ArticleArchives of orthopaedic and trauma surgery2021
Early post-operative oxford knee score and knee society score predict patient satisfaction 2 years after total knee arthroplasty.
Article in Archives of orthopaedic and trauma surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Cemented versus uncemented hemiarthroplasty for the management of femoral neck fractures in the elderly: a meta-analysis and systematic review.Archives of orthopaedic and trauma surgery · 2021Pooled it
- Predictive Tool Use and Willingness for Surgery in Patients With Knee Osteoarthritis: A Randomized Clinical Trial.JAMA network open · 2024Trial
- Effect of preservation versus sacrifice of the posterior cruciate ligament on clinical outcomes after medial congruent total knee arthroplasty using mechanical alignment: A systematic review and meta-analysis.Journal of experimental orthopaedics · 2026Review
- Article
- Article
- A clinical risk score enables early prediction of dissatisfaction 1 year after total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Application of the Oxford Arthroplasty Early Recovery Score for patients undergoing Joint arthroplasty.American journal of translational research · 2025Article
- The influence of implant factors on patient outcomes in primary total knee arthroplasty.Journal of orthopaedics · 2024Article
- Article
- Robotic Assisted TKA achieves adjusted mechanical alignment targets more consistently compared to manual TKA without improving outcomes.Journal of experimental orthopaedics · 2024Article
- Comparison of bilateral cementless total knee arthroplasty results between patients in different BMI groups.Archives of orthopaedic and trauma surgery · 2024Article
- Global mapping of institutional and hospital-based (Level II-IV) arthroplasty registries: a scoping review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- The Influence of Patient Provider Educational Interactions and Associated Preoperative Variables on Outcomes in the Hip Dysplasia Population.The Iowa orthopaedic journal · 2024Article
- Preoperative stiffness is the most important predictor of postoperative patient's satisfaction after total knee arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- [Results and complications of knee arthroplasty in patients with obesity].Revista medica del Instituto Mexicano del Seguro Social · 2023Observational
- Comparison of traditional PS versus kinematically designs in primary total knee arthroplasty.Archives of orthopaedic and trauma surgery · 2023Article
- The subjective knee value is a valid single-item survey to assess knee function in common knee disorders.Archives of orthopaedic and trauma surgery · 2022Article
- A validated outcome categorization of the knee society score for total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- [Medial parapatellar soft tissue overlapping suture in total knee arthroplasty for severe osteoarthritis with permanent patellar dislocation: early and mid-term results].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2022Article
- Is there a role of tranexamic acid in rheumatoid arthritis with total knee arthroplasty? Findings from a multicenter prospective cohort study in China.Archives of orthopaedic and trauma surgery · 2021Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is poor correlation between functional outcomes and patient satisfaction following total knee arthroplasty (TKA). We asked if early post-operative scores at 6 months or the pre- to post-operative change in scores are predictive of patient satisfaction 2 years after TKA.
methodsWe conducted a retrospective review of prospectively collected registry data of 4359 TKAs performed at a single institution. At 6 months and 2 years, the Knee Society Score (KSS), Oxford Knee Score (OKS), and Short-Form 36 scores were assessed. A satisfaction questionnaire was also completed. Logistic regression was used to generate receiver-operating characteristic (ROC) curves to assess the ability of each scoring system in predicting satisfaction at 2 years.
resultsAt 2 years, 91.1% of patients were satisfied. For the absolute post-operative OKS at 6 months, an AUC of 0.762 (95% CI 0.736-0.788) and a threshold of ≤ 21.5 points (or ≥ 38.5 points on the new scale) were obtained. For the KSS knee score, an AUC of 0.704 (95% CI 0.674-0.734) and a threshold of ≥ 80.5 points were identified. The OKS performed significantly better than the KSS knee score (p = 0.03) and the other post-operative scores (p < 0.001). When analysing the change in scores pre-operatively to 6 months, the AUC was < 0.7 for all scales.
conclusionsEarly post-operative scores, specifically the OKS and KSS knee score, can predict patient satisfaction at 2 years after TKA with good accuracy. The threshold values offer surgeons an additional tool to identify patients at risk of dissatisfaction at 2 years, enabling them to intervene earlier to ensure good patient satisfaction. LEVEL OF EVIDENCE: III, retrospective cohort study.
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