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Aims

To identify the responsiveness, minimal clinically important difference (MCID), minimal clinical important change (MIC), and patient-acceptable symptom state (PASS) thresholds in the 36-item Short Form Health Survey questionnaire (SF-36) (v2) for each of the eight dimensions and the total score following total knee arthroplasty (TKA).

Methods

There were 3,321 patients undergoing primary TKA with preoperative and one-year postoperative SF-36 scores. At one-year patients were asked how satisfied they were and “How much did the knee arthroplasty surgery improve the quality of your life?”, which was graded as: great, moderate, little (n = 277), none (n = 98), or worse.


The Bone & Joint Journal
Vol. 100-B, Issue 6 | Pages 740 - 748
1 Jun 2018
Clement ND Bardgett M Weir D Holland J Gerrand C Deehan DJ

Aims

The primary aim of this study was to assess the rate of patient satisfaction one year after total knee arthroplasty (TKA) according to the focus of the question asked. The secondary aims were to identify independent predictors of patient satisfaction according to the focus of the question.

Patients and Methods

A retrospective cohort of 2521 patients undergoing a primary unilateral TKA were identified from an established regional arthroplasty database. Patient demographics, comorbidities, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and 12-Item Short-Form Health Survey (SF-12) scores were collected preoperatively and one year postoperatively. Patient satisfaction was assessed using four questions, which focused on overall outcome, activity, work, and pain. Logistic regression analysis was used to identify independent preoperative predictors of increased stiffness when adjusting for confounding variables.


The Bone & Joint Journal
Vol. 100-B, Issue 2 | Pages 161 - 169
1 Feb 2018
Clement ND Bardgett M Weir D Holland J Gerrand C Deehan DJ

Aims

The primary aim of this study was to assess whether patient satisfaction one year after total knee arthroplasty (TKA) changed with longer follow-up. The secondary aims were to identify predictors of satisfaction at one year, persistence of patient dissatisfaction, and late onset dissatisfaction in patients that were originally satisfied at one year.

Patients and Methods

A retrospective cohort consisting of 1369 patients undergoing a primary TKA for osteoarthritis that had not undergone revision were identified from an established arthroplasty database. Patient demographics, comorbidities, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores, and Short Form 12 (SF-12) questionnaire scores were collected preoperatively, and one and five years postoperatively. In addition, patient satisfaction was assessed at one and five years postoperatively. Logistic regression analysis was used to identify independent predictors of satisfaction at one and five years.


Orthopaedic Proceedings
Vol. 94-B, Issue SUPP_XXIX | Pages 57 - 57
1 Jul 2012
Malviya A Brewster N Weir D Holland J Deehan D
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Introduction

We wished to quantify the influence of constraint and various principal indications upon functional outcome following aseptic first time revision knee arthroplasty.

Methods

In this single centre, prospective study we have looked into the outcome of 175 total revision knee replacement performed between 2003 and 2008 at a minimum follow-up of 1 year. Data was refined to allow for examination exclusively of those cases where the level of constraint was increased from cruciate retaining or cruciate sacrificing knee replacement to either non linked constrained implant (condylar constrained) or linked constrained (rotating hinge) prosthesis.