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Does post-operative knee awareness differ between knees in bilateral simultaneous total knee arthroplasty? Predictors of high or low knee awareness

  • Knee
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Purpose

To evaluate the difference in post-operative knee awareness between knees in patients undergoing bilateral simultaneous total knee arthroplasty (TKA) and to assess factors predicting high or low knee awareness.

Methods

This study was conducted on 99 bilateral simultaneous TKAs performed at our institution from 2008 to 2012. All patients received one set of questionnaires [Forgotten Joint Score (FJS) and Oxford Knee Score (OKS)] for each knee. Based on the FJS, the patients’ knees were divided into two groups: “best” and “worst” knees. The median of the absolute difference in FJS and OKS within each patient was calculated. Multivariate linear regression was performed to identify factors affecting FJS.

Results

The difference between knees was 1 point (CI 0–5) for the FJS and 1 point (CI 0–2) for the OKS. The FJS for females increased (decreasing awareness) with increasing age. Males had the highest FJS (lowest awareness) at the age of 67. An increase in the FJS (lower knee awareness) of 12.0 points was found for Kellgren–Lawrence (K–L) grades 3 + 4 compared with K–L grades 1 + 2. A preoperative anatomical alignment of 3° valgus resulted in the lowest FJS (highest knee awareness) with decreasing knee awareness for decreasing tibio-femoral angles. Post-operative alignment did not significantly affect FJS.

Conclusion

Knee awareness did not differ significantly between the “best” and the “worst” knee. Bilateral simultaneous TKA can be performed without compromising the result in one of the knees. Knee awareness after primary TKA was influenced by age, gender, preoperative knee alignment, and severity of OA.

Level of evidence

III.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, Copenhagen University Hospital Hvidovre, Hvidovre, Denmark

    Katrine Abildgaard Nielsen, Morten Grove Thomsen, Roshan Latifi, Thomas Kallemose, Henrik Husted & Anders Troelsen

Authors
  1. Katrine Abildgaard Nielsen
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  2. Morten Grove Thomsen
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  3. Roshan Latifi
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  4. Thomas Kallemose
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  5. Henrik Husted
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  6. Anders Troelsen
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Correspondence to Katrine Abildgaard Nielsen.

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Nielsen, K.A., Thomsen, M.G., Latifi, R. et al. Does post-operative knee awareness differ between knees in bilateral simultaneous total knee arthroplasty? Predictors of high or low knee awareness. Knee Surg Sports Traumatol Arthrosc 24, 3352–3358 (2016). https://doi.org/10.1007/s00167-016-4013-5

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  • DOI: https://doi.org/10.1007/s00167-016-4013-5

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