No consistent association between patient-reported outcome measures and coronal alignment following total knee arthroplasty: a narrative review
Author(s)
Blight, TJ; Choong, PFM;
Details
Publication Year 2022-12,Volume 92,Issue #12,Page 3176-3181
Journal Title
ANZ Journal of Surgery
Publication Type
Review
Abstract
BACKGROUND: Total knee arthroplasty is a common procedure for treating knee conditions; however, significant proportions of patients report dissatisfaction post-operatively. Recent data suggests accurate coronal alignment may not be essential for optimizing prosthesis functionality and survivorship. This narrative review utilized a systematic approach to analyse the literature comparing post-operative coronal alignment and PROMs following knee replacement. METHODS: A systematic search of MEDLINE was utilized to identify publications that directly compare the relationship between coronal alignment and PROMs. RESULTS: Thirty-one eligible publications were identified. Variability in both study design and findings were observed, with no studies being without risk of bias. CONCLUSION: Given this variability and lack of consensus among the reported publications, current literature is ill-equipped to describe the exact nature of the relationship between coronal alignment and PROMs following TKA. Further research would ideally utilize both validated generic, and knee-specific PROMs, make use of pre-operative outcome data, and standardized follow-up to develop reliable assessments of coronal alignment and its impact upon both functionality and quality of life.
Keywords
Humans; *Arthroplasty, Replacement, Knee/methods; Knee Joint/surgery; *Knee Prosthesis; *Osteoarthritis, Knee/surgery; Patient Reported Outcome Measures; Quality of Life; Treatment Outcome; arthroplasty; bone malalignment; patient satisfaction
Department(s)
Surgical Oncology
PubMed ID
36129468
Terms of Use/Rights Notice
Refer to copyright notice on published article.


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