Cargando…
Customised, individually made total knee arthroplasty shows promising 1-year clinical and patient reported outcomes
INTRODUCTION: Customised individually made (CIM) implants for total knee arthroplasty (TKA) were introduced about 10 years ago. These implants aim to reduce the risk of prosthesis-related issues resulting from anthropometric differences between different knees. The purpose of this study was to analy...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8595176/ https://www.ncbi.nlm.nih.gov/pubmed/34269890 http://dx.doi.org/10.1007/s00402-021-04045-1 |
_version_ | 1784600140619710464 |
---|---|
author | Moret, Céline S. Hirschmann, Michael T. Vogel, Nicole Arnold, Markus P. |
author_facet | Moret, Céline S. Hirschmann, Michael T. Vogel, Nicole Arnold, Markus P. |
author_sort | Moret, Céline S. |
collection | PubMed |
description | INTRODUCTION: Customised individually made (CIM) implants for total knee arthroplasty (TKA) were introduced about 10 years ago. These implants aim to reduce the risk of prosthesis-related issues resulting from anthropometric differences between different knees. The purpose of this study was to analyse the short-term clinical outcome and patient reported outcome measures (PROMs) of a specific CIM implant, the ORIGIN(®) knee replacement system (Symbios, Yverdon-les-Bains, Switzerland), which was introduced in 2018. MATERIALS AND METHODS: This is a prospective cohort study of patients undergoing primary posterior-stabilised (PS) CIM TKA using the specific ORIGIN(®) knee replacement system, (Symbios, Yverdon-les-Bains, Switzerland). TKAs were performed from February 2019 to October 2020. Data was collected preoperatively and postoperatively at 4 and 12 months. Outcome measures included the objective part of the Knee Society Score (KSS) with the range of motion (ROM) and the following PROMs: the Knee injury and Osteoarthritis Outcome Score (KOOS), the Forgotten Joint Score (FJS-12), the EuroQol, five dimensions, three levels (EQ-5D-3L) with the EuroQol visual analogue scale (EQ-VAS) and patient satisfaction. Differences in pre- to preoperative data were assessed with paired sample t tests. A p value < 0.05 was considered significant. RESULTS: Twenty-five CIM TKA (20 patients, 8 female) were included. The mean age at surgery was 66 years (SD, 6.9). At 4 and 12 months, significant improvements in the KSS (p < 0.001), the ROM (p < 0.001), all KOOS subscales (p < 0.001), the FJS (p < 0.001) and the EQ-5D-3L (p < 0.026) were found. Satisfaction rate was 91% and 88% at 4 and 12 months, respectively. Intraoperative complications did not occur and no revision surgeries were undertaken. CONCLUSIONS: The present study demonstrated significant improvements in the KSS and specific PROMs 1 year after CIM TKA. This study suggests that CIM TKA is a safe and suitable option, which can yield good clinical outcome and PROMs at least during short-term follow-up. |
format | Online Article Text |
id | pubmed-8595176 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-85951762021-11-24 Customised, individually made total knee arthroplasty shows promising 1-year clinical and patient reported outcomes Moret, Céline S. Hirschmann, Michael T. Vogel, Nicole Arnold, Markus P. Arch Orthop Trauma Surg Knee Arthroplasty INTRODUCTION: Customised individually made (CIM) implants for total knee arthroplasty (TKA) were introduced about 10 years ago. These implants aim to reduce the risk of prosthesis-related issues resulting from anthropometric differences between different knees. The purpose of this study was to analyse the short-term clinical outcome and patient reported outcome measures (PROMs) of a specific CIM implant, the ORIGIN(®) knee replacement system (Symbios, Yverdon-les-Bains, Switzerland), which was introduced in 2018. MATERIALS AND METHODS: This is a prospective cohort study of patients undergoing primary posterior-stabilised (PS) CIM TKA using the specific ORIGIN(®) knee replacement system, (Symbios, Yverdon-les-Bains, Switzerland). TKAs were performed from February 2019 to October 2020. Data was collected preoperatively and postoperatively at 4 and 12 months. Outcome measures included the objective part of the Knee Society Score (KSS) with the range of motion (ROM) and the following PROMs: the Knee injury and Osteoarthritis Outcome Score (KOOS), the Forgotten Joint Score (FJS-12), the EuroQol, five dimensions, three levels (EQ-5D-3L) with the EuroQol visual analogue scale (EQ-VAS) and patient satisfaction. Differences in pre- to preoperative data were assessed with paired sample t tests. A p value < 0.05 was considered significant. RESULTS: Twenty-five CIM TKA (20 patients, 8 female) were included. The mean age at surgery was 66 years (SD, 6.9). At 4 and 12 months, significant improvements in the KSS (p < 0.001), the ROM (p < 0.001), all KOOS subscales (p < 0.001), the FJS (p < 0.001) and the EQ-5D-3L (p < 0.026) were found. Satisfaction rate was 91% and 88% at 4 and 12 months, respectively. Intraoperative complications did not occur and no revision surgeries were undertaken. CONCLUSIONS: The present study demonstrated significant improvements in the KSS and specific PROMs 1 year after CIM TKA. This study suggests that CIM TKA is a safe and suitable option, which can yield good clinical outcome and PROMs at least during short-term follow-up. Springer Berlin Heidelberg 2021-07-16 2021 /pmc/articles/PMC8595176/ /pubmed/34269890 http://dx.doi.org/10.1007/s00402-021-04045-1 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Knee Arthroplasty Moret, Céline S. Hirschmann, Michael T. Vogel, Nicole Arnold, Markus P. Customised, individually made total knee arthroplasty shows promising 1-year clinical and patient reported outcomes |
title | Customised, individually made total knee arthroplasty shows promising 1-year clinical and patient reported outcomes |
title_full | Customised, individually made total knee arthroplasty shows promising 1-year clinical and patient reported outcomes |
title_fullStr | Customised, individually made total knee arthroplasty shows promising 1-year clinical and patient reported outcomes |
title_full_unstemmed | Customised, individually made total knee arthroplasty shows promising 1-year clinical and patient reported outcomes |
title_short | Customised, individually made total knee arthroplasty shows promising 1-year clinical and patient reported outcomes |
title_sort | customised, individually made total knee arthroplasty shows promising 1-year clinical and patient reported outcomes |
topic | Knee Arthroplasty |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8595176/ https://www.ncbi.nlm.nih.gov/pubmed/34269890 http://dx.doi.org/10.1007/s00402-021-04045-1 |
work_keys_str_mv | AT moretcelines customisedindividuallymadetotalkneearthroplastyshowspromising1yearclinicalandpatientreportedoutcomes AT hirschmannmichaelt customisedindividuallymadetotalkneearthroplastyshowspromising1yearclinicalandpatientreportedoutcomes AT vogelnicole customisedindividuallymadetotalkneearthroplastyshowspromising1yearclinicalandpatientreportedoutcomes AT arnoldmarkusp customisedindividuallymadetotalkneearthroplastyshowspromising1yearclinicalandpatientreportedoutcomes |