A comparison of patient reported outcomes between total knee arthroplasty patients receiving the journey II bi-cruciate stabilizing knee system and total hip arthroplasty patients
Journal Title: Orthopaedics, Traumatology and Prosthetics - Year 2018, Vol 612, Issue 3
Abstract
Patients who have undergone total hip arthroplasties (THA) tend to report greater satisfaction than those who underwent total knee arthroplasties (TKA). Progress in TKA and THA procedures requires maximizing perceived patient satisfaction, joint-specific and overall function, as well as the return to previously enjoyed physical activities. Dissatisfaction persists in 11–20 % of primary TKA patients while THA dissatisfaction remains low. This study examined if the use of the journey II bi-cruciate stabilizing (JIIBCS) knee implant (Smith & Nephew, Memphis, TN, USA) in TKA patients improved patient satisfaction to equal those reported by equivalent THA patients. Methods: this retrospective analysis matched 48 JIIBCS TKA and 48 THA patients to compare satisfaction at 3 months and 1 year post-operatively. Patient UCLA, and EQ-5D scores were also compared between the JIIBCS TKA and THA. Results: An independent samples t- test or Mann-Whitney U test, showed no difference in outcomes between 96 JIIBCS TKA and THA procedures. Demographics, gender, ASA score, comorbidity and diagnosis were found to be equivalent between groups. There was no statistical significance between JIIBCS TKA and THA patient satisfaction scores at either 3 months (p = 0.398), or one year post-operatively (p = 0.590). The JIIBCS group experienced higher UCLA scores than the THA group at both 3 months (p = 0.028) and 1 year post-operatively (p < 0.001). At 3 months post-operatively, the JIIBCS TKA patients reported superior EQ-5D scores (p < 0.001), but there was no statistically significant difference between groups in EQ-5D scores at one post-operatively, nor in the time taken to return to work, sports, or activities of daily living. Discussion: This retrospective review demonstrated that TKA patients receiving an optimized knee implant experienced non-inferior outcomes and satisfaction compared with clinically similar THA patients.
Authors and Affiliations
Mark A. Snyder, Alexandra Sympson, Justin Gregg, Alexander Levit
Keywords
Related Articles
- EP ID EP574269
- DOI 10.15674/0030-5987201835-10
- Views 158
- Downloads 0
Surgical treatment of patients with ankle joint fracture and damage of syndesmosis [Хірургічне лікування пацієнтів із переломами кісточок гомілки та ушкодженням синдесмозу]
Treatment of unstable ankle joint fractures with damage of syndesmosis is one of important problems in modern traumatology practice. Objective: to evaluate the results of surgical treatment of patients with ankle joint f...
New classification 3 columns theory of lumbar degenerative cascade (literature review)
Lumbar degeneration is a pathologic condition in the aging spine that changes the bio-mechanic construct of the lumbar mobile segment either single or multi-levels, leading to low back pain syndrome and lead to a deformi...
Morphological characteristics and correlation of chronic hematogenous osteomyelitis with latent clinical course (Garre type)
One of the clinico-morphological variants of osteomyelitis with latent course is sclerosing hematogenous osteomyelitis of the Garre type. Objective: on the basis of pathomorphological and gradation-morphometric studies o...
Epidemiology of lower extremities fractures in the population in Vinnitsa region
Lower extremities fractures are ⅓ to ½ of all fractures, that can increase morbidity and mortality. Nowadays there are studies devoted to the age and gender peculiarities of femur fractures in Ukraine, but data of other...
Risk forecasting of the femoral head dislocation and its prophylaxis at total hip joint replacement [Прогнозування ризику вивиху головки ендопротеза та його профілактика в разі ендопротезування кульшового суглоба]
One of the most frequent complications after total hip replacement is femoral head dislocation. Risk of its forecasting is topical in orthopeadic field. Objective: on the base of retrospective and prospective analysis we...