Document Type
Article
Publication Date
2020
College/Unit
School of Medicine
Department/Program/Center
Orthopaedics
Abstract
Background
Although a successful operation, almost 20% of patients are dissatisfied with total knee arthroplasty (TKA). The purpose of this retrospective cohort study was to see if a medial congruent (MC) polyethylene would offer satisfactory early outcomes and patient satisfaction after TKA.
Methods
We reviewed prospectively collected data on 327 TKAs using multiple bearings within the same implant system. Ninety-six received an MC bearing, 70 received a cruciate-retaining (CR) bearing, and 161 received a posterior-stabilized (PS) bearing. We evaluated the visual analog scale pain scores and range of motion (ROM) at 2 weeks, 6 weeks, 3 months, and 1 year; Patient-Reported Outcomes Measurement Information System (PROMIS-10) score and Knee Injury and Osteoarthritis Outcome Score (KOOS) at 3 months and 1 year; and Forgotten Joint Score (FJS-12) at 1 year.
Results
All groups had similar KOOS and PROMIS-10 scores. MC knees had lower visual analog scale scores than PS knees at all time points (P < .05) and a higher ROM than PS at 2 weeks (98.6 vs 93.7, P = .002). MC knees had a significantly higher FJS-12 than CR knees (71.6 vs 58.7, P = .02). More MC knees were “very satisfied” than CR (92.6% vs 81.5%, P = .04). Fewer MC knees were “not at all satisfied” than CR (1.2% vs 9.2%, P= .04). There were similar satisfaction ratings with MC and PS.
Conclusions
An MC bearing provided similar or improved early pain, ROM, KOOS, PROMIS-10, FJS-12, and patient satisfaction as compared with standard bearings in TKA.
Digital Commons Citation
Frye, Benjamin M.; Patton, Caitlyn; Kinney, Jason A.; Murphy, T. Ryan; Klein, Adam E.; and Dietz, Matthew J., "A Medial Congruent Polyethylene Offers Satisfactory Early Outcomes and Patient Satisfaction in Total Knee Arthroplasty" (2020). Faculty & Staff Scholarship. 2964.
https://researchrepository.wvu.edu/faculty_publications/2964
Source Citation
Frye, BM; Patton, C; Kinney, JA; Murphy, TR; Klein, AE; Dietz, MJ. A Medial Congruent Polyethylene Offers Satisfactory Early Outcomes and Patient Satisfaction in Total Knee Arthroplasty. Arthroplasty Today, Dec 19, 2020; https://doi.org/10.1016/j.artd.2020.11.003
Comments
© 2020 The Authors. Published by Elsevier Inc. on behalf of The American Association of Hip and Knee Surgeons. This is an open access article under the CC BY- NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
This article received support from the WVU Libraries' Open Access Author Fund.