Patients’ experiences following total knee arthroplasty: a qualitative evidence synthesis

Pryce, Robert; Langan, Emma; Tector, Katie; Raggett, Leah; Flynn, R.; Smart, Keith

doi:10.1080/09638288.2022.2159548

Cited by 2 publications

(2 citation statements)

References 78 publications

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“…Over the years, many types of TKA have been developed (e.g., condylar-resurfacing, cruciate retaining, posterior stabilised, constrained, high-flexion and gender-specific prostheses) to achieve even better functional results [6]. A TKA aims to reduce pain, recover functionality and improve the patient's quality of life [7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Clinical and functional results of Optetrack™ Total Knee Arthroplasty after 6 to 13 years: findings from a retrospective study

Maistrello¹,

Rossettini²,

Zambito³

2023

areh

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Introduction: Total Knee Arthroplasty (TKA) is considered the gold standard in the treatment of knee osteoarthritis and post-traumatic knee deformities. The aim of the study was to report the functional results of a group of Optetrack™ TKA over a period between 6 and 13 years after surgery. Material and methods: We retrospectively analysed patients that received the same type of TKA and the same rehabilitation program. Patients were assessed before surgery and 3, 6 and 12 months after surgery; the controls were administered annually. For the assessment, we used the Knee Range of Motion (ROM) and the Knee Rating Score (IKS) composed by two partial scores: Knee Score (KS) and Functional Score (FS). A Generalized Linear Model was used to investigate association between variables influencing the IKS score. Results: Results from 47 prostheses applied to 39 patients (32 females) were analysed. The mean follow-up was 9.95 years (range 6-13). Subjects' mean age was 81.2 years (range 62-95). At the last follow-up, the mean IKS score increased from 78.6 (range 15-155) to 145.2 (range 58-200). Mean KS increased from 40.5 (range 0-96) to 85.7 (range 50-100); mean FS increased from 38.9 (range 0-75) to 60.9 (range 0-100). Mean knee ROM increased from 87.6° to 108.4° (range 50°-130°). Preoperative IKS score, male gender and age at the surgery were positively correlated to the IKS score at follow-up. Conclusions: TKA improved pain, while the functional score has decreased over time. Good preoperative IKS score and male gender were considered good outcome predictors; old preoperative age was considered as unfavourable.

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Section: Introductionmentioning

confidence: 99%

Clinical and functional results of Optetrack™ Total Knee Arthroplasty after 6 to 13 years: findings from a retrospective study

Maistrello¹,

Rossettini²,

Zambito³

2023

areh

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“…PTs largely rely on clinical experience and generic evidence (e.g., surgical protocols, population recovery benchmarks) to estimate and monitor recovery. Unfortunately, this reliance on generic evidence may lead to unrealistic expectations and/or suboptimal treatment plans for some patients 10 —especially those whose recovery differs from the population average—and may contribute to post-TKA dissatisfaction.…”

Section: Introductionmentioning

confidence: 99%

Patient and Clinician Perceptions of a “People-Like-Me” Tool for Personalized Rehabilitation after Total Knee Arthroplasty: A Qualitative Interview Study

Churchill,

Graber,

Mealer

et al. 2023

Preprint

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Objective: We developed a clinical decision support tool to help physical therapists (PTs) address the varied expectations and recoveries of the total knee arthroplasty (TKA) population. The tool uses a ″people-like-me″ algorithm to predict recovery after TKA. The purpose of this study was to explore patients′ and clinicians′ perceptions and experiences with the tool during rehabilitation after TKA. Methods: We piloted the tool in 2 outpatient physical therapy clinics. We conducted in-depth semi-structured interviews with 1) patients who underwent TKA and were exposed to the tool during rehabilitation and 2) clinicians who used the tool with patients after TKA. Two members of the research team coded the interview data using a descriptive content analysis. Results: 16 patients and 10 clinicians were interviewed. We identified 4 common themes: 1) Expectations: most patients and clinicians felt the tool provided patients with valuable feedback for managing recovery expectations; 2) Motivation: patients and clinicians felt the tool motivated patients to participate in rehabilitation by providing positive reinforcement and/or a form of competition; 3) Influence on practice: some patients and clinicians indicated that the tool helped guide treatment decisions or provided opportunities for patient education, but most felt it did not influence clinical decision making; and 4) Clarity and comprehension: the majority of patients understood the tool′s ″take-home″ message, however, some patients and clinicians felt the use of percentiles, line graphs, and medical jargon decreased patients′ clarity and comprehension of the tool. Conclusions: Overall, participants reported that the tool helped to shape patients′ expectations for postoperative recovery and increase patient motivation to participate in rehabilitation. Participants had mixed perceptions on how the tool influenced clinical care. Finally, participants identified some limitations in patient comprehension of the tool, which will inform future revisions to the tool to accommodate varying levels of health literacy.

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Patients’ experiences following total knee arthroplasty: a qualitative evidence synthesis

Cited by 2 publications

References 78 publications

Clinical and functional results of Optetrack™ Total Knee Arthroplasty after 6 to 13 years: findings from a retrospective study

Clinical and functional results of Optetrack™ Total Knee Arthroplasty after 6 to 13 years: findings from a retrospective study

Patient and Clinician Perceptions of a “People-Like-Me” Tool for Personalized Rehabilitation after Total Knee Arthroplasty: A Qualitative Interview Study

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