Satisfaction Rates Are Low following Revision Total Knee Arthroplasty in Asians Despite Improvements in Patient-Reported Outcome Measures

Razak, Hamid Rahmatullah Bin Abd; Lee, Jian Hui Merrill; Tan, Shi Ming; Chong, Hwei Chi; Lo, Ngai Nung; Yeo, Seng Jin

doi:10.1055/s-0039-1692629

Cited by 9 publications

(4 citation statements)

References 23 publications

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“…Knee Peking Union Medical College HS [ 370 ] 2. Chinese People’s Liberation Army [ 539 ] Hong Kong Hong Kong Institutional Queen Mary HS [ 282 , 367 , 471 , 554 , 617 , 622 ] Japan Takatsuki (Hip) Takatsuki General HS [ 359 ] Korea Korea Korean Hip (KHR) [ 489 ] Republic of China Taiwan Chang Gung Memorial HS [ 83 , 422 , 475 , 557 ] Singapore Singapore Singapore General HS [ 108 , 124 , 168 , 192 , 227 , 229 , 245 , 253 , 273 , 277 , 284 , 434 , 436 , 440 , 443 , 466 , 467 , 513 , 538 , 546 , 579 , 591 , 595 , 602 , 608 , 612 , 616 , 621 , ...…”

Section: Resultsmentioning

confidence: 99%

Global mapping of institutional and hospital-based (Level II–IV) arthroplasty registries: a scoping review

Zgouridou,

Kenanidis,

Potoupnis

et al. 2023

Eur J Orthop Surg Traumatol

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Purpose Four joint arthroplasty registries (JARs) levels exist based on the recorded data type. Level I JARs are national registries that record primary data. Hospital or institutional JARs (Level II–IV) document further data (patient-reported outcomes, demographic, radiographic). A worldwide list of Level II–IV JARs must be created to effectively assess and categorize these data. Methods Our study is a systematic scoping review that followed the PRISMA guidelines and included 648 studies. Based on their publications, the study aimed to map the existing Level II–IV JARs worldwide. The secondary aim was to record their lifetime, publications’ number and frequency and recognise differences with national JARs. Results One hundred five Level II–IV JARs were identified. Forty-eight hospital-based, 45 institutional, and 12 regional JARs. Fifty JARs were found in America, 39 in Europe, nine in Asia, six in Oceania and one in Africa. They have published 485 cohorts, 91 case-series, 49 case–control, nine cross-sectional studies, eight registry protocols and six randomized trials. Most cohort studies were retrospective. Twenty-three per cent of papers studied patient-reported outcomes, 21.45% surgical complications, 13.73% postoperative clinical and 5.25% radiographic outcomes, and 11.88% were survival analyses. Forty-four JARs have published only one paper. Level I JARs primarily publish implant revision risk annual reports, while Level IV JARs collect comprehensive data to conduct retrospective cohort studies. Conclusions This is the first study mapping all Level II–IV JARs worldwide. Most JARs are found in Europe and America, reporting on retrospective cohorts, but only a few report on studies systematically.

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Section: Resultsmentioning

confidence: 99%

Global mapping of institutional and hospital-based (Level II–IV) arthroplasty registries: a scoping review

Zgouridou,

Kenanidis,

Potoupnis

et al. 2023

Eur J Orthop Surg Traumatol

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“…Our data indicate a similar outcome with an HSS value of 78 matching this range. The OKS score reported outcome scores following revision TKA range between 23 and 32 points [ 1 , 4 , 10 , 21 ]. The here reported population reached a score of 30, indicating comparable patient satisfaction as previously reported.…”

Section: Discussionmentioning

confidence: 99%

Survival, functional outcome and satisfaction of first revision total knee arthroplasty at a mean eleven-year follow-up

Hecker

Pütz

Wangler

2022

Eur J Orthop Surg Traumatol

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Purpose Providing long-term outcome data after rTKA and compare one- versus two-stage and septic versus aseptic revisions. Methods This study represents a single-center retrospective study of first rTKAs performed for any reason with a final follow-up of a minimum of five years. Outcome parameters included stability assessment ROM, radiologic assessment, HSS score, KSS score, OKS score, EQ-5D-3L and VAS. 44 patients were included in the study. Subgroups analysis of one- versus two-stage revision and septic versus aseptic revision was performed. Results The leading causes of rTKA in this mean 11 year follow-up study were aseptic loosening (36%) and periprosthetic joint infection (27%). At the final follow-up, there was a 89% survivorship of the implants. Patients showed a ROM of 114 ± 13°, HSS score of 78 ± 12, KKS objective score of 77 ± 16, KSS expectation and satisfaction score of 32 ± 11, KSS functional activity score of 50 ± 20, OKS of 30 ± 9, VAS of 53 ± 25 and EQ-5D index of 0.649. Functional outcome scores were not significantly altered in the analyzed subgroups. Conclusions In our 11 years follow-up, we obtained 89% implant survivorship. Measurements regarding functional outcome and pain showed results in the medium range of the respective scores, while patient satisfaction lay in the upper third. No significant differences in outcome scores between one- and two-stage revisions and septic versus aseptic revisions were observed. Level of Evidence Level III, retrospective cohort study.

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“…6,20 Furthermore, despite the production of genre- [21][22][23] or ethnic-specific implants, existing ranges fail to cover the polymorphism observed among populations. [24][25][26] Further development of existing ranges, or the advent of patient-specific implants, may be necessary before prosthetic oversizing or overhang can be completely eliminated.…”

Section: Discussionmentioning

confidence: 99%

Effect of the posterior sagging control device to the posterior tibial translation during posterior-stabilized total knee arthroplasty with modified gap technique

Maeyama

Asayama

Ishimatsu

et al. 2022

J Orthop Surg (Hong Kong)

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Purpose In modern total knee arthroplasty (TKA), flexion and extension gaps between the femur and tibia are equilibrated before implanting the final components. Uncontrolled intraoperative posterior tibial translation (PTT) could cause an artifactual widening of the flexion gap, which could lead surgeons to alter the femoral component size. We designed an intraoperative posterior sagging control device to prevent intraoperative PTT. In this study, we investigated whether the use of this device could prevent artifactual widening of the flexion gap. Methods Twenty-five patients, 21 women and four men, aged 74.2 years, were enrolled in this prospective study. All patients underwent postero-stabilized TKA using a navigation system. Intraoperative PTT, flexion and extension gaps with or without using the posterior sagging control device were measured with navigation system. These measurements were compared with or without the posterior sagging control device and after the final implantation also. Results There were significant differences between the measurements performed with or without the posterior sagging control device when compared to the post-implantation measurements. The use of the device reduced the number of patients with a >3 mm increase in flexion gap from 7 (28%) to 1 (4%). Conclusion This study suggests that the posterior sagging control device prevents PTT and artificial flexion gap widening. This could prevent an unnecessary increase in component size.

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Satisfaction Rates Are Low following Revision Total Knee Arthroplasty in Asians Despite Improvements in Patient-Reported Outcome Measures

Cited by 9 publications

References 23 publications

Global mapping of institutional and hospital-based (Level II–IV) arthroplasty registries: a scoping review

Global mapping of institutional and hospital-based (Level II–IV) arthroplasty registries: a scoping review

Survival, functional outcome and satisfaction of first revision total knee arthroplasty at a mean eleven-year follow-up

Effect of the posterior sagging control device to the posterior tibial translation during posterior-stabilized total knee arthroplasty with modified gap technique

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