scholarly journals Patient-based outcome analysis is important to determine the success of total knee arthroplasty: result of a focus group discussion

2016 ◽  
pp. 125 ◽  
Author(s):  
Balaji Zacharia ◽  
Manu Paul ◽  
Muhammed Sherule
Keyword(s):  
Total Knee Arthroplasty ◽  
Focus Group ◽  
Focus Group Discussion ◽  
Knee Arthroplasty ◽  
Group Discussion ◽  
Outcome Analysis ◽  
Total Knee

scholarly journals Patients' experiences and satisfaction at one year following primary total knee arthroplasty: A focus‐group discussion

2020 ◽  
Vol 18 (4) ◽  
pp. 434-449
Author(s):  
Bodor Bin Sheeha ◽  
Anita Williams ◽  
David Sands Johnson ◽  
Malcolm Granat ◽  
Richard Jones
Keyword(s):  
Total Knee Arthroplasty ◽  
Focus Group ◽  
Focus Group Discussion ◽  
Knee Arthroplasty ◽  
Group Discussion ◽  
Primary Total Knee Arthroplasty ◽  
Total Knee ◽  
One Year ◽  
Primary Total Knee

scholarly journals Exploring Race Differences in Satisfaction with Rehabilitation Following Total Knee Arthroplasty: a Qualitative Study

2021 ◽  
Author(s):  
Allyn M Bove ◽  
Erin R Dong ◽  
Leslie R M Hausmann ◽  
Sara R Piva ◽  
Jennifer S Brach ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Physical Therapy ◽  
Focus Group ◽  
Knee Arthroplasty ◽  
Physical Therapists ◽  
Race Differences ◽  
Theory Approach ◽  
Focus Group Study ◽  
Black And White ◽  
Total Knee

Abstract Background The purpose of this qualitative focus group study was to explore race differences in the rehabilitation experience and satisfaction with rehabilitation following total knee arthroplasty (TKA). Methods We conducted a series of qualitative focus group discussions with groups of Non-Hispanic White and Non-Hispanic Black older adults who recently underwent TKA. We used grounded theory approach, which asks the researcher to develop theory from the data that are collected. Participants discussed barriers and facilitators to accessing rehabilitation after surgery, opinions regarding their physical therapists, the amount of post-operative physical therapy received, and overall satisfaction with the post-operative rehabilitation process. Results Thirty-six individuals participated in focus groups. Three major themes emerged: (1) Participants reported overall positive views of their post-TKA rehabilitation experience. They particularly enjoyed one-on-one care, the ability to participate in “prehabilitation”, and often mentioned specific interventions they felt were most helpful in their recovery. (2) Despite this, substantial barriers to accessing physical therapy exist. These include suboptimal pain management, copayments and other out-of-pocket costs, and transportation to visits. (3) There were minor differences in the rehabilitation experiences between Black and White participants. Black participants reported longer paths toward surgery and occasional difficulty interacting with rehabilitation providers. Conclusions Individuals undergoing TKA can largely expect positive rehabilitation experiences post-operatively. However, some barriers to post-operative physical therapy exist and may differ between Black and White patients. Physical therapists should increase their awareness of these barriers and work to minimize them whenever possible.

scholarly journals Cemented Total Knee Arthroplasty- A Short Term Clinical, Functional Assessment and Outcome Analysis

2020 ◽  
Vol 9 (03) ◽  
pp. 138-141
Author(s):  
Meenakshi Sundaram Kandasamy ◽  
Kandaswamy Ganesh Shankar Kandaswamy ◽  
Sathish Kumar Rajaram ◽  
Vijayan Gopala Krishna Kurup
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Functional Assessment ◽  
Outcome Analysis ◽  
Short Term ◽  
Total Knee

scholarly journals Focus Group Discussion as a Tool to Assess Patient-Based Outcomes, Practical Tips for Conducting Focus Group Discussion for Medical Students—Learning With an Example

2021 ◽  
Vol 8 ◽  
pp. 237437352110342
Author(s):  
Balaji Zacharia ◽  
Puneeth Katapadi Pai ◽  
Manu Paul
Keyword(s):  
Patient Satisfaction ◽  
Focus Group ◽  
Focus Group Discussion ◽  
Group Discussion ◽  
Cost Effective ◽  
Short Period ◽  
Patient Reported ◽  
Region Culture ◽  
Total Knee ◽  
Culture Education

Patient-based outcomes (patient-reported outcomes) of any intervention can change according to factors like age, gender, region, culture, education, and socioeconomic status. Most of the available outcome measuring tools have a surgeon-related bias. Focus group discussion (FGD) is a simple and effective way to assess the outcome of an intervention. In FGD, people from similar backgrounds and experiences discuss a specific topic of interest. Our objective is to discuss the problems of common outcome measuring tools for patient satisfaction and to understand the method of conducting an FGD. We have set our own published article on patient-based outcomes after total knee arthroplasty (TKA) as an example for explaining the method of conducting an FGD. The planning, advantages, disadvantages, practicalities, and problems of conducting an FGD are explained. In conclusion, many of the tools used for assessing patient satisfaction is surgeon-centered. Focus group discussion is simple, cost-effective, requiring a small number of participants, and can be completed in a short period. It is an effective tool for assessing patient-based outcomes in TKA.

scholarly journals Long term outcome analysis of fixed bearing total knee arthroplasty

2018 ◽  
Vol 4 (3.1) ◽  
pp. 56-61
Author(s):  
Dr. R Raj Ganesh ◽  
Dr. A Saravanan ◽  
RH Govardhan ◽  
N Deen Muhammad Ismail ◽  
Dr. M Sathish
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Outcome Analysis ◽  
Fixed Bearing ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Total Knee

scholarly journals Infected total knee arthroplasty treatment outcome analysis

2012 ◽  
Vol 69 (6) ◽  
pp. 504-509 ◽  
Author(s):  
Dragan Radoicic ◽  
Zoran Popovic ◽  
Radoslav Barjaktarovic ◽  
Jugoslav Marinkovic
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Micrococcus Luteus ◽  
Outcome Analysis ◽  
Two Stage ◽  
Military Medical Academy ◽  
Infected Total Knee Arthroplasty ◽  
Primary Tkas ◽  
Total Knee ◽  
The Military

Background/Aim. Infected total knee arthroplasty (TKA) is a topic of great importance, because its diagnosing and treatment requires a lot of resources, and often has an unsatisfactory outcome. The aim of this study was to analyze the outcome of the treatment of infection developed following TKA. Methods. This retrospective study of infected TKAs was performed in the period from 1998 to 2008 in the Orthopedics & Traumatology Clinic of the Military Medical Academy (MMA) in Belgrade. A total of 654 primary and revised TKAs were performed in the said period. We registered and surgically treated 28 infected TKAs (primary TKAs: MMA - 22, other institutions - 6). The incidence of TKA infection in the MMA was 3.36%. The most common pathogens were: Staphylococcus aureus - 14 (50%) cases, and Staph. epidermidis - 3 (10.7%) cases. Other isolated pathogens were: Enterococcus faecalis, Klebsiella pneum., Klebsiella spp., Streptoccocus viridans, Seratia spp, Micrococcus luteus and Peptostreptococcus spp. In one case we had mixed anaerobic flora, and in 3 cases cultures were negative. We analyzed diagnostic challenges, risk factors (such as age and previous viscosupplementation) and treatment outcomes in our series of infected TKAs. Results. In our series 2 infections healed after iv antibiotics and debridement, 1 patient responded to open debridement with component retention, 4 patients responded fully to one-stage reimplantation, 10 cases responded fully to two-stage reimplantation, 11 patients ended with arthrodesis and we had 1 patient with above knee amputation. Conclusion. Two-stage reimplantation remains gold standard for treatment of infected TKA, and we recommend it as treatment of choice for eradication of infection. The antibiotic loaded spacer prothesis concept in most cases allows infection eradication, good function and high patient satisfaction.

scholarly journals Effect of dexamethasone as an analgesic adjuvant to multimodal pain treatment after total knee arthroplasty: randomised clinical trial

BMJ ◽  
2022 ◽  
pp. e067325
Author(s):  
Kasper Smidt Gasbjerg ◽  
Daniel Hägi-Pedersen ◽  
Troels Haxholdt Lunn ◽  
Christina Cleveland Laursen ◽  
Majken Holmqvist ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Postoperative Pain ◽  
Knee Arthroplasty ◽  
Primary Outcome ◽  
Pain Treatment ◽  
Statistical Significance ◽  
Minimal Important Difference ◽  
Morphine Consumption ◽  
Outcome Analysis ◽  
Total Knee

Abstract Objective To investigate the effects of one and two doses of intravenous dexamethasone in patients after total knee arthroplasty. Design Randomised, blinded, placebo controlled trial with follow-up at 90 days. Setting Five Danish hospitals, September 2018 to March 2020. Participants 485 adult participants undergoing total knee arthroplasty. Intervention A computer generated randomised sequence stratified for site was used to allocate participants to one of three groups: DX1 (dexamethasone (24 mg)+placebo); DX2 (dexamethasone (24 mg)+dexamethasone (24 mg)); or placebo (placebo+placebo). The intervention was given preoperatively and after 24 hours. Participants, investigators, and outcome assessors were blinded. All participants received paracetamol, ibuprofen, and local infiltration analgesia. Main outcome measures The primary outcome was total intravenous morphine consumption 0 to 48 hours postoperatively. Multiplicity adjusted threshold for statistical significance was P<0.017 and minimal important difference was 10 mg morphine. Secondary outcomes included postoperative pain. Results 485 participants were randomised: 161 to DX1, 162 to DX2, and 162 to placebo. Data from 472 participants (97.3%) were included in the primary outcome analysis. The median (interquartile range) morphine consumptions at 0-48 hours were: DX1 37.9 mg (20.7 to 56.7); DX2 35.0 mg (20.6 to 52.0); and placebo 43.0 mg (28.7 to 64.0). Hodges-Lehmann median differences between groups were: −2.7 mg (98.3% confidence interval −9.3 to 3.7), P=0.30 between DX1 and DX2; 7.8 mg (0.7 to 14.7), P=0.008 between DX1 and placebo; and 10.7 mg (4.0 to 17.3), P<0.001 between DX2 and placebo. Postoperative pain was reduced at 24 hours with one dose, and at 48 hours with two doses, of dexamethasone. Conclusion Two doses of dexamethasone reduced morphine consumption during 48 hours after total knee arthroplasty and reduced postoperative pain. Trial registration Clinicaltrials.gov NCT03506789 .

scholarly journals Perspective of potential patients on the hospital volume-outcome relationship and the minimum volume threshold for total knee arthroplasty: a qualitative focus group and interview study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Charlotte M. Kugler ◽  
Karina K. De Santis ◽  
Tanja Rombey ◽  
Kaethe Goossen ◽  
Jessica Breuing ◽  
...  
Keyword(s):  
Systematic Review ◽  
Total Knee Arthroplasty ◽  
Focus Group ◽  
Knee Arthroplasty ◽  
Hospital Volume ◽  
Minimum Volume ◽  
Outcome Relationship ◽  
Volume Outcome ◽  
Total Knee ◽  
Minimum Volume Threshold

Abstract Background Total knee arthroplasty (TKA) is performed to treat end-stage knee osteoarthritis. In Germany, a minimum volume threshold of 50 TKAs/hospital/year was implemented to ensure outcome quality. This study, embedded within a systematic review, aimed to investigate the perspectives of potential TKA patients on the hospital volume-outcome relationship for TKA (higher volumes associated with better outcomes). Methods A convenience sample of adults with knee problems and heterogeneous demographic characteristics participated in the study. Qualitative data were collected during a focus group prior to the systematic review (n = 5) and during telephone interviews, in which preliminary results of the systematic review were discussed (n = 16). The data were synthesised using content analysis. Results All participants (n = 21) believed that a hospital volume-outcome relationship exists for TKA while recognising that patient behaviour or the surgeon could also influence outcomes. All participants would be willing to travel longer for better outcomes. Most interviewees would choose a hospital for TKA depending on reputation, recommendations, and service quality. However, some would also choose a hospital based on the results of the systematic review that showed slightly lower mortality/revision rates at higher-volume hospitals. Half of the interviewees supported raising the minimum volume threshold even if this were to increase travel time to receive TKA. Conclusions Potential patients believe that a hospital volume-outcome relationship exists for TKA. Hospital preference is based mainly on subjective factors, although some potential patients would consider scientific evidence when making their choice. Policy makers and physicians should consider the patient perspectives when deciding on minimum volume thresholds or recommending hospitals for TKA, respectively.

scholarly journals Periprosthetic tibial fractures in total knee arthroplasty – an outcome analysis of a challenging and underreported surgical issue

2018 ◽  
Vol 19 (1) ◽  
Author(s):  
Anna Janine Schreiner ◽  
Florian Schmidutz ◽  
Atesch Ateschrang ◽  
Christoph Ihle ◽  
Ulrich Stöckle ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Tibial Fractures ◽  
Outcome Analysis ◽  
Total Knee
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