WOMAC, EQ-5D and Knee Society Score Thresholds for Treatment Success After Total Knee Arthroplasty

Giesinger, Johannes; Hamilton, David F.; Jost, Bernhard; Behrend, Henrik; Giesinger, Karlmeinrad

doi:10.1016/j.arth.2015.06.012

Cited by 135 publications

(100 citation statements)

References 34 publications

(28 reference statements)

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“…In both groups, patients scored at a level deemed satisfactory after 12 weeks [30] for the KOOS, SF-12 and VAS knee pain scores. This is contrary to other studies, which found a positive effect on clinical outcome when using a fast track protocol [6, 7] compared to a regular protocol.…”

Section: Discussionmentioning

confidence: 99%

Fast-track total knee arthroplasty improved clinical and functional outcome in the first 7 days after surgery: a randomized controlled pilot study with 5-year follow-up

Fransen

Hoozemans

Argelo

et al. 2018

Arch Orthop Trauma Surg

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IntroductionFast-track protocols (FP) are used more and more to optimize results after total knee arthroplasty (TKA). Many studies evaluating FP in TKA concentrate on clinical outcome and medium to long-term results. Since discharge from hospital after TKA is achieved increasingly quicker worldwide using FP in an increasingly younger and active patient population, the effects of FP on functional outcome in the first days after TKA become more important. The purpose of the current study was to compare FP with a regular joint care protocol (RP), with an emphasis on the first 7 days after surgery.Materials and methodsA non-blinded randomized controlled clinical pilot study was performed with 25 patients assigned to a FP group and 25 patients assigned to a RP group. Primary outcome was functional outcome, clinical outcome, pain, and complications for each day in the first week after surgery. Patients were followed up to 5 years after surgery.ResultsSignificantly lower VAS scores for knee pain, faster Timed-Up and Go test times and more mobility on functional tests were seen on several days in the first week in the FP group compared to the RP group. Few other significant differences were found at 2, 6 weeks, and no significant differences were found at 12 weeks and 1, 2 and 5 years after surgery.ConclusionsFast-track protocol for primary TKA showed significantly lower knee pain scores and improved functional outcome in the first 7 days after TKA compared to a regular protocol.

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Section: Discussionmentioning

confidence: 99%

Fast-track total knee arthroplasty improved clinical and functional outcome in the first 7 days after surgery: a randomized controlled pilot study with 5-year follow-up

Fransen

Hoozemans

Argelo

et al. 2018

Arch Orthop Trauma Surg

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“…The authors found no statistical difference in dissatisfaction rates with 13.0% of fixed and 11.8% of mobile-bearing patients dissatisfied. Giesinger et al reported patient dissatisfaction rates of 22.5% and 23.2% at 2 and 12 months, respectively, for over 1,000 consecutive TKRs performed using the LCS rotating platform system (DePuy Syntheses Joint Reconstruction, Warsaw, IN, USA) (5).…”

Section: Discussionmentioning

confidence: 99%

“…Recent studies have reported rates of dissatisfied or neutral TKR patients nearing 25% (1)(2)(3)(4)(5), which is substantial when compared to the low rate (7%) reported for total hip replacement (THR) (6). The cause of dissatisfaction following TKR is likely multifactorial, but most studies have focused on patient-related factors such as low preoperative functional and mental scores, depression, pre-and postoperative pain, and high preoperative expectations (1,3).…”

Section: Introductionmentioning

confidence: 95%

Patient satisfaction at 2 months following total knee replacement using a second generation medial-pivot system: follow-up of 250 consecutive cases

Overschelde¹,

Da²

2016

Ann. Transl. Med.

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Background: Patient dissatisfaction following total knee replacement (TKR) has been reported as high as 24%.Most previous studies have focused on satisfaction for TKR overall, with few reporting satisfaction for specific implant designs. The purpose of this study was to assess patient satisfaction for TKRs performed using a second generation medial-pivot system (EVOLUTION ® , MicroPort Orthopedics Inc., Arlington, TN, USA).Methods: Of a single surgeon's first 250 consecutive TKRs performed using the subject system, 224 completed a patient satisfaction assessment, the Knee Injury and Osteoarthritis Outcome Score (KOOS), range of motion, and radiographs at 2 months follow-up. Results:The overall very satisfied/satisfied rate was 94.6% at 2 months. Following the first 50 TKRs, the satisfied rate improved to 99.4% suggesting a bias towards the initial cases potentially due to learning the system and instrumentation. Overall KOOS, range of motion, and radiographic outcomes were satisfactory at final follow-up. Conclusions:In conclusion, more subjects implanted with a second generation medial-pivot system were satisfied compared to previous reports for TKR.

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“…6 The PROMs have become a cornerstone of outcome assessment after joint surgery. 7 Numerous PROMs are used to measure the outcome. Western Ontario and McMaster Universities Arthritis Index (WOMAC) and the Short Form-12 (SF-12) are the most commonly used.…”

Section: Introductionmentioning

confidence: 99%

Age, Sex, Body Mass Index, Education, and Social Support Influence Functional Results After Total Knee Arthroplasty

Sveikata

Porvaneckas

Kanopa

et al. 2017

Geriatr Orthop Surg Rehabil

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Introduction: Total knee arthroplasty (TKA) is an effective treatment for knee osteoarthritis. Patient-reported outcome after TKA is influenced by multiple patient-related factors. The aim of this study was to prospectively evaluate preoperative patientrelated factors and to compare the self-reported outcomes 1 year after TKA among groups differing by age, sex, body mass index (BMI), education, and social support level. Methods: 314 patients, who underwent TKA in Vilnius Republican University Hospital between the end of 2012 and the middle of 2014, were included in a study. The preoperative and 12-month follow-up measurements were obtained using Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and Short . Differences between patient groups according to gender, age, BMI, level of education, and level of social support were analyzed. Results: At 12-month follow-up men demonstrated better results than women in WOMAC (P ¼ .003) and SF-12 both domains (P < .05). Patients with a higher social support demonstrated higher scores in physical function according to SF-12 (P ¼ .008). Better preoperative WOMAC and SF-12 scores were a predictor of better outcome 1 year after surgery. There was no difference in postoperative scores in different age, BMI, and education groups according to WOMAC and SF-12. Conclusion: There is no difference in self-reported functional outcome between patient groups differing in age, BMI, and education. Men and socially supported patients demonstrate better postoperative functional results 12 months after TKA. Better preoperative knee function and overall physical and mental function are predictors of better outcome 1 year after TKA. Age and obesity should not be limiting factors when considering who should receive this surgery.

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WOMAC, EQ-5D and Knee Society Score Thresholds for Treatment Success After Total Knee Arthroplasty

Cited by 135 publications

References 34 publications

Fast-track total knee arthroplasty improved clinical and functional outcome in the first 7 days after surgery: a randomized controlled pilot study with 5-year follow-up

Fast-track total knee arthroplasty improved clinical and functional outcome in the first 7 days after surgery: a randomized controlled pilot study with 5-year follow-up

Patient satisfaction at 2 months following total knee replacement using a second generation medial-pivot system: follow-up of 250 consecutive cases

Age, Sex, Body Mass Index, Education, and Social Support Influence Functional Results After Total Knee Arthroplasty

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