DOI: https://doi.org/10.15674/0030-5987201835-10
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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

Mark Snyder, Alexandra Sympson, Justin Gregg, Alexander Levit

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.


Keywords


удовлетворенность пациента; тотальное эндопротезирование коленного сустава; тотальное эндопротезирование тазобедренного сустава; journey II; функция

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References


Klika, A. K., Higuera, C. A., Saleh, A., Patel, P., Suarez, J., & Barsoum, W. K. (2014). Defining value in hip and knee arthroplasty in the United States. JBJS Reviews, 2(7), 1. doi:10.2106/jbjs.rvw.m.00073

Noble, P. C. (2005). Does total knee replacement restore normal knee function? Clinical Orthopaedics and Related Research, (431), 157–165. doi:10.1097/01.blo.0000150130.03519.fb

Harris, W. H., Sledge, C. B. (1990) Total hip and total knee replacement (1). The New England Journal of Medicine, 323(11), 725–731.

Harris, W. H., Sledge, C. B. (1990) Total hip and total knee replacement (2). The New England Journal of Medicine, 323(12), 801–807.

Naal, F. D., Impellizzeri, F. M., Lenze, U., Wellauer, V., Von Eisenhart-Rothe, R., & Leunig, M. (2015). Clinical improvement and satisfaction after total joint replacement: a prospective 12-month evaluation on the patients’ perspective. Quality of Life Research, 24(12), 2917–2925. doi:10.1007/s11136-015-1042-3

Scott, C. E., Bugler, K. E., Clement, N. D., MacDonald, D., Howie, C. R., Biant L. C. (2012) Patient expectations of arthroplasty of the hip and knee. The Journal of Bone and Joint Surgery. Br., 94(7), 974–81. doi: 10.1302/0301-620X.94B7.28219.

Bourne, R. B., Chesworth, B. M., Davis, A. M., Mahomed, N. N., & Charron, K. D. (2009). Patient satisfaction after total knee arthroplasty: who is satisfied and who is not? Clinical Orthopaedics and Related Research, 468(1), 57–63. doi:10.1007/s11999-009-1119-9

Chang, M. J., Kim, S. H., Kang, Y. G., Chang, C. B., & Kim, T. K. (2014). Activity levels and participation in physical activities by Korean patients following total knee arthroplasty. BMC Musculoskeletal Disorders, 15(1). doi:10.1186/1471-2474-15-240

Hamilton, D., Henderson, G. R., Gaston, P., MacDonald, D., Howie, C., & Simpson, A. H. (2012). Comparative outcomes of total hip and knee arthroplasty: a prospective cohort study. Postgraduate Medical Journal, 88(1045), 627–631. doi:10.1136/postgradmedj-2011-130715

Mainard, D., Guillemin, F., Cuny, C. [et al.] (2000) Quality of life assessment one year after total hip or knee arthroplasty. Revue de Chirurgie Orthopedique et Reparatrice de L'appareil Moteur, 86 (5), 464–473.

De Beer, J., Petruccelli, D., Adili, A., Piccirillo, L., Wismer, D., & Winemaker, M. (2012). Patient perspective survey of total hip vs total knee arthroplasty surgery. The Journal of Arthroplasty, 27(6), 865–869.e5. doi:10.1016/j.arth.2011.12.031

Kahn, T. L., & Schwarzkopf, R. (2015). Does total knee arthroplasty affect physical activity levels? Data from the Osteoarthritis Initiative. The Journal of Arthroplasty, 30(9), 1521–1525. doi:10.1016/j.arth.2015.03.016

Parvizi, J., Nunley, R. M., Berend, K. R., Lombardi, A. V., Ruh, E. L., Clohisy, J. C., … Barrack, R. L. (2013). High level of residual symptoms in young patients after total knee arthroplasty. Clinical Orthopaedics and Related Research, 472(1), 133–137. doi:10.1007/s11999-013-3229-7

Halewood, C., Risebury, M., Thomas, N. P., & Amis, A. A. (2014). Kinematic behaviour and soft tissue management in guided motion total knee replacement. Knee Surgery, Sports Traumatology, Arthroscopy, 22(12), 3074–3082. doi:10.1007/s00167-014-2933-5

Argenson, J. A., Komistek, R. D., Mahfouz, M., Walker, S. A., Aubaniac, J., & Dennis, D. A. (2004). A high flexion total knee arthroplasty design replicates healthy knee motion. Clinical Orthopaedics and Related Research, 428, 174–179. doi:10.1097/01.blo.0000148948.79128.76

Digennaro, V., Zambianchi, F., Marcovigi, A., Mugnai, R., Fiacchi, F., Catani, F. (2014) Design and kinematics in total knee arthroplasty. International Orthopaedics, 38(2), 227–33. doi: 10.1007/s00264-013-2245-2.

Ward, T. R., Burns, A. W., Gillespie, M. J., Scarvell, J. M., & Smith, P. N. (2011). Bicruciate-stabilised total knee replacements produce more normal sagittal plane kinematics than posterior-stabilised designs. The Journal of Bone and Joint Surgery. British volume, 93-B(7), 907–913. doi:10.1302/0301-620x.93b7.26208

Terwee, C., Bouwmeester, W., Van Elsland, S., De Vet, H., & Dekker, J. (2011). Instruments to assess physical activity in patients with osteoarthritis of the hip or knee: a systematic review of measurement properties. Osteoarthritis and Cartilage, 19(6), 620–633. doi:10.1016/j.joca.2011.01.002

Harrison, M. J., Davies, L. M., Bansback, N. J., McCoy, M. J., Verstappen, S. M., & Symmons, D. P. (2009). The comparative responsiveness of the EQ-5D and SF-6D to change in patients with inflammatory arthritis. Quality of Life Research, 18(9), 1195–1205. doi:10.1007/s11136-009-9539-2

Herdman, M., Gudex, C., Lloyd, A., Janssen, M., Kind, P., Parkin, D., … Badia, X. (2011). Development and preliminary testing of the new five-level version of EQ-5D (EQ-5D-5L). Quality of Life Research, 20(10), 1727–1736. doi:10.1007/s11136-011-9903-x

Preston, C. C., & Colman, A. M. (2000). Optimal number of response categories in rating scales: reliability, validity, discriminating power, and respondent preferences. Acta Psychologica, 104(1), 1–15. doi:10.1016/s0001-6918(99)00050-5

Thomas, T., Robinson, C., Champion, D., McKell, M., & Pell, M. (1998). Prediction and assessment of the severity of post-operative pain and of satisfaction with management. Pain, 75(2), 177–185. doi:10.1016/s0304-3959(97)00218-2




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