Three groups of dissatisfied patients exist after total knee arthroplasty: early, persistent, and late

Clement, Nicholas D.; Bardgett, Michelle; Weir, David J.; Holland, J; Gerrand, Craig; Deehan, David J.

doi:10.1302/0301-620x.100b2.bjj-2017-1016.r1

Cited by 82 publications

(59 citation statements)

References 23 publications

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“…and that walking aids may still be required up to 10 years following surgery. Clement et al [24] described 3 groups of dissatisfied patients that exist after TKAdearly (1 year), persistent (continued dissatisfaction with long-term follow-up), and late (new dissatisfaction in previously satisfied patients). It was identified that independent predictors of dissatisfaction at 1 year differed to those which predicted dissatisfaction at 5 years, suggesting that these groups have different characteristics.…”

Section: Percentage Of Pa Ents Sta Ng This Expecta On Was Important Pmentioning

confidence: 99%

Changes in Expectation Fulfillment Following Total Knee Arthroplasty: A 10-Year Follow-Up Study

Yapp

Clement

MacDonald

et al. 2020

The Journal of Arthroplasty

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Section: Percentage Of Pa Ents Sta Ng This Expecta On Was Important Pmentioning

confidence: 99%

Changes in Expectation Fulfillment Following Total Knee Arthroplasty: A 10-Year Follow-Up Study

Yapp

Clement

MacDonald

et al. 2020

The Journal of Arthroplasty

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“…Thus, Katchky indicate that despite generally good outcomes after TKA, between 15% and 20% of patients remain dissatisfied [31]. This number decreases over time as patients adapt to their knee systems [47] ( Table III). The advantage of the Knee Society Scoring System is that neither age nor the general health condition of the patient affects the scoring, but such factors as age, body mass index, rehabilitation compliance, and the presence of other diseases like diabetes may be a factor.…”

Section: Resultsmentioning

confidence: 99%

Total knee arthroplasty using modified measured resection: a five-year retrospective review of midterm outcomes

Trung

Son

et al. 2021

Arch Med Sci

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Introduction: Deforming arthrosis, or osteoarthritis, is the most common rheumatic disease that involves the musculoskeletal system. The purpose of this research is to perform a retrospective review of the quality of life of patients with knee arthrosis, who underwent total knee arthroplasty (TKA) no less than five years ago, to evaluate, based on the Knee Society Scoring System, the efficacy of a modified measured resection technique, and to investigate factors that affect the outcomes. Material and methods: The research sample consisted of 44 patients who had severe osteoarthrosis, Kellgren-Lawrence grade III and grade IV. Results: The post-operative complications occurred in seven knee joints. Among them there were two cases of infection, two cases of periprosthesis fracture, and two cases of aseptic instability, each pair accounting for 4.3%, and one case of femoropatellar pain (2.3%). The remaining 38 knee joints (84.8%) were free of complications. Conclusions: Knee arthrosis is a serious health problem, given the significant rate of disability among patients and the significant reduction in the quality of life. Patients often seek medical help at the later stages of the disease, when pain is strong and knee function is significantly reduced. The approach to rehabilitation procedures and, in some cases, to lifestyle improvement should be more responsible.

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“…Our findings are similar to those seen in the hip and knee arthroplasty literature. 4,6,7,14,20,21,27 The rate of comorbid back pain is lower in patients who had shoulder instability than in patients undergoing hip and knee arthroplasty. Our patients had a 15.8% incidence of comorbid back pain, whereas Parvizi et al 20 reported a 49.4% rate in a review of 344 patients undergoing total hip arthroplasty, and Clement et al 7 found an incidence of 35% in a subset of 2392 patients undergoing primary total knee arthroplasty (TKA).…”

Section: Discussionmentioning

confidence: 99%

“…Depression is also a known independent risk factor for dissatisfaction after TKA. 6 Future studies are needed to further evaluate the relationship between worse mental health scores, depression, and postoperative outcomes in shoulder instability.…”

Section: Discussionmentioning

confidence: 99%

The Prevalence and Clinical Implications of Comorbid Back Pain in Shoulder Instability: A Multicenter Orthopaedic Outcomes Network (MOON) Shoulder Instability Cohort Study

Cronin

Wolf

Magnuson

et al. 2020

Orthopaedic Journal of Sports Medicine

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Background: Understanding predictors of pain is critical, as recent literature shows that comorbid back pain is an independent risk factor for worse functional and patient-reported outcomes (PROs) as well as increased opioid dependence after total joint arthroplasty. Purpose/Hypothesis: The purpose of this study was to evaluate whether comorbid back pain would be predictive of pain or self-reported instability symptoms at the time of stabilization surgery. We hypothesized that comorbid back pain will correlate with increased pain at the time of surgery as well as with worse scores on shoulder-related PRO measures. Study Design: Cross-sectional study; Level of evidence, 3. Methods: As part of the Multicenter Orthopaedic Outcomes Network (MOON) Shoulder Instability cohort, patients consented to participate in pre- and intraoperative data collection. Demographic characteristics, injury history, preoperative PRO scores, and radiologic and intraoperative findings were recorded for patients undergoing surgical shoulder stabilization. Patients were also asked, whether they had any back pain. Results: The study cohort consisted of 1001 patients (81% male; mean age, 24.1 years). Patients with comorbid back pain (158 patients; 15.8%) were significantly older (28.1 vs 23.4 years; P < .001) and were more likely to be female (25.3% vs 17.4%; P = .02) but did not differ in terms of either preoperative imaging or intraoperative findings. Patients with self-reported back pain had significantly worse preoperative pain and shoulder-related PRO scores (American Shoulder and Elbow Surgeons score, Western Ontario Shoulder Instability Index) ( P < .001), more frequent depression (22.2% vs 8.3%; P < .001), poorer mental health status (worse scores for the RAND 36-Item Health Survey Mental Component Score, Iowa Quick Screen, and Personality Assessment Screener) ( P < .01), and worse preoperative expectations ( P < .01). Conclusion: Despite having similar physical findings, patients with comorbid back pain had more severe preoperative pain and self-reported symptoms of instability as well as more frequent depression and lower mental health scores. The combination of disproportionate shoulder pain, comorbid back pain and mental health conditions, and inferior preoperative expectations may affect not only the patient’s preoperative state but also postoperative pain control and/or postoperative outcomes.

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Three groups of dissatisfied patients exist after total knee arthroplasty: early, persistent, and late

Cited by 82 publications

References 23 publications

Changes in Expectation Fulfillment Following Total Knee Arthroplasty: A 10-Year Follow-Up Study

Changes in Expectation Fulfillment Following Total Knee Arthroplasty: A 10-Year Follow-Up Study

Total knee arthroplasty using modified measured resection: a five-year retrospective review of midterm outcomes

The Prevalence and Clinical Implications of Comorbid Back Pain in Shoulder Instability: A Multicenter Orthopaedic Outcomes Network (MOON) Shoulder Instability Cohort Study

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