Increased symptoms of stiffness 1 year after total knee arthroplasty are associated with a worse functional outcome and lower rate of patient satisfaction

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
N D ClementD J Deehan

Abstract

Symptoms of stiffness after total knee arthroplasty (TKA) cause significant morbidity, but there is limited data to facilitate identification of those most at risk after surgery. Stratifying risk can aid earlier directed treatment options. A retrospective cohort consisting of 2589 patients undergoing a primary TKA was identified from an established arthroplasty database. Patient demographics, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and short form (SF) 12 scores were collected pre-operatively and 1 year post-operatively. In addition, patient satisfaction was assessed for 1 year. Patients with a worse WOMAC stiffness score in 1 year were defined as the "increased" stiffness group and the other cohort as the non-stiffness group. At 1 year after surgery 129 (5%) patients had a significant increase in their stiffness symptoms (20%, 95% confidence interval (CI) 17.9-22.0, p < 0.001), and had significantly (all p < 0.001) less of an improvement in their pain, function and total WOMAC scores, and SF-12 scores compared to the non-stiffness group (n = 2460). Patient satisfaction was significantly lower (odds ratio (OR) 0.178, CI 0.121 to 0.262, p < 0.001) for the increased stiffness group. Logistic regress...Continue Reading

References

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Aug 4, 2007·The Journal of Bone and Joint Surgery. British Volume·P N BakerUNKNOWN National Joint Registry for England and Wales
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Jan 14, 2009·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Ajay MalviyaD J Deehan
Jun 27, 2012·The Journal of Bone and Joint Surgery. British Volume·C E H ScottL C Biant
Feb 4, 2014·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·N D ClementR Burnett
Jul 11, 2014·The Journal of Arthroplasty·Peter F SharkeyJavad Parvizi
Nov 11, 2015·Scientific Reports·Nicole AbdulLee A Borthwick
Aug 16, 2016·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Eric B SmithAntonia F Chen
Dec 30, 2016·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·L VanlommelH Vandenneucker
Mar 14, 2017·The Journal of Arthroplasty·Victor A CheuyJennifer E Stevens-Lapsley
Feb 28, 2018·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Lucy C WalkerDavid J Deehan

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Citations

Oct 28, 2018·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Paul J H van RenschAte B Wymenga
Aug 23, 2019·International Journal of Palliative Nursing·Karen Heggs
Jan 16, 2020·BMC Musculoskeletal Disorders·Aamir MahdiMaria Hälleberg-Nyman
Apr 7, 2021·International Orthopaedics·Stefano ZaffagniniLaura Bragonzoni
Dec 13, 2019·The Journal of Knee Surgery·Nicholas D ClementDavid J Deehan
Apr 9, 2020·The Journal of Knee Surgery·Paul ArauzYoung-Min Kwon

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