タニグチ　ヒロト   Taniguchi Hiroto   谷口　浩人    所属   医学部 医学科（東京女子医科大学病院）    職種   非常勤講師
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	Noise after total knee arthroplasty has limited effect on joint awareness and patient-reported clinical outcomes: retrospective study.
掲載誌名	正式名：BMC musculoskeletal disorders 略　 称：BMC Musculoskelet Disord ISSNコード：14712474/14712474
掲載区分	国外
巻・号・頁	21(1),pp.115
著者・共著者	Taniguchi Hiroto†, Itoh Masafumi, Yoshimoto Nobuyuki, Itou Junya, Kuwashima Umito, Okazaki Ken*
担当区分	筆頭著者
発行年月	2020/02/21
概要	BACKGROUND:Some patients complain of noise after total knee arthroplasty (TKA). Controversy still exists on how the noise affects the clinical outcomes, including joint awareness, after TKA. The Forgotten Joint Score-12 (FJS-12) measures the clinical outcomes focusing on joint awareness after surgery. The Knee Society Scoring System-2011 (KSS-2011) includes questionnaires for satisfaction, expectation, and functional activities. The aim of this study is to clarify the relationship among FJS-12, KSS-2011, and the noise. Furthermore, the relationship between FJS-12 and KSS-2011 was validated.METHODS:Using FJS-12 and KSS-2011, 295 knees from 225 patients who underwent TKA were retrospectively evaluated. Noise perception was evaluated by a questionnaire with five grades, a method that follows the questionnaire form of FJS-12 ("Are you aware of the noise of your artificial joint?"; never, almost never, seldom, sometimes, mostly). Correlations among FJS-12, KSS-2011, and noise were analyzed. The patients were divided into four groups based on the mechanism of their implant [cruciate retaining, posterior stabilized, cruciate sacrificed, and bicruciate stabilized (BCS)]. FJS-12, KSS-2011, and noise were compared among the groups.RESULTS:A strong correlation was found between FJS-12 and total score of KSS-2011 (0.70; P < 0.001). FJS-12 correlated with KSS-2011 subcategories of "symptoms," "satisfaction," and "standard activities," with correlation coefficients at approximately 0.60. Noise had weak correlations with FJS-12 (0.28; P < 0.001) and KSS-2011 (0.20 P < 0.001). In comparing the TKA mechanisms, BCS had remarkably better KSS-2011 and greater movement range but worse noise scores.CONCLUSIONS:Noise perception after TKA had limited effect on joint awareness and clinical outcomes. FJS-12 correlated strongly with KSS-2011 and associated with satisfaction, residual symptoms, and daily activities, as assessed by KSS-2011 subscores.
DOI	10.1186/s12891-020-3134-7
PMID	32085760