scholarly journals Forgotten Joint Score for early outcome assessment after total knee arthroplasty: Is it really useful?

2020 ◽  
Vol 32 (1) ◽  
Author(s):  
Qunn Jid Lee ◽  
Wai Yee Esther Chang ◽  
Yiu Chung Wong
Keyword(s):  
Total Knee Arthroplasty ◽  
Outcome Assessment ◽  
Knee Arthroplasty ◽  
Early Outcome ◽  
Forgotten Joint Score ◽  
Total Knee

A Comparative Analysis of Patient Satisfaction following Total Knee Arthroplasty and Total Hip Arthroplasty Using the Forgotten Joint Score

2020 ◽  
Vol 04 (02) ◽  
pp. 084-089
Author(s):  
Vivek Singh ◽  
Stephen Zak ◽  
Ran Schwarzkopf ◽  
Roy Davidovitch
Keyword(s):  
Total Knee Arthroplasty ◽  
Patient Satisfaction ◽  
Total Hip Arthroplasty ◽  
Knee Arthroplasty ◽  
Hip Arthroplasty ◽  
Demographic Data ◽  
Demographic Differences ◽  
Total Hip ◽  
Forgotten Joint Score ◽  
Total Knee

AbstractMeasuring patient satisfaction and surgical outcomes following total joint arthroplasty remains controversial with most tools failing to account for both surgeon and patient satisfaction in regard to outcomes. The purpose of this study was to use “The Forgotten Joint Score” questionnaire to assess clinical outcomes comparing patients who underwent a total hip arthroplasty (THA) with those who underwent a total knee arthroplasty (TKA). We conducted a retrospective review of patients who underwent primary THA or TKA between September 2016 and September 2019 and responded to the Forgotten Joint Score-12 (FJS-12) questionnaire at least at one of three time periods (3, 12, and 21 months), postoperatively. An electronic patient rehabilitation application was used to administer the questionnaire. Collected variables included demographic data (age, gender, race, body mass index [BMI], and smoking status), length of stay (LOS), and FJS-12 scores. t-test and chi-square were used to determine significance. Linear regression was used to account for demographic differences. A p-value of less than 0.05 was considered statistically significant. Of the 2,359 patients included in this study, 1,469 underwent a THA and 890 underwent a TKA. Demographic differences were observed between the two groups with the TKA group being older, with higher BMI, higher American Society of Anesthesiologists scores, and longer LOS. Accounting for the differences in demographic data, THA patients consistently had higher scores at 3 months (53.72 vs. 24.96; p < 0.001), 12 months (66.00 vs. 43.57; p < 0.001), and 21 months (73.45 vs. 47.22; p < 0.001). FJS-12 scores for patients that underwent THA were significantly higher in comparison to TKA patients at 3, 12, and 21 months postoperatively. Increasing patient age led to a marginal increase in FJS-12 score in both cohorts. With higher FJS-12 scores, patients who underwent THA may experience a more positive evolution with their surgery postoperatively than those who had TKA.

scholarly journals Home physiotherapy with vs. without supervision of physiotherapist for assessing manipulation under anaesthesia after total knee arthroplasty

Arthroplasty ◽  
2021 ◽  
Vol 3 (1) ◽  
Author(s):  
Sanjay Bhalchandra Londhe ◽  
Ravi Vinod Shah ◽  
Amit Pankaj Doshi ◽  
Shubhankar Sanjay Londhe ◽  
Kavita Subhedar ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Range Of Motion ◽  
Knee Arthroplasty ◽  
Forgotten Joint Score ◽  
Group A ◽  
Manipulation Under Anaesthesia ◽  
Total Knee ◽  
The Mean ◽  
Group B ◽  
Discharge From Hospital

Abstract The aim of this retrospective cohort study was to compare home physiotherapy with or without supervision of physiotherapist for assessing manipulation under anaesthesia after total knee arthroplasty. Methods A total of 900 patients (including 810 females and 90 males) who had undergone total knee arthroplasty were divided into group A (n = 300) and group B (n = 600). Patients in group A had home physiotherapy on their own after discharge from hospital. The physiotherapist did not visit them at home. Patients in group B received home physiotherapy under supervision of physiotherapist for 6 weeks after discharge from hospital. Patients’ age, range of motion of the knee, and forgotten joint score-12 were assessed. A p < 0.05 was considered statistically significant. Results In group A, the mean age was 69.1 ± 14.3 years (range: 58 to 82 years); in group B, the mean age was 66.5 ± 15.7 years (range: 56 to 83 years) (p > 0.05). Preoperatively, the mean range of motion of the knee in group A and B was 95.8° ± 18.1° and 95.4° ± 17.8°, respectively (p > 0.05). The mean forgotten joint score-12 of group A and B were 11.90 ± 11.3 and 11.72 ± 12.1 (p > 0.05), respectively. Six weeks after total knee arthroplasty, the mean ROM of the knee in group A and B was 109.7° ± 22.3° and 121° ± 21.5°, respectively (p < 0.05). The mean postoperative forgotten joint score-12 of the group A and B was 24.5 ± 16.4 and 25.6 ± 17.4, respectively (p > 0.05). The rate of manipulation under anaesthesia was 3% in group A and 0.2% in group B (p < 0.05). Conclusion After total knee arthroplasty, frequent physiotherapist’s instruction helps the patients improve knee exercises and therefore decrease the risk of revision surgery. The home physiotherapy under supervision of physiotherapist lowers the rate of manipulation under anaesthesia. Level of evidence Therapeutic study, Level IIa.

Accuracy and Validity of Computer Adaptive Testing for Outcome Assessment in Patients Undergoing Total Knee Arthroplasty

2020 ◽  
Vol 35 (7) ◽  
pp. 1819-1825
Author(s):  
Samik Banerjee ◽  
Gregory K. Deirmengian ◽  
Eric Levicoff ◽  
Joseph A. Abboud ◽  
Otho Plummer ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Outcome Assessment ◽  
Knee Arthroplasty ◽  
Adaptive Testing ◽  
Computer Adaptive Testing ◽  
Total Knee

scholarly journals Good validity and reliability of the forgotten joint score in evaluating the outcome of total knee arthroplasty

2016 ◽  
Vol 87 (3) ◽  
pp. 280-285 ◽  
Author(s):  
Morten G Thomsen ◽  
Roshan Latifi ◽  
Thomas Kallemose ◽  
Kristoffer W Barfod ◽  
Henrik Husted ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Validity And Reliability ◽  
Forgotten Joint Score ◽  
Total Knee

RESPONSE SHIFT IN OUTCOME ASSESSMENT IN PATIENTS UNDERGOING TOTAL KNEE ARTHROPLASTY

2006 ◽  
Vol 88 (12) ◽  
pp. 2590-2595 ◽  
Author(s):  
HELEN RAZMJOU ◽  
ALBERT YEE ◽  
MICHAEL FORD ◽  
JOEL A. FINKELSTEIN
Keyword(s):  
Total Knee Arthroplasty ◽  
Outcome Assessment ◽  
Knee Arthroplasty ◽  
Response Shift ◽  
Total Knee

When Does the Knee Feel Normal Again: A Cross-Sectional Study Assessing the Forgotten Joint Score in Patients After Total Knee Arthroplasty

2018 ◽  
Vol 33 (3) ◽  
pp. 700-703 ◽  
Author(s):  
Victor R. Carlson ◽  
Zachary D. Post ◽  
Fabio R. Orozco ◽  
Destiny M. Davis ◽  
Rex W. Lutz ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Forgotten Joint Score ◽  
Total Knee

scholarly journals Improved early recovery after TKA through an app-based, feedback-controlled active muscle training - A prospective randomized trial

2018 ◽  
Vol 6 (4_suppl2) ◽  
pp. 2325967118S0002
Author(s):  
Sanjay Weber-Spickschen ◽  
Sebastian Hardt ◽  
Hauke Horstmann ◽  
Christian Krettek
Keyword(s):  
Total Knee Arthroplasty ◽  
Range Of Motion ◽  
Knee Arthroplasty ◽  
Training Group ◽  
Muscle Training ◽  
Active Muscle ◽  
Early Recovery ◽  
Early Outcome ◽  
Total Knee

The aim of this prospective randomized controlled trial was to evaluate if an app-based, feedback-controlled active muscle training can be used to improve the early outcome after total knee arthroplasty. Sixty patients (mean age 67.3 years, range 45 to 84) awaiting primary total knee arthroplasty (TKA) were randomized into a control- and training group. Both Groups followed an identical postoperative protocol. Additionally, the training group performed an appbased, feedback-controlled active muscle training multiple times daily postoperatively. Outcome measures were active and passive range of motion, pain at rest and in motion, knee extension strength, the Timed “Up and Go”, 10 Meter Walk Test, 30 Second Chair Stand Test, Knee Injury and Osteoarthritis Outcome Score (KOOS), Knee Society Score (KSS) and inpatient data. Mean time to follow-up was 6.88 days in the control group and 6.59 days in the training group for a total of 47 patients (78.3 percent follow-up). The training group used the GenuSport Knietrainer a total of 18.4 times (range 6 to 42 times) on average. Active range of motion was 11.4 degrees higher in the training group (p=0.038), while passive range of motion was almost the same (p=0.906). Mean pain was significantly lower in the training group both at rest (p=0.01) and in motion (p=0.002). The training group reported significantly better outcomes in the KOOS Activities of Daily Living Score (p=0.037). No significant differences were observed in KOOS pain, symptoms, sports and quality of life (p=219, p=0.625, p=0.204, p=0.452, respectively). The KSS Knee Score and KSS Function Score were significantly better in the training group (p<0.001, p=0.011, respectively). An app-based and feedback-controlled active muscle training can significantly improve the early outcome after total knee arthroplasty, particularly reduce pain and improve the range of motion. More training had better effects on the outcome than less training. Treatment costs could possibly be reduced. These findings are highly relevant regarding rising expectations from patients and the need to reduce costs in the health care system. Further studies with a longer follow up are necessary.

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