Does design change in total knee arthroplasty implants affect patient-reported outcomes?
Abstract Purpose The purpose of this study is to compare the early results of patient-reported outcomes between two generations of a total knee system. Methods Between June 2018 and April 2020, 121 first-generation, cemented TKAs (89 patients) and 123 s-generation, cemented TKAs (98 patients) were p...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-03-01
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| Series: | BMC Surgery |
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| Online Access: | https://doi.org/10.1186/s12893-023-01948-1 |
| _version_ | 1797865663127093248 |
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| author | Nader Toossi Brandon Bucklen Lindsey K. Meding John B. Meding |
| author_facet | Nader Toossi Brandon Bucklen Lindsey K. Meding John B. Meding |
| author_sort | Nader Toossi |
| collection | DOAJ |
| description | Abstract Purpose The purpose of this study is to compare the early results of patient-reported outcomes between two generations of a total knee system. Methods Between June 2018 and April 2020, 121 first-generation, cemented TKAs (89 patients) and 123 s-generation, cemented TKAs (98 patients) were performed by a single surgeon. Demographic and surgical data were collected from all patients. Starting at the 6-month follow-up, patient-reported outcome measures Knee Injury and Osteoarthritis Outcome Score, Joint Reconstruction (KOOS-JR) and Knee Society (KS) clinical and radiographic scores were prospectively recorded. This study represents a retrospective review of these prospectively collected data. Results There were no statistically significant differences between the two groups in terms of demographic variables such as age, body mass index, gender and race. KOOS-JR and Knee Society (KS) scores improved significantly (p < 0.001) from their preoperative values in both device generations. There were no differences, pre-operatively, between the two groups in terms of KOOS-JR, KS functional, KS objective, patient satisfaction, and expectation scores; however, there were statistically significant (p < 0.001) lower values of KOOS-JR and KS functional scores for first versus second generation at 6 months (81 vs. 89 and 69 vs. 74, respectively). Conclusion While significant improvement in KS objective, subjective, and patient satisfaction scores were noted with both knee systems, KOOS-JR and KS function scores were significantly higher at the early (6-month) follow-up in the second-generation group. Patients responded acutely to the design change as evidenced by significantly improved patient-reported outcome scores for the second generation. |
| first_indexed | 2024-04-09T23:12:52Z |
| format | Article |
| id | doaj.art-386fcbdee8334a54b43a976bde7a5dd6 |
| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-04-09T23:12:52Z |
| publishDate | 2023-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-386fcbdee8334a54b43a976bde7a5dd62023-03-22T10:17:55ZengBMCBMC Surgery1471-24822023-03-012311710.1186/s12893-023-01948-1Does design change in total knee arthroplasty implants affect patient-reported outcomes?Nader Toossi0Brandon Bucklen1Lindsey K. Meding2John B. Meding3Musculoskeletal Education and Research Center (MERC) AudubonMusculoskeletal Education and Research Center (MERC) AudubonThe Center for Hip and Knee Surgery, St. Francis Hospital Mooresville MooresvilleThe Center for Hip and Knee Surgery, St. Francis Hospital Mooresville MooresvilleAbstract Purpose The purpose of this study is to compare the early results of patient-reported outcomes between two generations of a total knee system. Methods Between June 2018 and April 2020, 121 first-generation, cemented TKAs (89 patients) and 123 s-generation, cemented TKAs (98 patients) were performed by a single surgeon. Demographic and surgical data were collected from all patients. Starting at the 6-month follow-up, patient-reported outcome measures Knee Injury and Osteoarthritis Outcome Score, Joint Reconstruction (KOOS-JR) and Knee Society (KS) clinical and radiographic scores were prospectively recorded. This study represents a retrospective review of these prospectively collected data. Results There were no statistically significant differences between the two groups in terms of demographic variables such as age, body mass index, gender and race. KOOS-JR and Knee Society (KS) scores improved significantly (p < 0.001) from their preoperative values in both device generations. There were no differences, pre-operatively, between the two groups in terms of KOOS-JR, KS functional, KS objective, patient satisfaction, and expectation scores; however, there were statistically significant (p < 0.001) lower values of KOOS-JR and KS functional scores for first versus second generation at 6 months (81 vs. 89 and 69 vs. 74, respectively). Conclusion While significant improvement in KS objective, subjective, and patient satisfaction scores were noted with both knee systems, KOOS-JR and KS function scores were significantly higher at the early (6-month) follow-up in the second-generation group. Patients responded acutely to the design change as evidenced by significantly improved patient-reported outcome scores for the second generation.https://doi.org/10.1186/s12893-023-01948-1Total knee arthroplastyPatient-reported outcomeKOOS-JRKnee society score |
| spellingShingle | Nader Toossi Brandon Bucklen Lindsey K. Meding John B. Meding Does design change in total knee arthroplasty implants affect patient-reported outcomes? BMC Surgery Total knee arthroplasty Patient-reported outcome KOOS-JR Knee society score |
| title | Does design change in total knee arthroplasty implants affect patient-reported outcomes? |
| title_full | Does design change in total knee arthroplasty implants affect patient-reported outcomes? |
| title_fullStr | Does design change in total knee arthroplasty implants affect patient-reported outcomes? |
| title_full_unstemmed | Does design change in total knee arthroplasty implants affect patient-reported outcomes? |
| title_short | Does design change in total knee arthroplasty implants affect patient-reported outcomes? |
| title_sort | does design change in total knee arthroplasty implants affect patient reported outcomes |
| topic | Total knee arthroplasty Patient-reported outcome KOOS-JR Knee society score |
| url | https://doi.org/10.1186/s12893-023-01948-1 |
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