ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2013
Dutch translation of the Kujala Anterior Knee Pain Scale and validation in patients after knee arthroplasty.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.
- Patient-reported outcome measures for patellofemoral disorders: a systematic review.Archives of orthopaedic and trauma surgery · 2023Pooled it
- Hoffa's fat pad resection during total knee arthroplasty does not affect functioning and gait: a double-blind randomized clinical trial.Archives of orthopaedic and trauma surgery · 2024Trial
- Influence of Femoral Component Flexion on Outcomes After Primary Total Knee Arthroplasty.Arthroplasty today · 2025Article
- Clinical outcomes of a 'patella-friendly' medial pivot total knee arthroplasty with and without patella resurfacing: A prospective randomised study.Journal of orthopaedics · 2025Article
- Cross-Culturally Adapted Versions of Patient Reported Outcome Measures for the Lower Extremity.International journal of sports physical therapy · 2023Article
- Design and rationale of the ATtune Knee Outcome Study (ATKOS): multicenter prospective evaluation of a novel uncemented rotating platform knee system.BMC musculoskeletal disorders · 2021Observational
- Clinical Improvement Is Achieved Following Tibial Tubercle Distomedialization for Patellar Maltracking and Patella Alta Without Instability.Arthroscopy, sports medicine, and rehabilitation · 2021Article
- Age at surgery is correlated with pain scores following trochlear osteotomy in lateral patellar instability: a cross-sectional study of 113 cases.Journal of orthopaedic surgery and research · 2021Article
- Evaluation of the 'Spaarne soft tissue procedure' as a treatment for recurrent patellar dislocations: a four-in-one technique.Journal of experimental orthopaedics · 2021Article
- Clinical and radiological results after one hundred fifteen MPFL reconstructions with or without tibial tubercle transfer in patients with recurrent patellar dislocation-a mean follow-up of 5.4 years.International orthopaedics · 2020Article
- Effects of Core Neuromuscular Training on Pain, Balance, and Functional Performance in Women With Patellofemoral Pain Syndrome: A Clinical Trial.Journal of chiropractic medicine · 2019Article
- Cross-cultural adaptation and validation of the Italian versions of the Kujala, Larsen, Lysholm and Fulkerson scores in patients with patellofemoral disorders.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2018Article
- Validation of the German version of the Kujala score in patients with patellofemoral instability: a prospective multi-centre study.Archives of orthopaedic and trauma surgery · 2018Article
- Cross-Cultural Adaptation and Psychometric Properties Testing of the Arabic Anterior Knee Pain Scale.Medical science monitor : international medical journal of experimental and clinical research · 2017Article
- Validation and cultural adaptation of "Kujala Score" in Spanish.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2016Article
- Patella position is not a determinant for anterior knee pain 10 years after balanced gap total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2016Article
- Reliability and Validity of the Anterior Knee Pain Scale: Applications for Use as an Epidemiologic Screener.PloS one · 2016Article
- Different femorotibial contact points between fixed- and mobile-bearing TKAs do not show clinical impact.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2015Article
Corrections and comments
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Authors and funding
8 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo translate and validate the Kujala Anterior Knee Pain Scale (AKPS) in patients who have undergone total knee arthroplasty (TKA) or unicompartmental knee arthroplasty (UKA) and evaluate the internal consistency, construct validity and ceiling or floor effect.
methodsAfter standard forward and backward translation was performed, 302 patients who have received a TKA or UKA filled out the AKPS together with Hospital for Special Surgery (HSS) patella score, visual analogue score (VAS) for pain, the Oxford 12-item questionnaire and the SF-36 at follow-up. The internal consistency was tested using Cronbach's α coefficient. The construct validity was assessed using Spearman's rank correlation (R) to test for correlations between the AKPS and VAS HSS, HSS patella score, VAS month, Oxford 12-item questionnaire and SF-36 subscales. Ceiling or floor effects are given in percentage of patients giving a maximum or minimum score.
resultsThe internal reliability of the AKPS is acceptable with a Cronbach's α of 0.81 in patients after TKA or UKA. A high correlation was found between the AKPS and the Oxford 12-item questionnaire (R = 0.81). Moderate correlations were found with the VAS month (R = 0.63), HSS patella score (R = 0.51) and SF-36 subscales physical functioning (R = 0.59), role-physical (R = 0.59), bodily pain (R = 0.57). Other correlations were poor, therefore indicating a good convergent and divergent validity. Ceiling effects were observed for the HSS patella score (31 %), VAS HSS (51 %), VAS pain (19 %), SF36-RP (46 %), SF36-RE (80 %) and SF36-BP (24 %). No ceiling or floor effect was found for the AKPS, Oxford 12-item and the other SF36 domains.
conclusionsThe AKPS appears to be reliable and valid in patients after knee arthroplasty, with no ceiling and floor effects, and can be used to assess anterior knee pain in patient who underwent joint replacement surgery.
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