All types of component malrotation affect the early patient-reported outcome measures after total knee arthroplasty
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: Outcomes following total knee arthroplasty (TKA), whether clinical, radiological or survival analysis, have been well-studied. Still, there are some concerns about patient satisfaction with the outcome of the surgery and factors that might contribute to a suboptimal result. This study aims to determine if there is correlation between primary TKA malalignment and early patient-reported outcome measures (PROMs). Materials and methods: Sixty patients, who had primary TKA and a minimum of 2 years of follow up, were recruited for a detailed clinical and radiological examination. Knee alignment was measured in the coronal, sagittal and axial planes. Normal and the outlier measurements of the patients’ knees were defined and the clinical results (PROMs) compared to see if there was a statistically significant difference. Results: Correlation between postoperative limb malalignment in the coronal and the sagittal planes and PROMs was not significant. Conversely, there was significant negative correlation between all types of malrotation and PROMs. Conclusions: Although malalignment has been linked to inferior outcome and implant survival, our results showed that coronal and sagittal limb malalignment has no significant effect on early PROMs. However, all types of component rotational malalignment significantly worsen early PROMs.
Abstract
Purpose: Outcomes following total knee arthroplasty (TKA), whether clinical, radiological or survival analysis, have been well-studied. Still, there are some concerns about patient satisfaction with the outcome of the surgery and factors that might contribute to a suboptimal result. This study aims to determine if there is correlation between primary TKA malalignment and early patient-reported outcome measures (PROMs). Materials and methods: Sixty patients, who had primary TKA and a minimum of 2 years of follow up, were recruited for a detailed clinical and radiological examination. Knee alignment was measured in the coronal, sagittal and axial planes. Normal and the outlier measurements of the patients’ knees were defined and the clinical results (PROMs) compared to see if there was a statistically significant difference. Results: Correlation between postoperative limb malalignment in the coronal and the sagittal planes and PROMs was not significant. Conversely, there was significant negative correlation between all types of malrotation and PROMs. Conclusions: Although malalignment has been linked to inferior outcome and implant survival, our results showed that coronal and sagittal limb malalignment has no significant effect on early PROMs. However, all types of component rotational malalignment significantly worsen early PROMs.
참고문헌 (29)
- Bourne RB, "Patient satisfaction after total knee arthroplasty: who is satisfied and who is not?", Clin Orthop Relat Res, 468(1), pp.57~63 (2010)
- Choong PF, "Does accurate anatomical alignment result in better function and quality of life? Comparing conventional and computer-assisted total knee arthroplasty", J Arthroplast, 24(4), pp.560~569 (2009)
- Lyman S, "Patient-reported outcome measurement for patients with total knee arthroplasty", J Am Acad Orthop Surg, 25(Suppl 1), pp.S44~s47 (2017)
- Fang DM, "Coronal alignment in total knee arthroplasty: just how important is it?", J Arthroplast, 24(6 Suppl), pp.39~43 (2009)
- Ritter MA, "Postoperative alignment of total knee replacement. Its effect on survival", Clin Orthop Relat Res, 299, pp.153~156 (1994)
- Parratte S, "Effect of postoperative mechanical axis alignment on the fifteen-year survival of modern, cemented total knee replacements", J Bone Joint Surg Am, 92(12), pp.2143~2149 (2010)
- Longstaff LM, "Good alignment after total knee arthroplasty leads to faster rehabilitation and better function", J Arthroplast, 24(4), pp.570~578 (2009)
- Bach CM, "Correlation between radiographic assessment and quality of life after total knee arthroplasty", Knee, 16(3), pp.207~210 (2009)
- Insall JN, "Rationale of the Knee Society clinical rating system", Clin Orthop Relat Res, 248, pp.13~14 (1989)
- Lyman S, "Validation of the HOOS, JR: a short-form hip replacement survey", Clin Orthop Relat Res, 474(6), pp.1472~1482 (2016)
- Almangoush A, "Cross-cultural adaptation, reliability, internal consistency and validation of the Arabic version of the knee injury and osteoarthritis outcome score (KOOS) for Egyptian people with knee injuries", Osteoarthr Cartil, 21(12), pp.1855~1864 (2013)
- Alghadir AH, "Cross-cultural adaptation and psychometric analysis of the Arabic version of the oxford knee score in adult male with knee osteoarthritis", BMC Musculoskelet Disord, 18(1), pp.190~ (2017)
- Obtel M, "Cross-cultural adaptation of the 12-Item Short-Form survey instrument in a Moroccan representative survey", South Afr J Epidemiol Infect, 28(3), pp.166~171 (2013)
- Moreland JR, "Radiographic analysis of the axial alignment of the lower extremity", J Bone Joint Surg Am, 69(5), pp.745~749 (1987)
- Cooke TD, "Frontal plane knee alignment: a call for standardized measurement", J Rheumatol, 34(9), pp.1796~1801 (2007)
- Bonner TJ, "The effect of postoperative mechanical axis alignment on the survival of primary total knee replacements after a follow-up of 15 years", J Bone Joint Surg Br, 93(9), pp.1217~1222 (2011)
- Paley D, "Principles of deformity correction", pp.161~ (2002), Springer
- Berger R, "Malrotation causing patellofemoral complications after total knee arthroplasty", Clin Orthop Relat Res, 356, pp.144~153 (1998)
- Berger RA, "Determining the rotational alignment of the femoral component in total knee arthroplasty using the epicondylar axis", Clin Orthop Relat Res, 286, pp.40~47 (1993)
- Blakeney WG, "Functional outcomes following total knee arthroplasty: a randomised trial comparing computer-assisted surgery with conventional techniques", Knee, 21(2), pp.364~368 (2014)
- Huang NF, "Coronal alignment correlates with outcome after total knee arthroplasty:five-year follow-up of a randomized controlled trial", J Arthroplasty, 27(9), pp.1737~1741 (2012)
- Stucinskas J, "Moderate varus", valgus malalignment after total knee arthroplasty has little effect on knee function or muscle strength, 2015, pp.86(6), 728~733
- Matziolis G, "Varus malalignment has no influence on clinical outcome in midterm follow-up after total knee replacement", Arch Orthop Trauma Surg, 130(12), pp.1487~1491 (2010)
- Barrack RL, "Component rotation and anterior knee pain after total knee arthroplasty", Clin Orthop Relat Res, 392, pp.46~55 (2001)
- Nicoll D, "Internal rotational error of the tibial component is a major cause of pain after total knee replacement", J Bone Joint Surg Br, 92(9), pp.1238~1244 (2010)
- Lutzner J, "Functional outcome after computer-assisted versus conventional total knee arthroplasty: a randomized controlled study", Knee Surg Sports Traumatol Arthrosc, 18(10), pp.1339~1344 (2010)
- Harman MK, "Prosthesis alignment affects axial rotation motion after total knee replacement: a prospective in vivo study combining computed tomography and fluoroscopic evaluations", BMC Musculoskelet Disord, 13, pp.206~ (2012)
- Czurda T, "The association between component malalignment and post-operative pain following navigation-assisted total knee arthroplasty: results of a cohort", nested casecontrol study, 2010, pp.18(7), 863~869
- Bell SW, "Component rotational alignment in unexplained painful primary total knee arthroplasty", Knee, 21(1), pp.272~277 (2014)