PMID- 29635649
OWN - NLM
STAT- MEDLINE
DCOM- 20190521
LR  - 20221207
IS  - 1938-2480 (Electronic)
IS  - 1538-8506 (Linking)
VI  - 32
IP  - 3
DP  - 2019 Mar
TI  - Achieving Minimum Clinically Important Difference in Oxford Knee Score and Short 
      Form-36 Physical Component Summary Is Less Likely with Single-Radius Compared 
      with Multiradius Total Knee Arthroplasty in Asians.
PG  - 227-232
LID - 10.1055/s-0038-1641139 [doi]
AB  - Single-radius (SR) and multiradius (MR) total knee arthroplasties (TKAs) have 
      produced similar outcomes, albeit most studies originate from Western nations. 
      There are known knee kinematic differences between Western and Asian patients 
      after TKA. The aim of this study is to compare the short-term patient-reported 
      outcome measures (PROMs) of SR-TKA versus MR-TKA in Asians. Registry data of 133 
      SR-TKA versus 363 MR-TKA by a single surgeon were analyzed. Preoperative and 
      2-year postoperative range of motion (ROM) and PROMs were compared with Student's 
      t-test and Mann-Whitney U-test. Logistic regression model was used to evaluate 
      the odds of SR-TKA or MR-TKA achieving the minimum clinically important 
      difference (MCID) of studied outcomes. Patients in both groups had similar age 
      (65.7 +/- 7.6 vs. 65.8 +/- 8.2 years; p = 0.317), gender proportion (71% females vs. 
      79% females; p = 0.119), and ethnic distribution (80% Chinese vs. 84% Chinese; 
      p = 0.258). Preoperatively, there were no statistically significant differences 
      between both groups for ROM, Knee Society Score (KSS), Oxford Knee Score (OKS), 
      and Short Form (SF)-36 scores. At 2 years, all outcomes were statistically 
      similar or failed to achieve a difference of MCID. Controlling for all 
      preoperative variables, SR-TKA has significantly lower odds of achieving MCID for 
      OKS (odds ratio [OR]: 0.275, 95% confidence interval [CI]: 0.114-0.663; 
      p = 0.004) and SF-36 Physical Component Summary (PCS) (OR: 0.547; 95% CI: 
      0.316-0.946; p = 0.031) compared with MR-TKA. In conclusion, there are no 
      significant differences in the absolute PROMs between SR-TKA and MR-TKA at 2 
      years following TKA in Asians. However, SR-TKA has significantly lower odds of 
      achieving the MCID for OKS and SF-36 PCS.
CI  - Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.
FAU - Lee, Wu Chean
AU  - Lee WC
AD  - Department of Orthopaedic Surgery, Singapore General Hospital, Singapore.
FAU - Bin Abd Razak, Hamid Rahmatullah
AU  - Bin Abd Razak HR
AD  - Department of Orthopaedic Surgery, Singapore General Hospital, Singapore.
FAU - Allen, John Carson
AU  - Allen JC
AD  - Centre for Quantitative Medicine, Duke-NUS Medical School, Singapore.
FAU - Chong, Hwei Chi
AU  - Chong HC
AD  - Orthopaedic Diagnostic Centre, Singapore General Hospital, Singapore.
FAU - Tan, Hwee Chye Andrew
AU  - Tan HCA
AD  - Department of Orthopaedic Surgery, Singapore General Hospital, Singapore.
LA  - eng
PT  - Journal Article
DEP - 20180410
PL  - Germany
TA  - J Knee Surg
JT  - The journal of knee surgery
JID - 101137599
SB  - IM
MH  - Aged
MH  - Arthroplasty, Replacement, Knee/*instrumentation
MH  - *Asian People
MH  - Biomechanical Phenomena
MH  - Female
MH  - Humans
MH  - *Knee Prosthesis
MH  - Male
MH  - Middle Aged
MH  - Osteoarthritis, Knee/ethnology/physiopathology/*surgery
MH  - Patient Reported Outcome Measures
MH  - Prosthesis Design
MH  - Range of Motion, Articular
MH  - Registries
MH  - Singapore
MH  - Treatment Outcome
COIS- None.
EDAT- 2018/04/11 06:00
MHDA- 2019/05/22 06:00
CRDT- 2018/04/11 06:00
PHST- 2018/04/11 06:00 [pubmed]
PHST- 2019/05/22 06:00 [medline]
PHST- 2018/04/11 06:00 [entrez]
AID - 10.1055/s-0038-1641139 [doi]
PST - ppublish
SO  - J Knee Surg. 2019 Mar;32(3):227-232. doi: 10.1055/s-0038-1641139. Epub 2018 Apr 
      10.