanical Phenomena
surgical procedures
operative

Treatment Outcome
Patient Satisfaction
Female
Knee Prosthesis
Research Article
musculoskeletal diseases
medicine.medical_specialty
Design
Population
Prosthesis Design
Arthroplasty
03 medical and health sciences
Patient satisfaction
Rheumatology
medicine
Journal Article
Humans
Knee
education
Aged
030203 arthritis & rheumatology
business.industry
OKS
Recovery of Function
Cross-Sectional Studies
Case-Control Studies
Orthopedic surgery
Physical therapy
business
Oxford knee score
Zdroj: BMC Musculoskeletal Disorders
Thomsen, M G, Latifi, R, Kallemose, T, Husted, H & Troelsen, A 2016, ' Does knee awareness differ between different knee arthroplasty prostheses? A matched, case-control, cross-sectional study ', BMC Musculoskeletal Disorders, vol. 17, no. 141, 141 . https://doi.org/10.1186/s12891-016-1001-3
ISSN: 1471-2474
DOI: 10.1186/s12891-016-1001-3
Popis: BACKGROUND: Low knee awareness after Total Knee Arthroplasty (TKA) has become the ultimate goal in trying to achieve a natural feeling knee that meet patient expectations. To accommodate this manufacturers of TKAs have developed new prosthetic designs that potentially could give patients a more natural feeling knee during activities. The purpose af this study was to compare the Forgotten Joint Score (FJS) and Oxford Knee Score (OKS) of patients treated with a previous generation standard Cruciate Retaining (CR) TKA to the scores obtained by patients treated with a newer generation CR TKA or a mobile bearing CR TKA.METHODS: We identified all patients receiving a new generation CR TKA or mobile bearing TKA at our institution between 2010 and 2012. These were matched to a population of patients receiving a standard CR TKA regarding age, gender, year of surgery, Kellgren-Lawrence (KL) grade and pre- and postoperative knee alignment. Patients were asked to complete the FJS and OKS questionnaires. Of the 316 patients completing the survey 64 standard CR TKAs to 35 new generation CR TKAs and 121 standard CR TKAs to 68 mobile bearing TKAs were matched. The FJS and OKS scores of the three TKA designs were compared.RESULTS: When comparing the new generation CR TKAs to the standard CR TKAs we found statistically significant higher OKS and FJS scores (6 (p = 0.04) and 16 (p = 0.03) points respectively) for the new generation CR TKAs. When comparing the mobile bearing TKAs to the standard CR TKAs we found a statistically significant higher OKS score (3 points, p = 0.04), and a higher but non-significant FJS score (4 points, p = 0.48) for the mobile bearing TKAs.CONCLUSIONS: Patients receiving the new generation CR TKA obtained higher FJS and OKS scores when compared to patients receiving a standard CR TKA, indicating that the use of this newer prosthetic design facilitate less knee awareness and better function after TKA.
Databáze: OpenAIRE