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
Hauptverfasser: Tripathy, Sujit Kumar, Varghese, Paulson, Srinivasan, Anand, Goyal, Tarun, Purudappa, Prabhudev Prasad, Sen, Ramesh Kumar, Chandrappa, Mallikarjun Honnenahalli
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container_title Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
container_volume 29
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
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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  &lt; 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  &lt; 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  &lt; 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 &amp; 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  &lt; 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  &lt; 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  &lt; 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. 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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  &lt; 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  &lt; 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  &lt; 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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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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