Total Joint Replacement of Ankle, Knee, and Hip: How Do Patients Perceive Their Operative Outcomes at 10 Years?
Background: Patient-reported outcomes (PROMs) are an integral part of national joint registers in measuring outcomes of operative procedures and improving quality of care. There is lack of literature comparing outcomes of total ankle replacement (TAR) to total knee replacement (TKR) and total hip re...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2021-07-01
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| Series: | Foot & Ankle Orthopaedics |
| Online Access: | https://doi.org/10.1177/24730114211022735 |
| _version_ | 1818437861148459008 |
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| author | Jayasree Ramaskandhan MSc, MPT Karen Smith MSc, BSc Simon Kometa PhD, MSc, BSc(Hons) Nachiappan Chockalingam BEng, MSc, PhD, CEng, CSci Malik Siddique BSc, MBBS, MCH(Tr&O) |
| author_facet | Jayasree Ramaskandhan MSc, MPT Karen Smith MSc, BSc Simon Kometa PhD, MSc, BSc(Hons) Nachiappan Chockalingam BEng, MSc, PhD, CEng, CSci Malik Siddique BSc, MBBS, MCH(Tr&O) |
| author_sort | Jayasree Ramaskandhan MSc, MPT |
| collection | DOAJ |
| description | Background: Patient-reported outcomes (PROMs) are an integral part of national joint registers in measuring outcomes of operative procedures and improving quality of care. There is lack of literature comparing outcomes of total ankle replacement (TAR) to total knee replacement (TKR) and total hip replacement (THR). The aim of this study was to compare PROMs between TAR, TKR, and THR patient groups at 1, 5, and 10 years. Methods: Prospective PROMs from patients who underwent a TAR, TKR, or THR procedure between 2003 and 2010 were studied. Patients were divided into 3 groups based on their index joint replacement (hip, knee, or ankle). Patient demographics (age, gender, body mass index), patient-reported outcome scores (Western Ontario and McMaster Universities Osteoarthritis Index [WOMAC], 36-Item Short Form Health Survey [SF-36]) and patient satisfaction scores (4-point Likert scale) at follow-up were compared between the 3 groups. Results: Data was available on 1797 THR, 2475 TKR, and 146 TAR patients. TAR patients were younger and reported fewer number of comorbidities. All 3 groups improved significantly from preoperative to 10 years for WOMAC scores ( P < .001). For SF-36 scores at 10 years, the THR group (32.2% follow-up) scored the highest for 3 domains ( P = .031) when compared to the TKR group (29.1% follow-up). All 3 groups had similar outcomes for 5 of 8 domains; P < .05). For patient satisfaction, the THR group reported overall 95.1% satisfaction followed by 89.8% for the TKR group and 83.9% in the TAR group (42.4% follow-up). Conclusion: In this cohort with diminishing numbers over the decade of time the patients were followed up we found that patients are equally happy with functional and general health outcomes from total ankle replacement vs other major lower extremity joint replacement. TAR surgery should be considered as a viable treatment option in this patient group. Level of Evidence: Level III, retrospective case series. |
| first_indexed | 2024-12-14T17:31:24Z |
| format | Article |
| id | doaj.art-5f2e27bb5d574980a15a737d4bceb86d |
| institution | Directory Open Access Journal |
| issn | 2473-0114 |
| language | English |
| last_indexed | 2024-12-14T17:31:24Z |
| publishDate | 2021-07-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Foot & Ankle Orthopaedics |
| spelling | doaj.art-5f2e27bb5d574980a15a737d4bceb86d2022-12-21T22:53:05ZengSAGE PublishingFoot & Ankle Orthopaedics2473-01142021-07-01610.1177/24730114211022735Total Joint Replacement of Ankle, Knee, and Hip: How Do Patients Perceive Their Operative Outcomes at 10 Years?Jayasree Ramaskandhan MSc, MPT0Karen Smith MSc, BSc1Simon Kometa PhD, MSc, BSc(Hons)2Nachiappan Chockalingam BEng, MSc, PhD, CEng, CSci3Malik Siddique BSc, MBBS, MCH(Tr&O)4 Department of School of Life Sciences and Education, Stoke-on-Trent, United Kingdom Department of Orthopaedics, Freeman Hospital, Newcastle upon Tyne, United Kingdom Newcastle University, Newcastle upon Tyne, United Kingdom Department of School of Life Sciences and Education, Stoke-on-Trent, United Kingdom Department of Orthopaedics, Freeman Hospital, Newcastle upon Tyne, United KingdomBackground: Patient-reported outcomes (PROMs) are an integral part of national joint registers in measuring outcomes of operative procedures and improving quality of care. There is lack of literature comparing outcomes of total ankle replacement (TAR) to total knee replacement (TKR) and total hip replacement (THR). The aim of this study was to compare PROMs between TAR, TKR, and THR patient groups at 1, 5, and 10 years. Methods: Prospective PROMs from patients who underwent a TAR, TKR, or THR procedure between 2003 and 2010 were studied. Patients were divided into 3 groups based on their index joint replacement (hip, knee, or ankle). Patient demographics (age, gender, body mass index), patient-reported outcome scores (Western Ontario and McMaster Universities Osteoarthritis Index [WOMAC], 36-Item Short Form Health Survey [SF-36]) and patient satisfaction scores (4-point Likert scale) at follow-up were compared between the 3 groups. Results: Data was available on 1797 THR, 2475 TKR, and 146 TAR patients. TAR patients were younger and reported fewer number of comorbidities. All 3 groups improved significantly from preoperative to 10 years for WOMAC scores ( P < .001). For SF-36 scores at 10 years, the THR group (32.2% follow-up) scored the highest for 3 domains ( P = .031) when compared to the TKR group (29.1% follow-up). All 3 groups had similar outcomes for 5 of 8 domains; P < .05). For patient satisfaction, the THR group reported overall 95.1% satisfaction followed by 89.8% for the TKR group and 83.9% in the TAR group (42.4% follow-up). Conclusion: In this cohort with diminishing numbers over the decade of time the patients were followed up we found that patients are equally happy with functional and general health outcomes from total ankle replacement vs other major lower extremity joint replacement. TAR surgery should be considered as a viable treatment option in this patient group. Level of Evidence: Level III, retrospective case series.https://doi.org/10.1177/24730114211022735 |
| spellingShingle | Jayasree Ramaskandhan MSc, MPT Karen Smith MSc, BSc Simon Kometa PhD, MSc, BSc(Hons) Nachiappan Chockalingam BEng, MSc, PhD, CEng, CSci Malik Siddique BSc, MBBS, MCH(Tr&O) Total Joint Replacement of Ankle, Knee, and Hip: How Do Patients Perceive Their Operative Outcomes at 10 Years? Foot & Ankle Orthopaedics |
| title | Total Joint Replacement of Ankle, Knee, and Hip: How Do Patients Perceive Their Operative Outcomes at 10 Years? |
| title_full | Total Joint Replacement of Ankle, Knee, and Hip: How Do Patients Perceive Their Operative Outcomes at 10 Years? |
| title_fullStr | Total Joint Replacement of Ankle, Knee, and Hip: How Do Patients Perceive Their Operative Outcomes at 10 Years? |
| title_full_unstemmed | Total Joint Replacement of Ankle, Knee, and Hip: How Do Patients Perceive Their Operative Outcomes at 10 Years? |
| title_short | Total Joint Replacement of Ankle, Knee, and Hip: How Do Patients Perceive Their Operative Outcomes at 10 Years? |
| title_sort | total joint replacement of ankle knee and hip how do patients perceive their operative outcomes at 10 years |
| url | https://doi.org/10.1177/24730114211022735 |
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