Correlation Between Patient-Reported “Happiness” With Knee Range of Motion and Objective Measurements in Primary Knee Arthroplasty

Stephens, Joseph Dallis; Hurst, Jason M.; Morris, Michael J.; Berend, Keith R.; Lombardi, Adolph V.; Crawford, David A.

doi:10.1016/j.arth.2022.01.037

Cited by 4 publications

(4 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Numerous studies reported an association between 12–24 months postoperative ROM and PROMs [ 23 , 24 , 33 ]. The several studies suggested that patient-reported satisfaction, quality of life, and functional outcomes are most strongly associated with the change in ROM, rather than the absolute ROM achieved [ 19 , 22 , 26 ]. Additionally, patients with a higher degree of preoperative active ROM (>95°) tend to lose active ROM postoperatively [ 22 , 34 ].…”

Section: Discussionmentioning

confidence: 99%

“…Passive ROM at 12 to 24 postoperative months has been found to be positively associated with Western Ontario and McMaster University Arthritis Index (WOMAC) [ 23 ], Oxford Knee Score (OKS) [ 24 ], and the 12-item Short Form (SF12) health and satisfaction scores [ 19 ]. Although postoperative ROM (i.e., 5 days after operation) is not associated with mid- to long-term ROM outcomes due to individual differences in pain level, tolerance, and medications [ 25 ], several studies suggested that measuring ROM between 1 to 3 months postoperatively is predictive of satisfaction, quality of life and the 12-month ROM [ 19 , 25 , 26 ]. Furthermore, for patients with higher preoperative ROMs (i.e., > 120°), reaching 105°of ROM within one month, appears to be the minimum benchmark for achieving 120° ROM at 12 months [ 25 ], suggesting that early restoration of ROM is essential to the achievement of a critical ROM at 12 months whereby activities of daily living may be accomplished.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Multicenter, prospective cohort study: immediate postoperative gains in active range of motion following robotic-assisted total knee replacement compared to a propensity-matched control using manual instrumentation

Fary,

Cholewa,

Ren

et al. 2023

Arthroplasty

View full text Add to dashboard Cite

Background Range of motion (ROM) following total knee replacement (TKR) has been associated with patient satisfaction and knee function, and is also an early indicator of a successful procedure. Robotic-assisted TKR (raTKR) is considered to reproduce more precise resections, and, as a result, may be associated with improved early patient satisfaction compared to manual TKR (mTKR). The purpose of this study was to evaluate the early postoperative active ROM (aROM) between raTKR and mTKR. Methods A total of 216 mTKR patients were propensity-matched, in terms of age, gender, comorbidities, and BMI, to 216 raTKR cases. Intraoperative and immediate postoperative adverse events were collected. Knee flexion and extension aROM were measured preoperatively and at one- and three months after operation. Results Changes in flexion aROM were significantly greater in raTKR vs. mTKR at one- (6.9°, 95% CI: 3.5, 10.4°) and three months (4.9°, 95% CI: 2.1, 7.7°). Flexion aROM was greater at three postoperative months compared to preoperative aROM only in the raTKR group, and raTKR patients had higher odds of achieving ≥ 90° of flexion at one month after operation (OR: 2.15, 95% CI: 1.16, 3.99). There were no significant differences between groups in intraoperative (P > 0.999) or postoperative adverse events. Conclusions Compared with mTKR, raTKR resulted in less loss of aROM immediately after operation and a faster recovery of aROM within three months after operation. Trial registration Clinicaltrials.gov (NCT# 03737149).

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Multicenter, prospective cohort study: immediate postoperative gains in active range of motion following robotic-assisted total knee replacement compared to a propensity-matched control using manual instrumentation

Fary,

Cholewa,

Ren

et al. 2023

Arthroplasty

View full text Add to dashboard Cite

show abstract

“…Even for primary TKA surgery, approximately 20% of patients report unsatisfactory results [ 25 ]. As such, based on objective measures, such as ligamentous stability and range of motion (ROM) to patient-reported outcome measures (PROMs), surgeons continue to evolve in determining the best way to measure ‘success’ after arthroplasty [ 26 ]. Nonetheless, studies on health-related quality of life (HRQOL) after revision arthroplasty are scarce [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

Patient-Reported Outcome on Quality of Life and Pain after Revision Arthroplasty for Periprosthetic Joint Infection: A Cross-Sectional Study

Zhang

Liu

Lin

et al. 2022

JCM

View full text Add to dashboard Cite

This study aims to explore the quality of life (QOL) and pain after revision surgery for periprosthetic joint infection (PJI) based on patients’ reported outcomes. A cross-sectional questionnaire survey was conducted and 137 valid responses were included (response rate 64.0%). A total of 42 patients underwent debridement with implant retention (DAIR), 31 underwent one-stage revision, and 64 underwent two-stage revision. The average overall SF-36 score was 70.3. The DAIR group had significantly higher SF-36 than the two-stage revision group (p = 0.01). There was no significant difference between the one-stage revision group and the other two groups. A total of 74.5% of patients reported pain with an average McGill Pain Questionnaire (MPQ) score of 8.6. There was no significant difference in the MPQ scores among the three groups. Simple linear regression analyses demonstrated that higher preoperative PMN%, VAS, and shorter hospital stay were associated with pain (adjusted R2 = 4%, p = 0.020; adjusted R2 = 2.1%, p = 0.048; adjusted R2 = 2.1%, p = 0.049; respectively). We concluded that the overall QOL of patients after revision surgery for PJI is generally satisfactory. Persistent pain is prevalent, but the severity was mostly mild. Preoperative PMN%, VAS, and hospital stay were associated with postoperative pain.

show abstract

“…The I/E range for this machine is -150° to + 150°, F/E ± 130°, and A/A range is ± 75°. This range covers the hip joint motion using the suitable xture and possible range of motion for the Knee [42] and Ankle [43] joints. The control system is PC-based possible to program based on the motion trajectory needed.…”

Section: Conceptual Designmentioning

confidence: 99%

Design and manufacturing of a hip joint motion simulator with a novel modular design approach

Torabnia,

Mihcin,

Lazoglu

2023

Int J Interact Des Manuf

View full text Add to dashboard Cite

In vitro motion stimulation of the hip-joint prosthesis helps predict the critical parameters of the products more realistically than in silico investigations. For the joint prosthesis, Wear, the size of debris, fatigue life, and range of motion are some of the essential parameters to investigate. This study designs and develops a hip joint wear simulator using novel approaches. The simulator dynamics were modeled. The forces are calculated from the dynamic loading used for weight optimization, which reduces the forces acting on each joint and improves the quality of the motion transferred to the femoral head. The concept design compared with the topology-optimized shape, gravitational and dynamic forces due to the arm weights.

show abstract

Correlation Between Patient-Reported “Happiness” With Knee Range of Motion and Objective Measurements in Primary Knee Arthroplasty

Cited by 4 publications

References 25 publications

Multicenter, prospective cohort study: immediate postoperative gains in active range of motion following robotic-assisted total knee replacement compared to a propensity-matched control using manual instrumentation

Multicenter, prospective cohort study: immediate postoperative gains in active range of motion following robotic-assisted total knee replacement compared to a propensity-matched control using manual instrumentation

Patient-Reported Outcome on Quality of Life and Pain after Revision Arthroplasty for Periprosthetic Joint Infection: A Cross-Sectional Study

Design and manufacturing of a hip joint motion simulator with a novel modular design approach

Contact Info

Product

Resources

About