PMID- 28031493
OWN - NLM
STAT- MEDLINE
DCOM- 20171130
LR  - 20181202
IS  - 2309-4990 (Electronic)
IS  - 1022-5536 (Linking)
VI  - 24
IP  - 3
DP  - 2016 Dec
TI  - Improvement in health-related quality of life after unilateral total knee 
      arthroplasty in patients with bilateral knee osteoarthritis.
PG  - 294-297
AB  - PURPOSE: To review the outcome of unilateral total knee arthroplasty (TKA) in 
      patients with bilateral knee osteoarthritis (OA) to determine whether unilateral 
      TKA can achieve good health-related quality of life (HRQoL). METHODS: Records of 
      68 women and 25 men with severe bilateral knee OA who underwent unilateral TKA on 
      the more symptomatic knee by a single surgeon and did not return for the second 
      TKA within 2 years were reviewed. Outcome at 6 months and 2 years was assessed 
      using the mental and physical component summary (MCS and PCS) of the Short-Form 
      36 (SF-36) for HRQoL as well as the Oxford Knee Score (OKS) and Knee Society 
      Score (KSS) for knee-specific outcome. RESULTS: The SF-36, OKS, and KSS improved 
      significantly after unilateral TKA. Respectively for MCS and PCS of SF-36, OKS, 
      and KSS knee and function scores, 65%, 89%, 98%, 98%, and 98% of patients 
      reported absolute improvement at 2 years. Respectively for PCS, OKS, and KSS 
      function score that a minimal clinically important difference (MCID) was 
      established, 77%, 96%, and 80% of patients achieved MCID at 2 years. CONCLUSION: 
      Unilateral TKA achieves good outcome in HRQoL at 2 years in patients with 
      bilateral knee OA.
FAU - Thiam, Desmond
AU  - Thiam D
AD  - Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
FAU - Teh, Daniel Jing Wen
AU  - Teh DJ
AD  - Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
FAU - Bin Abd Razak, Hamid Rahmatullah
AU  - Bin Abd Razak HR
AD  - Department of Orthopaedic Surgery, Singapore General Hospital, Singapore.
FAU - Tan, Andrew Hwee Chye
AU  - Tan AH
AD  - Department of Orthopaedic Surgery, Singapore General Hospital, Singapore.
LA  - eng
PT  - Journal Article
PL  - England
TA  - J Orthop Surg (Hong Kong)
JT  - Journal of orthopaedic surgery (Hong Kong)
JID - 9440382
SB  - IM
MH  - Aged
MH  - *Arthroplasty, Replacement, Knee
MH  - Cohort Studies
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Osteoarthritis, Knee/physiopathology/psychology/*surgery
MH  - *Quality of Life
MH  - Treatment Outcome
OTO - NOTNLM
OT  - arthroplasty, replacement, knee
OT  - osteoarthritis, knee
OT  - quality of life
EDAT- 2016/12/30 06:00
MHDA- 2017/12/01 06:00
CRDT- 2016/12/30 06:00
PHST- 2016/12/30 06:00 [entrez]
PHST- 2016/12/30 06:00 [pubmed]
PHST- 2017/12/01 06:00 [medline]
AID - 10.1177/1602400304 [doi]
PST - ppublish
SO  - J Orthop Surg (Hong Kong). 2016 Dec;24(3):294-297. doi: 10.1177/1602400304.