PMID- 37598778
OWN - NLM
STAT- MEDLINE
DCOM- 20240108
LR  - 20240108
IS  - 1532-8406 (Electronic)
IS  - 0883-5403 (Linking)
VI  - 39
IP  - 2
DP  - 2024 Feb
TI  - Functional Outcome Change Over 10 Years After Primary Total Knee Arthroplasty. A 
      Prospective Longitudinal Cohort Study.
PG  - 374-378
LID - S0883-5403(23)00853-7 [pii]
LID - 10.1016/j.arth.2023.08.042 [doi]
AB  - BACKGROUND: To assess any clinically important difference in functional outcome 
      over 10 years after primary total knee arthroplasty (TKA). METHODS: A prospective 
      registry-based observational cohort study including 309 patients older than 60 
      years who underwent primary TKA. Patients were assessed at 1, 3, 5, 7 and 10 
      postoperative years with the Knee Society scores (KSS) and Western Ontario and 
      McMaster Universities Osteoarthritis Index (WOMAC). Clinically important 
      improvement was defined according to the minimal clinically important difference 
      (MCID). Patients were also categorized as type A (unilateral knee 
      osteoarthritis), type B (bilateral knee osteoarthritis) or type C (various sites 
      of osteoarthritis). RESULTS: The mean age at the TKA surgery was 69.2 (SD 7.3) 
      years, 197 (63.7%) were women.Maximum postoperative improvements in functional 
      scores occurred at 3 postoperative years, remained relatively stable up to 
      5-year. There were significant decreases in all KSS and WOMAC scores at 7-year 
      follow-up (P = .001), remained stable up to 10-year. At 10-year, functional 
      scores were significantly higher than preoperatively (P = .001). Differences 
      between maximum scores at 3-year and those at 10-year were significantly lesser 
      than MCID in all scores (P = .001). In multivariate analysis, type-C patient at 
      TKA surgery was the only significant predictor of unsuccessful KSS score and 
      dissatisfaction at 10-year follow-up. CONCLUSION: Primary TKA provides clinically 
      important improvements in functional and quality of life outcomes over 10-year 
      follow-up compared to preoperatively. Although there were statistically 
      significant declines in KSS and WOMAC scores from 3 to 10 years, the differences 
      were lesser than the MCID.
CI  - Copyright (c) 2023 Elsevier Inc. All rights reserved.
FAU - Sebastia-Forcada, Emilio
AU  - Sebastia-Forcada E
AD  - Department of Orthopaedic Surgery, Elda University Hospital, Alicante, Spain.
FAU - Ruiz-Lozano, Matias
AU  - Ruiz-Lozano M
AD  - Department of Orthopaedic Surgery, Elda University Hospital, Alicante, Spain.
FAU - Perez-Aznar, Adolfo
AU  - Perez-Aznar A
AD  - Department of Orthopaedic Surgery, Elda University Hospital, Alicante, Spain.
FAU - Miralles-Munoz, Francisco A
AU  - Miralles-Munoz FA
AD  - Department of Orthopaedic Surgery, Elda University Hospital, Alicante, Spain.
FAU - Gonzalez-Navarro, Blanca
AU  - Gonzalez-Navarro B
AD  - Department of Orthopaedic Surgery, Elda University Hospital, Alicante, Spain.
FAU - Lizaur-Utrilla, Alejandro
AU  - Lizaur-Utrilla A
AD  - Department of Orthopaedic Surgery, Elda University Hospital, Alicante, Spain; 
      Department of Traumatology and Orthopaedics, Miguel Hernandez University, San 
      Juan de Alicante, Alicante, Spain.
LA  - eng
PT  - Journal Article
PT  - Observational Study
DEP - 20230818
PL  - United States
TA  - J Arthroplasty
JT  - The Journal of arthroplasty
JID - 8703515
SB  - IM
MH  - Humans
MH  - Female
MH  - Aged
MH  - Male
MH  - *Arthroplasty, Replacement, Knee
MH  - *Osteoarthritis, Knee/surgery
MH  - Quality of Life
MH  - Longitudinal Studies
MH  - Treatment Outcome
MH  - Knee Joint/surgery
OTO - NOTNLM
OT  - functional outcome
OT  - long-term outcome
OT  - primary total knee arthroplasty
OT  - quality of life
EDAT- 2023/08/21 00:42
MHDA- 2024/01/08 06:43
CRDT- 2023/08/20 19:24
PHST- 2023/04/13 00:00 [received]
PHST- 2023/08/06 00:00 [revised]
PHST- 2023/08/11 00:00 [accepted]
PHST- 2024/01/08 06:43 [medline]
PHST- 2023/08/21 00:42 [pubmed]
PHST- 2023/08/20 19:24 [entrez]
AID - S0883-5403(23)00853-7 [pii]
AID - 10.1016/j.arth.2023.08.042 [doi]
PST - ppublish
SO  - J Arthroplasty. 2024 Feb;39(2):374-378. doi: 10.1016/j.arth.2023.08.042. Epub 
      2023 Aug 18.