PMID- 37286052
OWN - NLM
STAT- MEDLINE
DCOM- 20231120
LR  - 20240213
IS  - 1532-8406 (Electronic)
IS  - 0883-5403 (Linking)
VI  - 38
IP  - 12
DP  - 2023 Dec
TI  - Establishing the Minimal Clinically Important Difference and Patient Acceptable 
      Symptomatic State following Patellofemoral Inlay Arthroplasty for Visual Analog 
      Scale Pain, Western Ontario and McMaster Universities Arthritis Index, and 
      Lysholm Scores.
PG  - 2580-2586
LID - S0883-5403(23)00626-5 [pii]
LID - 10.1016/j.arth.2023.05.084 [doi]
AB  - BACKGROUND: The purposes of the study were to define the minimal clinically 
      important difference (MCID) and patient acceptable symptomatic state (PASS) after 
      patello-femoral inlay arthroplasty (PFA) and to identify factors predictive for 
      the achievement of clinically important outcomes (CIOs). METHODS: A total of 99 
      patients who underwent PFA between 2009 and 2019 and had a minimum of 2-year 
      postoperative follow-up were enrolled in this retrospective monocentric study. 
      Included patients had a mean age of 44 years (range, 21 to 79). The MCID and PASS 
      were calculated using an anchor-based approach for the visual analog scale (VAS) 
      pain, Western Ontario and McMaster Universities Arthritis Index (WOMAC), and 
      Lysholm patient-reported outcome measures. Factors associated with CIO 
      achievement were determined using multivariable logistic regression analyses. 
      RESULTS: The established MCID thresholds for clinical improvement were -2.46 for 
      the VAS pain score, -8.5 for the WOMAC score, and + 25.4 for the Lysholm score. 
      Postoperative scores corresponding to the PASS were <2.55 for the VAS pain score, 
      <14.6 for the WOMAC score, and >52.5 points for the Lysholm score. Preoperative 
      patellar instability and concomitant medial patello-femoral ligament 
      reconstruction were independent positive predictors of reaching both MCID and 
      PASS. Additionally, inferior baseline scores and age were predictive of achieving 
      MCID, whereas superior baseline scores and body mass index were predictive of 
      achieving PASS. CONCLUSION: This study determined the thresholds of MCID and PASS 
      for the VAS pain, WOMAC, and Lysholm scores following PFA implantation at 2-year 
      follow-up. The study demonstrated a predictive role of patient age, body mass 
      index, preoperative patient-reported outcome measure scores, preoperative 
      patellar instability, and concomitant medial patello-femoral ligament 
      reconstruction in the achievement of CIOs. LEVEL OF EVIDENCE: Prognostic Level 
      IV.
CI  - Copyright (c) 2023 Elsevier Inc. All rights reserved.
FAU - Rupp, Marco-Christopher
AU  - Rupp MC
AD  - Department of Orthopaedic Sports Medicine, Klinikum rechts der Isar, Technical 
      University of Munich, Munich, Germany.
FAU - Khan, Zeeshan A
AU  - Khan ZA
AD  - Midwest Orthopaedics at Rush, Department of Orthopaedic Surgery, Rush University 
      Medical Center, Chicago, Illinois.
FAU - Dasari, Suhas P
AU  - Dasari SP
AD  - Midwest Orthopaedics at Rush, Department of Orthopaedic Surgery, Rush University 
      Medical Center, Chicago, Illinois.
FAU - Berthold, Daniel P
AU  - Berthold DP
AD  - Department of Orthopaedic Sports Medicine, Klinikum rechts der Isar, Technical 
      University of Munich, Munich, Germany; Department of Orthopaedics and Trauma 
      Surgery, Musculoskeletal University Center Munich (MUM), University Hospital, LMU 
      Munich, Munich, Germany.
FAU - Siebenlist, Sebastian
AU  - Siebenlist S
AD  - Department of Orthopaedic Sports Medicine, Klinikum rechts der Isar, Technical 
      University of Munich, Munich, Germany.
FAU - Imhoff, Andreas B
AU  - Imhoff AB
AD  - Department of Orthopaedic Sports Medicine, Klinikum rechts der Isar, Technical 
      University of Munich, Munich, Germany.
FAU - Chahla, Jorge
AU  - Chahla J
AD  - Midwest Orthopaedics at Rush, Department of Orthopaedic Surgery, Rush University 
      Medical Center, Chicago, Illinois.
FAU - Pogorzelski, Jonas
AU  - Pogorzelski J
AD  - Department of Orthopaedic Sports Medicine, Klinikum rechts der Isar, Technical 
      University of Munich, Munich, Germany.
LA  - eng
PT  - Journal Article
DEP - 20230605
PL  - United States
TA  - J Arthroplasty
JT  - The Journal of arthroplasty
JID - 8703515
SB  - IM
MH  - Humans
MH  - Adult
MH  - Treatment Outcome
MH  - Retrospective Studies
MH  - Minimal Clinically Important Difference
MH  - Visual Analog Scale
MH  - Ontario
MH  - *Joint Instability
MH  - Universities
MH  - *Patellofemoral Joint/surgery
MH  - Arthroplasty
MH  - Pain/etiology
MH  - Patient Reported Outcome Measures
OTO - NOTNLM
OT  - patello-femoral
OT  - patello-femoral arthroplasty
OT  - patello-femoral osteoarthritis
OT  - patello-femoral resurfacing
OT  - retropatellar resurfacing
EDAT- 2023/06/08 01:08
MHDA- 2023/11/20 06:54
CRDT- 2023/06/07 19:26
PHST- 2022/10/03 00:00 [received]
PHST- 2023/05/26 00:00 [revised]
PHST- 2023/05/29 00:00 [accepted]
PHST- 2023/11/20 06:54 [medline]
PHST- 2023/06/08 01:08 [pubmed]
PHST- 2023/06/07 19:26 [entrez]
AID - S0883-5403(23)00626-5 [pii]
AID - 10.1016/j.arth.2023.05.084 [doi]
PST - ppublish
SO  - J Arthroplasty. 2023 Dec;38(12):2580-2586. doi: 10.1016/j.arth.2023.05.084. Epub 
      2023 Jun 5.