Physical Performance and Patient-Reported Outcomes Remain Stable at 5 Years After Total Knee Arthroplasty
Purpose: To evaluate changes in physical performance tests (PPTs) and patient-reported outcome measures (PROMs) at baseline, 1 year after total knee arthroplasty (TKA), and a minimum of 5 years after TKA. Methods: We enrolled patients who underwent TKA between 2013 and 2015 performed by a single art...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-06-01
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| Series: | Arthroscopy, Sports Medicine, and Rehabilitation |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666061X25000306 |
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| author | Pakpoom Ruangsomboon, M.D., M.Sc. Onlak Ruangsomboon, M.D., M.Sc. Chirathit Anusitviwat, M.D. Bheeshma Ravi, M.D., Ph.D., F.R.C.S.C. Aasis Unnanuntana, M.D., M.Sc. |
| author_facet | Pakpoom Ruangsomboon, M.D., M.Sc. Onlak Ruangsomboon, M.D., M.Sc. Chirathit Anusitviwat, M.D. Bheeshma Ravi, M.D., Ph.D., F.R.C.S.C. Aasis Unnanuntana, M.D., M.Sc. |
| author_sort | Pakpoom Ruangsomboon, M.D., M.Sc. |
| collection | DOAJ |
| description | Purpose: To evaluate changes in physical performance tests (PPTs) and patient-reported outcome measures (PROMs) at baseline, 1 year after total knee arthroplasty (TKA), and a minimum of 5 years after TKA. Methods: We enrolled patients who underwent TKA between 2013 and 2015 performed by a single arthroplasty surgeon at Siriraj Hospital, Mahidol University, Bangkok, Thailand. We evaluated PPTs and PROMs over a minimum 5-year follow-up period to assess changes over time, identified independent factors associated with PPT deterioration, and determined TKA survivorship. Results: The study included 126 participants with a mean age of 77.8 years. The average follow-up time was 7.4 ± 2.3 years. PPTs and PROMs changed significantly over time from baseline. However, the 2-minute walk test and timed up-and-go test results slightly declined after 1 year but did not attain minimal clinically important differences, and PROMs were maintained and showed no clinically significant changes after 1 year. Hospitalizations owing to complex medical conditions or trauma were independently associated with PPT deterioration. There was a 98.8% survivorship rate at 7.6 years. Conclusions: In an Asian population undergoing TKA, PPTs and PROMs are maintained within acceptable ranges for at least 5 years after primary TKA. Trauma or hospitalizations arising from complex medical conditions were found to be associated with functional decline. A combined evaluation of PPTs and PROMs is advocated for a comprehensive assessment of patients after TKA. Level of Evidence: Level III, cohort study. |
| format | Article |
| id | doaj-art-b8349c8fefc9417da9cdf8e4a96ca11c |
| institution | Matheson Library |
| issn | 2666-061X |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy, Sports Medicine, and Rehabilitation |
| spelling | doaj-art-b8349c8fefc9417da9cdf8e4a96ca11c2025-06-27T05:52:16ZengElsevierArthroscopy, Sports Medicine, and Rehabilitation2666-061X2025-06-0173101104Physical Performance and Patient-Reported Outcomes Remain Stable at 5 Years After Total Knee ArthroplastyPakpoom Ruangsomboon, M.D., M.Sc.0Onlak Ruangsomboon, M.D., M.Sc.1Chirathit Anusitviwat, M.D.2Bheeshma Ravi, M.D., Ph.D., F.R.C.S.C.3Aasis Unnanuntana, M.D., M.Sc.4Department of Orthopaedic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand; Sunnybrook Health Sciences Centre, Division of Orthopaedic Surgery, University of Toronto, Toronto, CanadaUpstream Lab, MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, Unity Health Toronto, Toronto, Canada; Department of Emergency Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, ThailandDepartment of Orthopedics, Faculty of Medicine, Prince of Songkla University, Songkhla, ThailandSunnybrook Health Sciences Centre, Division of Orthopaedic Surgery, University of Toronto, Toronto, CanadaDepartment of Orthopaedic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand; Address correspondence to Aasis Unnanuntana, M.D., M.Sc., Department of Orthopaedic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Wanglang Road, Bangkoknoi, Bangkok 10700, Thailand.Purpose: To evaluate changes in physical performance tests (PPTs) and patient-reported outcome measures (PROMs) at baseline, 1 year after total knee arthroplasty (TKA), and a minimum of 5 years after TKA. Methods: We enrolled patients who underwent TKA between 2013 and 2015 performed by a single arthroplasty surgeon at Siriraj Hospital, Mahidol University, Bangkok, Thailand. We evaluated PPTs and PROMs over a minimum 5-year follow-up period to assess changes over time, identified independent factors associated with PPT deterioration, and determined TKA survivorship. Results: The study included 126 participants with a mean age of 77.8 years. The average follow-up time was 7.4 ± 2.3 years. PPTs and PROMs changed significantly over time from baseline. However, the 2-minute walk test and timed up-and-go test results slightly declined after 1 year but did not attain minimal clinically important differences, and PROMs were maintained and showed no clinically significant changes after 1 year. Hospitalizations owing to complex medical conditions or trauma were independently associated with PPT deterioration. There was a 98.8% survivorship rate at 7.6 years. Conclusions: In an Asian population undergoing TKA, PPTs and PROMs are maintained within acceptable ranges for at least 5 years after primary TKA. Trauma or hospitalizations arising from complex medical conditions were found to be associated with functional decline. A combined evaluation of PPTs and PROMs is advocated for a comprehensive assessment of patients after TKA. Level of Evidence: Level III, cohort study.http://www.sciencedirect.com/science/article/pii/S2666061X25000306 |
| spellingShingle | Pakpoom Ruangsomboon, M.D., M.Sc. Onlak Ruangsomboon, M.D., M.Sc. Chirathit Anusitviwat, M.D. Bheeshma Ravi, M.D., Ph.D., F.R.C.S.C. Aasis Unnanuntana, M.D., M.Sc. Physical Performance and Patient-Reported Outcomes Remain Stable at 5 Years After Total Knee Arthroplasty Arthroscopy, Sports Medicine, and Rehabilitation |
| title | Physical Performance and Patient-Reported Outcomes Remain Stable at 5 Years After Total Knee Arthroplasty |
| title_full | Physical Performance and Patient-Reported Outcomes Remain Stable at 5 Years After Total Knee Arthroplasty |
| title_fullStr | Physical Performance and Patient-Reported Outcomes Remain Stable at 5 Years After Total Knee Arthroplasty |
| title_full_unstemmed | Physical Performance and Patient-Reported Outcomes Remain Stable at 5 Years After Total Knee Arthroplasty |
| title_short | Physical Performance and Patient-Reported Outcomes Remain Stable at 5 Years After Total Knee Arthroplasty |
| title_sort | physical performance and patient reported outcomes remain stable at 5 years after total knee arthroplasty |
| url | http://www.sciencedirect.com/science/article/pii/S2666061X25000306 |
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