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Outcome instruments for patellofemoral arthroplasty
Elizabeth W Paxton1, Donald C Fithian
1Southern California Permanente Medical Group, San Diego, CA 92020, USA. Liz.W.Paxton@kp.org
Clinical Orthopaedics and Related Research
|July 5, 2005
Summary
The Short Form-36 and Knee Injury and Osteoarthritis Outcome Score are recommended for assessing patient outcomes after patellofemoral arthroplasty. These instruments offer reliable and valid evaluations for clinical settings.
Area of Science:
- Orthopedic Surgery
- Rehabilitation Medicine
- Health Outcomes Research
Background:
- Numerous patient outcome instruments exist, but optimal tools for patellofemoral arthroplasty are not established.
- Reliable and valid outcome measures are crucial for evaluating treatment effectiveness in orthopedic procedures.
Purpose of the Study:
- To review and evaluate psychometric properties and practicalities of common instruments for patellofemoral arthroplasty outcome assessment.
- To identify the most reliable and valid instruments for this specific surgical context.
Main Methods:
- Literature review and evaluation of psychometric properties of general health, knee-specific, and disease-specific instruments.
- Assessment of instruments including MOS Short Form-36/12, Knee Society Clinical Rating System, Knee Outcome Survey, IKDC, KOOS, and WOMAC.
Main Results:
- The Medical Outcomes Study (MOS) Short Form-36 and Knee Injury and Osteoarthritis Outcome Score (KOOS) demonstrated favorable psychometric properties and practical considerations.
- Other evaluated instruments showed limitations in reliability, validity, or applicability for patellofemoral arthroplasty outcomes.
Conclusions:
- The Short Form-36 and KOOS are recommended for comprehensive evaluation of patient outcomes post-patellofemoral arthroplasty.
- Recommendations are provided for implementing these validated instruments in clinical practice for standardized outcome assessment.