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Measuring function after hip and knee surgery: the evidence to support performance-based functional outcome tasks.

S Konan1, F Hossain2, S Patel1

  • 1NE (UCH) London Orthopaedic Training Rotation, 235 Euston Road, London, NW1 2BU, UK.

The Bone & Joint Journal
|November 6, 2014
PubMed
Summary

Patient-reported outcome measures (PROMs) have limitations in orthopaedic surgery. Performance-based functional outcome tools offer a more objective assessment for hip and knee procedures.

Keywords:
functional outcome measuresoutcomes hipoutcomes knee

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Area of Science:

  • Orthopaedic Surgery
  • Clinical Outcome Measurement
  • Rehabilitation Science

Background:

  • Accurate outcome measures are crucial for evaluating orthopaedic procedures in clinical practice and research.
  • Patient-reported outcome measures (PROMs) have limitations, including floor/ceiling effects, adaptability issues, and inability to differentiate pain from function.
  • PROMs may not reflect the true outcome of an intervention, only the patient's perception.

Purpose of the Study:

  • To provide an overview of clinically-validated performance-based functional outcome tools for hip and knee surgery.
  • To inform clinicians and researchers about alternative assessment methods.
  • To highlight tools suitable for high-demand patients, new interventions, or novel rehabilitation protocols.

Main Methods:

  • Review of clinically-validated performance-based functional outcome tools.
  • Focus on tools applicable to hip and knee surgery assessments.
  • Identification of measures addressing limitations of traditional PROMs.

Main Results:

  • Performance-based functional outcome tools can overcome the drawbacks of PROMs.
  • These tools offer a more objective evaluation of functional outcomes post-surgery.
  • Awareness of these tools is important for specific patient populations and research contexts.

Conclusions:

  • Performance-based functional outcome tools are valuable adjuncts to PROMs in orthopaedic surgery.
  • These objective measures enhance the evaluation of interventions for hip and knee procedures.
  • Further adoption of these tools can improve the rigor of clinical practice and research.