Joint awareness after unicompartmental knee arthroplasty and total knee arthroplasty: a systematic review and meta-analysis of cohort studies
Purpose The purpose of this systematic review and meta-analysis is to evaluate the joint awareness after unicompartmental knee arthroplasty (UKA) and total knee arthroplasty (TKA). It was hypothesized that patients with UKA could better forget about their artificial joint in comparison to TKA. Metho...
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Veröffentlicht in: | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2021-10, Vol.29 (10), p.3478-3487 |
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creator | Tripathy, Sujit Kumar Varghese, Paulson Srinivasan, Anand Goyal, Tarun Purudappa, Prabhudev Prasad Sen, Ramesh Kumar Chandrappa, Mallikarjun Honnenahalli |
description | Purpose
The purpose of this systematic review and meta-analysis is to evaluate the joint awareness after unicompartmental knee arthroplasty (UKA) and total knee arthroplasty (TKA). It was hypothesized that patients with UKA could better forget about their artificial joint in comparison to TKA.
Methods
A search of major literature databases and bibliographic details revealed 105 studies evaluating forgotten joint score in UKA and TKA. Seven studies found eligible for this review were assessed for risk of bias and quality of evidence using the Newcastle–Ottawa Scale. The forgotten joint score (FJS-12) was assessed at 6 months, 1 year, and 2 years.
Results
The mean FJS-12 at 2 years was 82.35 in the UKA group and 74.05 in the TKA group. Forest plot analysis of five studies (
n
= 930 patients) revealed a mean difference of 7.65 (95% CI: 3.72, 11.57,
p
= 0.0001;
I
2
= 89% with
p
|
doi_str_mv | 10.1007/s00167-020-06327-4 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2452500148</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2575154665</sourcerecordid><originalsourceid>FETCH-LOGICAL-c352t-48814c0c74af272d3851523e480799b142e54781d0f03f7cde94ff0df803ed453</originalsourceid><addsrcrecordid>eNp9kc1u1TAQhS0EEpfCC7CyxIaNYfwXJ-xQRflRpW7KOnKdMU1J7IvHoboPwTvX7UVCQojVzMjfOSPPYeylhDcSwL0lANk5AQoEdFo5YR6xnTRaC6eNe8x2MBglFNjuKXtGdAPQWjPs2K8veU6V-1tfMCER97Fi4VuaQ173vtQVU_UL_54QeRuvS94vnuqB-zTxmv_59o57TgequPo6B17w54y3D4IVqxc--eVAM_EcecjXuVROdZtmpOfsSfQL4Yvf9YR9PftwefpJnF98_Hz6_lwEbVUVpu-lCRCc8VE5NeneSqs0mh7cMFxJo9Aa18sJIujowoSDiRGm2IPGyVh9wl4fffcl_9iQ6rjOFHBZfMK80aiMVbad1PQNffUXepO30n7QKOvaXtN194bqSIWSiQrGcV_m1ZfDKGG8T2g8JjS2hMaHhEbTRPoooganb1j-WP9HdQcBJpYU</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2575154665</pqid></control><display><type>article</type><title>Joint awareness after unicompartmental knee arthroplasty and total knee arthroplasty: a systematic review and meta-analysis of cohort studies</title><source>Wiley Online Library Journals Frontfile Complete</source><source>SpringerLink Journals - AutoHoldings</source><creator>Tripathy, Sujit Kumar ; Varghese, Paulson ; Srinivasan, Anand ; Goyal, Tarun ; Purudappa, Prabhudev Prasad ; Sen, Ramesh Kumar ; Chandrappa, Mallikarjun Honnenahalli</creator><creatorcontrib>Tripathy, Sujit Kumar ; Varghese, Paulson ; Srinivasan, Anand ; Goyal, Tarun ; Purudappa, Prabhudev Prasad ; Sen, Ramesh Kumar ; Chandrappa, Mallikarjun Honnenahalli</creatorcontrib><description>Purpose
The purpose of this systematic review and meta-analysis is to evaluate the joint awareness after unicompartmental knee arthroplasty (UKA) and total knee arthroplasty (TKA). It was hypothesized that patients with UKA could better forget about their artificial joint in comparison to TKA.
Methods
A search of major literature databases and bibliographic details revealed 105 studies evaluating forgotten joint score in UKA and TKA. Seven studies found eligible for this review were assessed for risk of bias and quality of evidence using the Newcastle–Ottawa Scale. The forgotten joint score (FJS-12) was assessed at 6 months, 1 year, and 2 years.
Results
The mean FJS-12 at 2 years was 82.35 in the UKA group and 74.05 in the TKA group. Forest plot analysis of five studies (
n
= 930 patients) revealed a mean difference of 7.65 (95% CI: 3.72, 11.57,
p
= 0.0001;
I
2
= 89% with
p
< 0.0001) in FJS-12 at 2 years. Further sensitivity analysis lowered
I
2
heterogeneity to 31% after exclusion of the study by Blevin et al. (MD 5.88, 95%CI: 3.10, 8.66,
p
< 0.0001). A similar trend of differences in FJS-12 between the groups was observed at 6 months (MD 32.49, 95% CI: 17.55, 47.43,
p
< 0.0001) and at 1 year (MD 25.62, 95% CI: 4.26, 46.98,
p
= 0.02).
Conclusions
UKA patients can better forget about their artificial joint compared to TKA patients.
Level of evidence
III.</description><identifier>ISSN: 0942-2056</identifier><identifier>EISSN: 1433-7347</identifier><identifier>DOI: 10.1007/s00167-020-06327-4</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Arthroplasty (knee) ; Artificial joints ; Cohort analysis ; Evaluation ; Heterogeneity ; Joint replacement surgery ; Joint surgery ; Joints (anatomy) ; Knee ; Medicine ; Medicine & Public Health ; Meta-analysis ; Orthopedics ; Sensitivity analysis ; Sports Medicine ; Systematic review</subject><ispartof>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021-10, Vol.29 (10), p.3478-3487</ispartof><rights>European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2020</rights><rights>European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c352t-48814c0c74af272d3851523e480799b142e54781d0f03f7cde94ff0df803ed453</citedby><cites>FETCH-LOGICAL-c352t-48814c0c74af272d3851523e480799b142e54781d0f03f7cde94ff0df803ed453</cites><orcidid>0000-0003-0179-9910</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00167-020-06327-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00167-020-06327-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,778,782,27907,27908,41471,42540,51302</link.rule.ids></links><search><creatorcontrib>Tripathy, Sujit Kumar</creatorcontrib><creatorcontrib>Varghese, Paulson</creatorcontrib><creatorcontrib>Srinivasan, Anand</creatorcontrib><creatorcontrib>Goyal, Tarun</creatorcontrib><creatorcontrib>Purudappa, Prabhudev Prasad</creatorcontrib><creatorcontrib>Sen, Ramesh Kumar</creatorcontrib><creatorcontrib>Chandrappa, Mallikarjun Honnenahalli</creatorcontrib><title>Joint awareness after unicompartmental knee arthroplasty and total knee arthroplasty: a systematic review and meta-analysis of cohort studies</title><title>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</title><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><description>Purpose
The purpose of this systematic review and meta-analysis is to evaluate the joint awareness after unicompartmental knee arthroplasty (UKA) and total knee arthroplasty (TKA). It was hypothesized that patients with UKA could better forget about their artificial joint in comparison to TKA.
Methods
A search of major literature databases and bibliographic details revealed 105 studies evaluating forgotten joint score in UKA and TKA. Seven studies found eligible for this review were assessed for risk of bias and quality of evidence using the Newcastle–Ottawa Scale. The forgotten joint score (FJS-12) was assessed at 6 months, 1 year, and 2 years.
Results
The mean FJS-12 at 2 years was 82.35 in the UKA group and 74.05 in the TKA group. Forest plot analysis of five studies (
n
= 930 patients) revealed a mean difference of 7.65 (95% CI: 3.72, 11.57,
p
= 0.0001;
I
2
= 89% with
p
< 0.0001) in FJS-12 at 2 years. Further sensitivity analysis lowered
I
2
heterogeneity to 31% after exclusion of the study by Blevin et al. (MD 5.88, 95%CI: 3.10, 8.66,
p
< 0.0001). A similar trend of differences in FJS-12 between the groups was observed at 6 months (MD 32.49, 95% CI: 17.55, 47.43,
p
< 0.0001) and at 1 year (MD 25.62, 95% CI: 4.26, 46.98,
p
= 0.02).
Conclusions
UKA patients can better forget about their artificial joint compared to TKA patients.
Level of evidence
III.</description><subject>Arthroplasty (knee)</subject><subject>Artificial joints</subject><subject>Cohort analysis</subject><subject>Evaluation</subject><subject>Heterogeneity</subject><subject>Joint replacement surgery</subject><subject>Joint surgery</subject><subject>Joints (anatomy)</subject><subject>Knee</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Meta-analysis</subject><subject>Orthopedics</subject><subject>Sensitivity analysis</subject><subject>Sports Medicine</subject><subject>Systematic review</subject><issn>0942-2056</issn><issn>1433-7347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kc1u1TAQhS0EEpfCC7CyxIaNYfwXJ-xQRflRpW7KOnKdMU1J7IvHoboPwTvX7UVCQojVzMjfOSPPYeylhDcSwL0lANk5AQoEdFo5YR6xnTRaC6eNe8x2MBglFNjuKXtGdAPQWjPs2K8veU6V-1tfMCER97Fi4VuaQ173vtQVU_UL_54QeRuvS94vnuqB-zTxmv_59o57TgequPo6B17w54y3D4IVqxc--eVAM_EcecjXuVROdZtmpOfsSfQL4Yvf9YR9PftwefpJnF98_Hz6_lwEbVUVpu-lCRCc8VE5NeneSqs0mh7cMFxJo9Aa18sJIujowoSDiRGm2IPGyVh9wl4fffcl_9iQ6rjOFHBZfMK80aiMVbad1PQNffUXepO30n7QKOvaXtN194bqSIWSiQrGcV_m1ZfDKGG8T2g8JjS2hMaHhEbTRPoooganb1j-WP9HdQcBJpYU</recordid><startdate>20211001</startdate><enddate>20211001</enddate><creator>Tripathy, Sujit Kumar</creator><creator>Varghese, Paulson</creator><creator>Srinivasan, Anand</creator><creator>Goyal, Tarun</creator><creator>Purudappa, Prabhudev Prasad</creator><creator>Sen, Ramesh Kumar</creator><creator>Chandrappa, Mallikarjun Honnenahalli</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-0179-9910</orcidid></search><sort><creationdate>20211001</creationdate><title>Joint awareness after unicompartmental knee arthroplasty and total knee arthroplasty: a systematic review and meta-analysis of cohort studies</title><author>Tripathy, Sujit Kumar ; Varghese, Paulson ; Srinivasan, Anand ; Goyal, Tarun ; Purudappa, Prabhudev Prasad ; Sen, Ramesh Kumar ; Chandrappa, Mallikarjun Honnenahalli</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c352t-48814c0c74af272d3851523e480799b142e54781d0f03f7cde94ff0df803ed453</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Arthroplasty (knee)</topic><topic>Artificial joints</topic><topic>Cohort analysis</topic><topic>Evaluation</topic><topic>Heterogeneity</topic><topic>Joint replacement surgery</topic><topic>Joint surgery</topic><topic>Joints (anatomy)</topic><topic>Knee</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Meta-analysis</topic><topic>Orthopedics</topic><topic>Sensitivity analysis</topic><topic>Sports Medicine</topic><topic>Systematic review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tripathy, Sujit Kumar</creatorcontrib><creatorcontrib>Varghese, Paulson</creatorcontrib><creatorcontrib>Srinivasan, Anand</creatorcontrib><creatorcontrib>Goyal, Tarun</creatorcontrib><creatorcontrib>Purudappa, Prabhudev Prasad</creatorcontrib><creatorcontrib>Sen, Ramesh Kumar</creatorcontrib><creatorcontrib>Chandrappa, Mallikarjun Honnenahalli</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tripathy, Sujit Kumar</au><au>Varghese, Paulson</au><au>Srinivasan, Anand</au><au>Goyal, Tarun</au><au>Purudappa, Prabhudev Prasad</au><au>Sen, Ramesh Kumar</au><au>Chandrappa, Mallikarjun Honnenahalli</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Joint awareness after unicompartmental knee arthroplasty and total knee arthroplasty: a systematic review and meta-analysis of cohort studies</atitle><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle><stitle>Knee Surg Sports Traumatol Arthrosc</stitle><date>2021-10-01</date><risdate>2021</risdate><volume>29</volume><issue>10</issue><spage>3478</spage><epage>3487</epage><pages>3478-3487</pages><issn>0942-2056</issn><eissn>1433-7347</eissn><abstract>Purpose
The purpose of this systematic review and meta-analysis is to evaluate the joint awareness after unicompartmental knee arthroplasty (UKA) and total knee arthroplasty (TKA). It was hypothesized that patients with UKA could better forget about their artificial joint in comparison to TKA.
Methods
A search of major literature databases and bibliographic details revealed 105 studies evaluating forgotten joint score in UKA and TKA. Seven studies found eligible for this review were assessed for risk of bias and quality of evidence using the Newcastle–Ottawa Scale. The forgotten joint score (FJS-12) was assessed at 6 months, 1 year, and 2 years.
Results
The mean FJS-12 at 2 years was 82.35 in the UKA group and 74.05 in the TKA group. Forest plot analysis of five studies (
n
= 930 patients) revealed a mean difference of 7.65 (95% CI: 3.72, 11.57,
p
= 0.0001;
I
2
= 89% with
p
< 0.0001) in FJS-12 at 2 years. Further sensitivity analysis lowered
I
2
heterogeneity to 31% after exclusion of the study by Blevin et al. (MD 5.88, 95%CI: 3.10, 8.66,
p
< 0.0001). A similar trend of differences in FJS-12 between the groups was observed at 6 months (MD 32.49, 95% CI: 17.55, 47.43,
p
< 0.0001) and at 1 year (MD 25.62, 95% CI: 4.26, 46.98,
p
= 0.02).
Conclusions
UKA patients can better forget about their artificial joint compared to TKA patients.
Level of evidence
III.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><doi>10.1007/s00167-020-06327-4</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-0179-9910</orcidid></addata></record> |
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language | eng |
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source | Wiley Online Library Journals Frontfile Complete; SpringerLink Journals - AutoHoldings |
subjects | Arthroplasty (knee) Artificial joints Cohort analysis Evaluation Heterogeneity Joint replacement surgery Joint surgery Joints (anatomy) Knee Medicine Medicine & Public Health Meta-analysis Orthopedics Sensitivity analysis Sports Medicine Systematic review |
title | Joint awareness after unicompartmental knee arthroplasty and total knee arthroplasty: a systematic review and meta-analysis of cohort studies |
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