Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 5/2019

Open Access 01-05-2019 | KNEE

Limited predictive value of pre-surgical level of functioning for functioning at 3 and 12 months after TKA

Authors: Danielle D. P. Berghmans, Antoine F. Lenssen, Pieter J. Emans, Lodewijk W. van Rhijn, Rob A. de Bie

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 5/2019

Login to get access

Abstract

Purpose

A total knee arthroplasty (TKA) is a cost-effective option to relieve pain and improve knee function in patients suffering from osteoarthritis. However, results differ among patients. The predictive value of pre-surgically assessed factors on the level of functioning after 3 and 12 months was investigated in this study.

Methods

This study used an inception cohort design and a follow-up of 12 months. One hundred and fifty patients who were to receive a TKA were assessed pre-surgically with an International Classification of Functioning, Disability and Health (ICF) core assessment set: Knee Society Score (KSS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Short-Form 12 (SF12), Patient-Specific Function Scale (PSFS), range of motion (ROM), quadriceps and hamstring strength and gait parameters. The main outcome measure was WOMAC-Function at 3 and 12 months after surgery.

Results

Pre-surgical physical and mental health on the SF12 and functioning and stiffness on the WOMAC explained 23% of the variance in the level of functioning 3 months after surgery. Pre-surgical knee function measured with the KSS-Knee, and functioning as assessed by WOMAC-Function explained 16% of the variance of the level of functioning 12 months after surgery.

Conclusions

The results of this study show that better functioning before surgery, less knee stiffness and a better physical and mental health to some extent predict better functioning 3 months after surgery. This effect is less evident at 12 months. This study is clinically relevant since it provides benchmark data for health care providers who want to compare their individual patients.

Level of evidence

II.
Appendix
Available only for authorised users
Literature
1.
Bade MJ, Wolfe P, Zeni JA, Stevens-Lapsley JE, Snyder-Mackler L (2012) Predicting poor physical performance after total knee arthroplasty. J Orthop Res 30:1805–1810CrossRefPubMedPubMedCentral
2.
Berghmans DD, Lenssen AF, van Rhijn LW, de Bie RA (2015) Patient specific function scale: its reliability and responsiveness in patients undergoing a total knee arthroplasty. J Orthop Sports Phys Ther 45:1–22CrossRef
3.
Brown K, Kachelman J, Topp R, Quesada PM, Nyland J, Malkani A et al (2009) Predictors of functional task performance among patients scheduled for total knee arthroplasty. J Strength Cond Res 23:436–443CrossRefPubMed
4.
Drouin JM, Valovich-mcLeod TC, Shultz SJ, Gansneder BM, Perrin DH (2004) Reliability and validity of the Biodex system 3 pro isokinetic dynamometer velocity, torque and position measurements. Eur J Appl Physiol 91:22–29CrossRefPubMed
5.
Field AP (2009) Discovering statistics using SPSS. SAGE Publications Ltd, Thousand Oaks
6.
Fortin PR, Clarke AE, Joseph L, Liang MH, Tanzer M, Ferland D et al (1999) Outcomes of total hip and knee replacement: preoperative functional status predicts outcomes at six months after surgery. Arthritis Rheum 42:1722–1728CrossRefPubMed
7.
Gandhi R, Dhotar H, Razak F, Tso P, Davey JR, Mahomed NN (2010) Predicting the longer term outcomes of total knee arthroplasty. Knee 17:15–18CrossRefPubMed
8.
Harmelink KE, Zeegers AV, Hullegie W, Hoogeboom TJ, Nijhuis-van der Sanden MW, Staal JB (2017) Are there prognostic factors for one-year outcome after total knee arthroplasty? A systematic review. J Arthroplast 32:3840–3853CrossRef
9.
Insall JN, Dorr LD, Scott RD, Scott WN (1989) Rationale of the knee society clinical rating system. Clin Orthop Relat Res 248:13–14
10.
Jiang Y, Sanchez-Santos MT, Judge AD, Murray DW, Arden NK (2016) Predictors of patient-reported pain and functional outcomes over 10 years after primary total knee arthroplasty: a prospective cohort study. J Arthroplast 32:92–100CrossRef
11.
Jones CA, Voaklander DC, Suarez-Alma ME (2003) Determinants of function after total knee arthroplasty. Phys Ther 83:696–706PubMed
12.
Judge A, Arden NK, Cooper C, Javaid MK, Carr AJ, Field RE et al (2012) Predictors of outcomes of total knee replacement surgery. Rheumatology 51:1804–1813CrossRefPubMed
13.
14.
Lenssen AF, van Dam EM, Crijns YH, Verhey M, Geesink RJ, van den Brandt PA et al (2007) Reproducibility of goniometric measurement of the knee in the in-hospital phase following total knee arthroplasty. BMC Musculoskelet Disord 8:83CrossRefPubMedPubMedCentral
15.
Lingard EA, Katz JN, Wright EA, Sledge CB (2004) Predicting the outcome of total knee arthroplasty. J Bone Joint Surg Am 86:2179–2186CrossRefPubMed
16.
Lingard EA, Katz JN, Wright RJ, Wright EA, Sledge CB (2001) Validity and responsiveness of the Knee society clinical rating system in comparison with the SF-36 and WOMAC. J Bone Joint Surg Am 83-A:1856–1864CrossRef
17.
Lützner J, Hartmann A, Lützner C, Kirschner S (2014) Is range of motion after cruciate-retaining total knee arthroplasty influenced by prosthesis design? A prospective randomized trial. J Arthroplast 29:961–965CrossRef
18.
Papakostidou I, Dailiana ZH, Papapolychroniou T, Liaropoulos L, Zintzaras E, Karachalios TS et al (2012) Factors affecting the quality of life after total knee arthroplasties: a prospective study. BMC Musculoskelet Disord 13:116CrossRefPubMedPubMedCentral
19.
Pua Y-H, Seah FJ-T, Clark RA, Poon CL-L, Tan JW-M, Chong H-C (2016) Development of a prediction model to estimate the risk of walking limitations in patients with total knee arthroplasty. J Rheumatol 43:419–426CrossRefPubMed
20.
Sharma L, Cahue S, Song J, Hayes K, Pai YC, Dunlop D (2003) Physical functioning over three years in knee osteoarthritis: role of psychosocial, local mechanical, and neuromuscular factors. Arthritis Care Rheum 48:3359–3370CrossRef
21.
Sharma L, Sinacore J, Daugherty C, Kuesis DT, Stulberg SD, Lewis M et al (1996) Prognostic factors for functional outcome of total knee replacement: a prospective study. J Gerontol A Biol Sci Med Sci 51:M152–M157CrossRefPubMed
22.
Stratford P (1995) Assessing disability and change on individual patients: a report of a patient specific measure. Physiotherap Can 47:258–263CrossRef
23.
Van Der Sluis G, Goldbohm RA, Bimmel R, Galindo Garre F, Elings J, Hoogeboom TJ, van Meeteren NLU (2015) What augmented physical activity and empowerment can bring to patients receiving total knee replacement: content, implementation, and comparative effectiveness of a new function-tailored care pathway in a routine care setting. BioMed Res Int 2015:745864. https://​doi.​org/​10.​1155/​2015/​745864 CrossRefPubMedPubMedCentral
24.
Ware JE Jr., Kosinski M, Keller SD (1996) A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Med Care 34:220–233CrossRefPubMed
25.
Webster KE, Wittwer JE, Feller JA (2005) Validity of the GAITRite walkway system for the measurement of averaged and individual step parameters of gait. Gait Posture 22:317–321CrossRefPubMed
26.
Zeni JA Jr., Snyder-Mackler L (2010) Early postoperative measures predict 1- and 2-year outcomes after unilateral total knee arthroplasty: importance of contralateral limb strength. Phys Ther 90:43–54CrossRefPubMedPubMedCentral
Metadata
Title
Limited predictive value of pre-surgical level of functioning for functioning at 3 and 12 months after TKA
Authors
Danielle D. P. Berghmans
Antoine F. Lenssen
Pieter J. Emans
Lodewijk W. van Rhijn
Rob A. de Bie
Publication date
01-05-2019
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 5/2019
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-018-5288-5

Other articles of this Issue 5/2019

Knee Surgery, Sports Traumatology, Arthroscopy 5/2019 Go to the issue

KNEE

Kinematic alignment in total knee arthroplasty better reproduces normal gait than mechanical alignment

Knee

No difference in mid-term survival and clinical outcome between patient-specific and conventional instrumented total knee arthroplasty: a randomized controlled trial

Knee

Accuracy of tibial cuts with patient-specific instrumentation is not influenced by the surgeon’s level of experience

Correction

Correction to: Rotational profile alterations after anatomic posterolateral corner reconstructions in multiligament injured knees

Knee

Kinematic component alignment in total knee arthroplasty leads to better restoration of natural tibiofemoral kinematics compared to mechanic alignment

Knee

Blackburne–Peel ratio predicts patients’ outcomes after total knee arthroplasty