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クワシマ ウミト
Kuwashima Umito
桑島 海人 所属 医学部 医学科（東京女子医科大学病院） 職種 助教 |
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| 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* |
| 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 |