Can Octogenarians Undergoing Total Knee Arthroplasty Experience Similar Functional Outcomes, Quality of Life, and Satisfaction Rates as Their Younger Counterparts? A Propensity Score Matched Analysis of 1188 Patients

2020 ◽  
Vol 35 (7) ◽  
pp. 1833-1839 ◽  
Author(s):  
Graham S. Goh ◽  
Ming Han Lincoln Liow ◽  
Jerry Yongqiang Chen ◽  
Darren Keng-Jin Tay ◽  
Ngai-Nung Lo ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Total Knee Arthroplasty ◽  
Propensity Score ◽  
Knee Arthroplasty ◽  
Functional Outcomes ◽  
Total Knee ◽  
Satisfaction Rates

scholarly journals Impact of Hospital Rehabilitation on Functional Outcomes and Quality of Life after Total Knee Arthroplasty

2015 ◽  
Vol 61 (2) ◽  
pp. 111-115 ◽  
Author(s):  
Ahmet Ozgur Yildirim ◽  
Oznur Oken ◽  
Ozdamar Fuad Oken ◽  
Belma Fusun Koseoglu ◽  
Nebahat Sezer ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Functional Outcomes ◽  
Total Knee ◽  
Hospital Rehabilitation

Patient-Reported Outcomes, Quality of Life, and Satisfaction Rates in Young Patients Aged 50 Years or Younger After Total Knee Arthroplasty

2017 ◽  
Vol 32 (2) ◽  
pp. 419-425 ◽  
Author(s):  
Graham Seow-Hng Goh ◽  
Ming Han Lincoln Liow ◽  
Hamid Rahmatullah Bin Abd Razak ◽  
Darren Keng-Jin Tay ◽  
Ngai-Nung Lo ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Patient Reported Outcomes ◽  
Young Patients ◽  
Patient Reported ◽  
Total Knee ◽  
Satisfaction Rates

Similar Healthcare Utilization and 1-Year Patient-Reported Outcomes between Cemented and Cementless Primary Total Knee Arthroplasty: A Propensity Score-Matched Analysis

2021 ◽  
Author(s):  
Michael P. Erossy ◽  
Ahmed K. Emara ◽  
Christopher A. Rothfusz ◽  
Alison K. Klika ◽  
Michael R. Bloomfield ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Total Knee Arthroplasty ◽  
Propensity Score ◽  
Healthcare Utilization ◽  
Knee Arthroplasty ◽  
Cementless Fixation ◽  
Significant Difference ◽  
Patient Reported ◽  
Total Knee

AbstractCementless fixation for total knee arthroplasty (TKA) has gained traction with the advent of newer fixation technologies. This study assessed (1) healthcare utilization (length of stay (LOS), nonhome discharge, 90-day readmission, and 1-year reoperation); (2) 1-year mortality; and (3) 1-year joint-specific and global health-related patient-reported outcome measures (PROMs) among patients who received cementless versus cemented TKA. Patients who underwent cementless and cemented TKA at a single institution (July 2015–August 2018) were prospectively enrolled. A total of 424 cementless and 5,274 cemented TKAs were included. The cementless cohort was propensity score-matched to a group cemented TKAs (1:3-cementless: n = 424; cemented: n = 1,272). Within the matched cohorts, 76.9% (n = 326) cementless and 75.9% (n = 966) cementless TKAs completed 1-year PROMs. Healthcare utilization measures, mortality and the median 1-year change in knee injury and osteoarthritis outcome score (KOOS)-pain, KOOS-physical function short form (PS), KOOS-knee related quality of life (KRQOL), Veteran Rand (VR)-12 mental composite (MCS), and physical composite (PCS) scores were compared. The minimal clinically important difference (MCID) for PROMs was calculated. Cementless TKA exhibited similar rates of median LOS (p = 0.109), nonhome discharge disposition (p = 0.056), all-cause 90-day readmission (p = 0.226), 1-year reoperation (p = 0.597), and 1-year mortality (p = 0.861) when compared with cemented TKA. There was no significant difference in the median 1-year improvement in KOOS-pain (p = 0.370), KOOS-PS (p = 0.417), KOOS-KRQOL (p = 0.101), VR-12-PCS (p = 0.269), and VR-12-MCS (p = 0.191) between the cementless and cemented TKA cohorts. Rates of attaining MCID were similar in both cohorts for assessed PROMs (p > 0.05, each) except KOOS-KRQOL (cementless: n = 313 (96.0%) vs. cemented: n = 895 [92.7%]; p = 0.036). Cementless TKA provides similar healthcare-utilization, mortality, and 1-year PROM improvement versus cemented TKA. Cementless fixation in TKA may provide value through higher MCID improvement in quality of life. Future episode-of-care cost-analyses and longer-term survivorship investigations are warranted.

Sign in / Sign up

Export Citation Format

Share Document