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Journal of Orthopaedic Surgery and Research

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Open Access 01-12-2024 | Correspondence

Translation, reliability and validity of the Turkish versions of Norwich Patellar Instability score and The Banff Patellar Instability Instrument 2.0

Authors: Engin Turkay Yilmaz, Ibrahim Mehmet Goymen, Melih Oral, Ozan Tuncay, Gokay Dursun, Egemen Turhan, Ahmet Mazhar Tokgozoglu

Published in: Journal of Orthopaedic Surgery and Research | Issue 1/2024

Abstract

Background

Current treatment options for patellofemoral (PF) instability have required functional scoring systems. The Banff Patellar Instability Instrument (BPII) 2.0 and Norwich Patellar Instability (NPI) scores were explicitly created to meet the need to evaluate PF instability. Different patient-reported outcome measurements (PROMs) are used to evaluate anterior knee problems.

Objectives

To test the validity and reliability of the Turkish version of the BPII 2.0 and NPI score.

Study design and methods

Fifty-one patients that operated for PF instability, older than eighteen years old, were included in this study. Turkish translation of the BPII 2.0 and NPI scores was undertaken through translation into Turkish by an independent translator. Two tests were repeated seven days apart. Intraclass correlation coefficient (ICC) was used for test–retest reliability. Internal consistency was analyzed using Cronbach's alpha. Validity was assessed by correlating the Kujala and Lysholm knee scores.

Results

Fifty-one patients (34 females/17 males), the average age was 25 ± 7, were included in this study. Cronbach's alpha value was 0.829 for BPII 2.0 and 0.843 for NPI for the first time answered by patients. ICC values applied to evaluate test–retest reliability were 0.904 (p < 0.05) for BPII 2.0 and 0.915 (p < 0.05) for NPI. There was a moderate correlation between the BPII 2.0 Turkish version and the Kujala score. There was a very high correlation between the Turkish version of the BPII 2.0 and Lysholm knee scores. An excellent negative correlation was found between Norwich and Kujala scores (r = −0.819, p < 0.05). The correlation coefficient between Norwich and Lysholm scores was −0.662, indicating a high negative correlation (p < 0.05). The correlation coefficients between the Turkish version of BPII 2.0 and NPI were −0.533 (p < 0.05).

Conclusions

The Turkish version of the BPII 2.0 and NPI score is a reliable and valid instrument for Turkish-speaking patients with patellofemoral instability.

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Liebensteiner M, et al. Conservative versus tailored surgical treatment in patients with first time lateral patella dislocation: a randomized-controlled trial. J Orthop Surg Res. 2021;16(1):1–8.CrossRef

Pruneski J, et al. Changes in anatomic risk factors for patellar instability during skeletal growth and maturation. Am J Sports Med. 2022;50(9):2424–32.CrossRefPubMed

Sanchis-Alfonso V, Montesinos-Berry E. Is lateral retinacular release still a valid surgical option? From release to lengthening. Ann Transl Med. 2015;3(19):301.PubMedPubMedCentral

Steiner TM, Torga-Spak R, Teitge RA. Medial patellofemoral ligament reconstruction in patients with lateral patellar instability and trochlear dysplasia. Am J Sports Med. 2006;34(8):1254–61.CrossRefPubMed

Nomura E, Inoue M. Hybrid medial patellofemoral ligament reconstruction using the semitendinous tendon for recurrent patellar dislocation: minimum 3 years’ follow-up. Arthrosc J Arthrosc Relat Surg. 2006;22(7):787–93.CrossRef

Von Knoch F, et al. Trochleaplasty for recurrent patellar dislocation in association with trochlear dysplasia: a 4-to 14-year follow-up study. J Bone Joint Surg Br. 2006;88(10):1331–5.CrossRef

Dennis ER, Marmor WA, Stein BES. Combined MPFL reconstruction with tibial tubercle osteotomy and repair of patellar cartilage defect with particulated juvenile articular cartilage. JBJS Essent Surg Tech. 2022;12(4):e21.CrossRefPubMedCentral

Hiemstra LA, Page JL, Kerslake S. Patient-reported outcome measures for patellofemoral instability: a critical review. Curr Rev Musculoskelet Med. 2019;12:124–37.CrossRefPubMedPubMedCentral

Barroso Rosa S, Grant A, McEwen P. Patient-reported outcome measures for patellofemoral disorders: a systematic review. Arch Orthop Trauma Surg. 2023;143(7):3919–27.CrossRefPubMed

10.

Lysholm J, Gillquist J. Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale. Am J Sports Med. 1982;10(3):150–4.CrossRefPubMed

11.

Kujala UM, et al. Scoring of patellofemoral disorders. Arthrosc J Arthrosc Relat Surg. 1993;9(2):159–63.CrossRef

12.

Fulkerson JP, et al. Anteromedial tibial tubercle transfer without bone graft. Am J Sports Med. 1990;18(5):490–7.CrossRefPubMed

13.

Irrgang JJ, et al. Development and validation of the international knee documentation committee subjective knee form. Am J Sports Med. 2001;29(5):600–13.CrossRefPubMed

14.

Kuru T, Dereli EE, Yaliman A. Validity of the Turkish version of the Kujala patellofemoral score in patellofemoral pain syndrome. Acta Orthop Traumatol Turc. 2010;44(2):152–6.CrossRefPubMed

15.

Celik D, Coskunsu D, Kiliçoglu Ö. Translation and cultural adaptation of the Turkish Lysholm knee scale: ease of use, validity, and reliability. Clin Orthop Relat Res. 2013;471(8):2602–10.CrossRefPubMedPubMedCentral

16.

Smith TO, et al. The development, validation and internal consistency of the Norwich Patellar Instability (NPI) score. Knee Surg Sports Traumatol Arthrosc. 2014;22:324–35.CrossRefPubMed

17.

Hiemstra LA, et al. Initial validity and reliability of the Banff Patella Instability Instrument. Am J Sports Med. 2013;41(7):1629–35.CrossRefPubMed

18.

Lafave MR, Hiemstra L, Kerslake S. Factor analysis and item reduction of the Banff Patella Instability Instrument (BPII) Introduction of BPII 2.0. Am J Sports Med. 2016;44(8):2081–6.CrossRefPubMed

19.

Becher C, et al. Successful adaption of the Banff patella instability instrument (BPII) 2.0 into German. Knee Surg Sports Traumatol Arthrosc. 2018;26:2679–84.CrossRefPubMed

20.

Galvão PHSAF, et al. Portuguese Translation and Cross-Cultural Adaption of the Banff Patella Instability Instrument. Revista Brasileira de Ortopedia. 2022;56:747–60.

21.

Van Sambeeck JD, Van De Groes SA, Koëter S. Dutch translation and validation of the Norwich Patellar Instability score and Banff Patella Instability Instrument in patients after surgery for patellar instability. Acta Orthop Belg. 2020;86(3):470–81.PubMed

22.

Rhatomy S, et al. The Banff Patellar Instability Instrument: validity and reliability of an Indonesian version. Eur J Orthop Surg Traumatol. 2023;33(3):617–22.CrossRefPubMed

23.

Hysing-Dahl T, et al. Cross-cultural Validation of the NorwegianVersion of the Banff Patellofemoral Instability Instrument 2.0. Orthopaedic Journal of Sports Medicine. 2023;11(5):23259671231168880.CrossRefPubMedPubMedCentral

24.

Von Heideken J, et al. Adaptation of the Banff Patellofemoral Instability Instrument (BPII) 2.0 into Swedish. Acta Orthopaedica. 2023;94:537.CrossRef

25.

Arrebola LS, et al. Translation, cross-cultural adaptation and validation of the Norwich Patellar Instability score for use in Brazilian Portuguese. Sao Paulo Med J. 2019;137:148–54.CrossRefPubMedPubMedCentral

26.

Huang H, et al. Reliability and validity of a Chinese version of the Lysholm Score and Tegner Activity Scale for knee arthroplasty. J Rehabil Med. 2022;54:jrm00317.CrossRefPubMed

27.

Wild D, et al. Principles of good practice for the translation and cultural adaptation process for patient-reported outcomes (PRO) measures: report of the ISPOR task force for translation and cultural adaptation. Value Health. 2005;8(2):94–104.CrossRefPubMed

28.

Turhan E, et al. Translation, cross-cultural adaptation, reliability and validity of the Turkish version of the Olerud-Molander Ankle Score (OMAS). Acta Orthop Traumatol Turc. 2017;51(1):60–4.CrossRefPubMed

29.

Irrgang JJ, Marx RG. Clinical outcomes in sport and exercise physical therapies. Physical therapies in sports and exercise. 2nd ed. Edinburgh: Elsevier; 2007. p. 206–19.

30.

Terwee CB, et al. Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol. 2007;60(1):34–42.CrossRefPubMed

31.

Smith T, et al. The Norwich Patellar Instability Score: validity, internal consistency and responsiveness for people conservatively-managed following first-time patellar dislocation. Knee. 2016;23(2):256–60.CrossRefPubMed

32.

Hiemstra LA, et al. Concurrent validation of the Banff Patella Instability Instrument to the Norwich Patellar Instability Score and the Kujala Score in patients with patellofemoral instability. Orthop J Sports Med. 2016;4(5):2325967116646085.PubMedPubMedCentral

Title: Translation, reliability and validity of the Turkish versions of Norwich Patellar Instability score and The Banff Patellar Instability Instrument 2.0
Authors: Engin Turkay Yilmaz
Ibrahim Mehmet Goymen
Melih Oral
Ozan Tuncay
Gokay Dursun
Egemen Turhan
Ahmet Mazhar Tokgozoglu
Publication date: 01-12-2024
Publisher: BioMed Central
Published in: Journal of Orthopaedic Surgery and Research / Issue 1/2024
Electronic ISSN: 1749-799X
DOI: https://doi.org/10.1186/s13018-024-04612-3

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Translation, reliability and validity of the Turkish versions of Norwich Patellar Instability score and The Banff Patellar Instability Instrument 2.0

Abstract

Background

Objectives

Study design and methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Objectives

Study design and methods

Results

Conclusions

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