scholarly journals PSU24 Comparison of the Responsiveness of the SF-36 and the Raw and Rasch-Based Scores of the Oxford Knee Score in Patients Undergoing Total Knee Replacement

2011 ◽  
Vol 14 (7) ◽  
pp. A264
Author(s):  
Y. Ko ◽  
N.N. Lo ◽  
S.J. Yeo ◽  
K.Y. Yang ◽  
H.C. Chong ◽  
...  
Keyword(s):  
Total Knee Replacement ◽  
Knee Replacement ◽  
Oxford Knee Score ◽  
Knee Score ◽  
Sf 36 ◽  
Total Knee

scholarly journals Outcome of NEXGEN® fixed bearing and posterior stabilising total knee replacement

2016 ◽  
Vol 15 (1) ◽  
Author(s):  
Mohd Shahidan Noor Rahin ◽  
Khairul Nizam Siron ◽  
Ed Simor Khan Mor Japar Khan ◽  
Ahmad Hafiz Zulkifly ◽  
Mohammed Harris
Keyword(s):  
Total Knee Replacement ◽  
Knee Replacement ◽  
Oxford Knee Score ◽  
Joint Disease ◽  
Major Advance ◽  
Knee Score ◽  
Fixed Bearing ◽  
Sf 36 ◽  
Functional Scores ◽  
Total Knee

Introduction: Total knee arthroplasty (TKA) represents a major advance in the treatment of degenerative joint disease, providing excellent restoration of joint function and pain relief. This study aim to evaluate the survival analysis of the implant, the functional and knee scores outcome and to identify a complication following Nexgen fixed bearing and posterior stabilizing total knee replacement. Methods: The present study was conducted to retrospectively review the results of all primary TKA performed at Hospital Tengku Ampuan Afzan over a period of 15 years from 2000 to 2015. The study sample consisted of 160 TKA. Oxford knee score and SF 36 were used and statistical analysis of both knee scores and functional scores were compared using SPSS software. Survivorship analysis was compared using the Kaplan-Meier method. Endpoints of implant defined as revision with removal of implant and addition or exchange of prosthetic components. Results: Functional and knee score post operatively was excellent and good. Mean range of movement of knee during the study period were left 107.50 degrees and right 106.49 degrees. Mean femoral flexion angle is 92.38 degrees and mean tibial angle is 89.48 degrees. The outcome categories for the Oxford knee score have 101 patients showed excellent result, 41 patients good, and 18 patients fair. In this study mean total SF 36 score is 80.99. Conclusions: The outcome shows that total knee replacement is a reproducible surgery for which a trained surgeon will be able to produce excellent and good results.

Functional outcome of single stage bilateral total knee replacement measured using oxford knee score

2019 ◽  
Vol 6 (2) ◽  
pp. 94-97 ◽  
Author(s):  
Krishnamoorthy Shriram ◽  
A.B. Govindaraj ◽  
A.N. Vivek ◽  
Sohanlal VijayKumar ◽  
M. Anand
Keyword(s):  
Total Knee Replacement ◽  
Functional Outcome ◽  
Knee Replacement ◽  
Oxford Knee Score ◽  
Single Stage ◽  
Knee Score ◽  
Total Knee ◽  
Bilateral Total Knee Replacement

scholarly journals Total versus partial knee replacement in patients with medial compartment knee osteoarthritis: the TOPKAT RCT

2020 ◽  
Vol 24 (20) ◽  
pp. 1-98
Author(s):  
David J Beard ◽  
Loretta J Davies ◽  
Jonathan A Cook ◽  
Graeme MacLennan ◽  
Andrew Price ◽  
...  
Keyword(s):  
Health Care ◽  
Total Knee Replacement ◽  
Knee Osteoarthritis ◽  
Knee Replacement ◽  
Oxford Knee Score ◽  
Medial Compartment ◽  
Knee Score ◽  
Patient Reported ◽  
Total Knee ◽  
Partial Knee Replacement

Background Late-stage medial compartment knee osteoarthritis can be treated using total knee replacement or partial (unicompartmental) knee replacement. There is high variation in treatment choice and insufficient evidence to guide selection. Objective To assess the clinical effectiveness and cost-effectiveness of partial knee replacement compared with total knee replacement in patients with medial compartment knee osteoarthritis. The findings are intended to guide surgical decision-making for patients, surgeons and health-care providers. Design This was a randomised, multicentre, pragmatic comparative effectiveness trial that included an expertise component. The target sample size was 500 patients. A web-based randomisation system was used to allocate treatments. Setting Twenty-seven NHS hospitals (68 surgeons). Participants Patients with medial compartment knee osteoarthritis. Interventions The trial compared the overall management strategy of partial knee replacement treatment with total knee replacement treatment. No specified brand or subtype of implant was investigated. Main outcome measures The Oxford Knee Score at 5 years was the primary end point. Secondary outcomes included activity scores, global health measures, transition items, patient satisfaction (Lund Score) and complications (including reoperation, revision and composite ‘failure’ – defined by minimal Oxford Knee Score improvement and/or reoperation). Cost-effectiveness was also assessed. Results A total of 528 patients were randomised (partial knee replacement, n = 264; total knee replacement, n = 264). The follow-up primary outcome response rate at 5 years was 88% and both operations had good outcomes. There was no significant difference between groups in mean Oxford Knee Score at 5 years (difference 1.04, 95% confidence interval –0.42 to 2.50). An area under the curve analysis of the Oxford Knee Score at 5 years showed benefit in favour of partial knee replacement over total knee replacement, but the difference was within the minimal clinically important difference [mean 36.6 (standard deviation 8.3) (n = 233), mean 35.1 (standard deviation 9.1) (n = 231), respectively]. Secondary outcome measures showed consistent patterns of benefit in the direction of partial knee replacement compared with total knee replacement although most differences were small and non-significant. Patient-reported improvement (transition) and reflection (would you have the operation again?) showed statistically significant superiority for partial knee replacement only, but both of these variables could be influenced by the lack of blinding. The frequency of reoperation (including revision) by treatment received was similar for both groups: 22 out of 245 for partial knee replacement and 28 out of 269 for total knee replacement patients. Revision rates at 5 years were 10 out of 245 for partial knee replacement and 8 out of 269 for total knee replacement. There were 28 ‘failures’ of partial knee replacement and 38 ‘failures’ of total knee replacement (as defined by composite outcome). Beyond 1 year, partial knee replacement was cost-effective compared with total knee replacement, being associated with greater health benefits (measured using quality-adjusted life-years) and lower health-care costs, reflecting lower costs of the index surgery and subsequent health-care use. Limitations It was not possible to blind patients in this study and there was some non-compliance with the allocated treatment interventions. Surgeons providing partial knee replacement were relatively experienced with the procedure. Conclusions Both total knee replacement and partial knee replacement are effective, offer similar clinical outcomes and have similar reoperation and complication rates. Some patient-reported measures of treatment approval were significantly higher for partial knee replacement than for total knee replacement. Partial knee replacement was more cost-effective (more effective and cost saving) than total knee replacement at 5 years. Future work Further (10-year) follow-up is in progress to assess the longer-term stability of these findings. Trial registration Current Controlled Trials ISRCTN03013488 and ClinicalTrials.gov NCT01352247. Funding This project was funded by the National Institute for Health Research (NIHR) Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 24, No. 20. See the NIHR Journals Library website for further project information.

Long-term trends in the Oxford knee score following total knee replacement

2013 ◽  
Vol 95-B (1) ◽  
pp. 45-51 ◽  
Author(s):  
D. P. Williams ◽  
C. M. Blakey ◽  
S. G. Hadfield ◽  
D. W. Murray ◽  
A. J. Price ◽  
...  
Keyword(s):  
Total Knee Replacement ◽  
Knee Replacement ◽  
Oxford Knee Score ◽  
Knee Score ◽  
Score Following ◽  
Long Term Trends ◽  
Total Knee

Categorization of changes in the Oxford Knee Score after total knee replacement: an interpretive tool developed from a data set of 46,094 replacements

2021 ◽  
Vol 132 ◽  
pp. 18-25
Author(s):  
Mette Mikkelsen ◽  
Anqi Gao ◽  
Lina Holm Ingelsrud ◽  
David Beard ◽  
Anders Troelsen ◽  
...  
Keyword(s):  
Total Knee Replacement ◽  
Knee Replacement ◽  
Oxford Knee Score ◽  
Knee Score ◽  
Data Set ◽  
Total Knee
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