Inferior outcomes of total knee replacement in early radiological stages of osteoarthritis

Peck, C. N.; Childs, Jessie; McLauchlan, G.

doi:10.1016/j.knee.2014.08.018

Cited by 23 publications

(27 citation statements)

References 34 publications

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“…Three studies used the Oxford Knee Score (OKS). Four reported variations of satisfaction scales . The visual analogue scale was used in two studies, while the knee injury and osteoarthritis score and Lequesne Index were used in one study each respectively.…”

Section: Resultsmentioning

confidence: 99%

“…Methodological quality assessment identified 16 good quality studies according to the Newcastle‐Ottawa Quality Assessment Scale. There was one fair quality study and three poor quality studies, as the cohorts could not be considered comparable based on design and analysis. There were three studies that did not adjust statistically for confounding variables including age, gender and body mass index .…”

Section: Resultsmentioning

confidence: 99%

“…The effect of preoperative X‐ray grade of OA and postoperative pain scores was assessed in 16 studies . Six reported pain outcomes according to the KSS.…”

Section: Resultsmentioning

confidence: 99%

“…The relationship of these factors to outcome is complex and has not yet been established . Preoperative osteoarthritis (OA) severity may be related to outcome . This is often measured radiographically.…”

Section: Introductionmentioning

confidence: 99%

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Radiographic severity of knee osteoarthritis and its relationship to outcome post total knee arthroplasty: a systematic review

Youlden

Dannaway

Enke

2019

ANZ Journal of Surgery

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Background Up to 20% of patients are dissatisfied after total knee arthroplasty (TKA). There are many contributing factors. The relationship between preoperative osteoarthritis (OA) severity and outcome post TKA remains unclear. This review explores the relationship between preoperative OA severity with patient reported pain, function and satisfaction post TKA. Methods A pre‐registered systematic review was performed using the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses guidelines. Major databases were searched until September 2017. We included studies assessing adults undergoing TKA for OA. Minimum follow‐up was 6 months. Methodological quality assessment was conducted using the Newcastle‐Ottawa Scale. Results Twenty cohort studies with 7478 patients were included. There were 16 good, one fair and three poor quality studies. Knee OA was most commonly reported according to the Kellgren and Lawrence tool. Ten studies showed statistically significant pain outcomes for those with worse preoperative OA. This was supported by meta‐analysis of the Knee Society Score pain change scores to final follow‐up for those with Kellgren and Lawrence grade 4 OA. Six studies showed statistically significant results for various aspect of functional recovery, although meta‐analysis of Knee Society Score function change scores identified no difference. Meta‐analysis of final follow‐up pain and function scores alone yielded no significant difference. Patients with more severe preoperative OA were more likely to be satisfied. There were no studies demonstrating that less severe OA resulted in better pain, function or satisfaction. Conclusion Review of available research indicates that TKA for OA improves pain, function and satisfaction. Those with more severe preoperative radiological knee OA benefit most.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…The effect of preoperative X‐ray grade of OA and postoperative pain scores was assessed in 16 studies . Six reported pain outcomes according to the KSS.…”

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Radiographic severity of knee osteoarthritis and its relationship to outcome post total knee arthroplasty: a systematic review

Youlden

Dannaway

Enke

2019

ANZ Journal of Surgery

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“…They are less likely to be willing or be able to make significant changes to existing negative health behaviors such as excessive bodyweight [13] or smoking. Finally, before selecting this pathway they should understand that this intervention was designed primarily for elderly patients and it is that population that appears to be the most satisfied with that treatment approach [11,[16][17][18] . However, the knee function expectations of that group are not very high [11] .…”

Section: Introductionmentioning

confidence: 99%

Multi-factorial sustainability approach is necessary to preserve knee function following osteoarthritis diagnosis

Nyland

Jakob²

2013

WJO

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Knee function preservation following a diagnosis of osteoarthritis may benefit from healthy patient lifestyles, exercise or activity habits, and daily living routines. Underlying societal issues and social roles may contribute further to both ecological and knee function preservation concerns. Based on sustainability theory and social ecology concepts we propose that factors such as health history, genetic predisposition, socioenvironmental factors and local-regional-global physiological system viability contribute to knee function preservation. Addressing only some of these factors or any one factor in isolation can lead the treating physician, surgeon and rehabilitation clinician to less than optimal treatment effectiveness. An example is presented of a 57-year-old man with medial tibiofemoral osteoarthritis. In the intervention decision-making process several factors are important. Patients who would benefit from early knee arthroplasty tend to place osteoarthritic knee pain elimination at the top of their list of treatment expectations. They also have minimal or no desire to continue impact sport, recreational or vocational activities. In contrast, patients who are good candidates for a knee function preservation treatment 175October 18, 2013|Volume 4|Issue 4| WJO|www.wjgnet.com approach tend to have greater expectations to be able to continue impact sport, recreational or vocational activities, are willing and better able to implement significant behavioral changes and develop the support systems needed for their maintenance, are willing to tolerate and live with minor-to-moderate intermittent knee pain, and learn to become more pain tolerant. Key words: Knee surgery; Treatment planning; Comprehensive careCore tip: Total knee arthroplasty likely provides the best chance for knee osteoarthritic pain elimination. What is less understood by the patient is the needed reduction in recreational sport or vocational activities that will likely follow this intervention and the negative impact that elimination of these activities will potentially have on local-regional-global physiological systems, psychosocial factors, and quality of life. Patient satisfaction regarding the selection of either early knee arthroplasty or knee joint preservation is largely based on their expectations and the likelihood that these expectations are realistic.Nyland J, Jakob R. Multi-factorial sustainability approach is necessary to preserve knee function following osteoarthritis diagnosis. World

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Knee Arthritis

Charalambous

2021

The Knee Made Easy

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Inferior outcomes of total knee replacement in early radiological stages of osteoarthritis

Cited by 23 publications

References 34 publications

Radiographic severity of knee osteoarthritis and its relationship to outcome post total knee arthroplasty: a systematic review

Radiographic severity of knee osteoarthritis and its relationship to outcome post total knee arthroplasty: a systematic review

Multi-factorial sustainability approach is necessary to preserve knee function following osteoarthritis diagnosis

Knee Arthritis

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