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No clinical relevant differences in early clinical outcomes, patient satisfaction and objective gait and posture analysis between a custom versus off-the-shelf total knee arthroplasty: a prospective controlled study

Introduction

Osteoarthritis is a common joint disease affecting many people worldwide. Improving treatment options is essential for enhancing patients’ quality of life.

Study Overview

This study compared two types of total knee arthroplasty (TKA): personalized (custTKA) and standard (convTKA). The goal was to see how each method impacted patients’ walking, posture, and overall health after surgery.

Participants

A total of 73 patients took part in the study. They were mostly aged around 66 and had various body weights. Surgeries were performed by two experienced surgeons.

Methods of Evaluation

The success of the surgeries was measured using:

  • Forgotten Knee Joint Score (FKJS)
  • Knee Society Score (KSS)
  • Gait evaluation using special sensors
  • Postural stability checks
  • X-ray analysis of knee alignment

Key Findings

Overall, there were no significant differences in walking ability or patient satisfaction between the two types of surgery. Measurements of gait, such as walking speed and stride length, showed improvement over time but were similar for both surgery types.

Conclusion

In this study, custTKA did not show any notable advantages over convTKA in terms of clinical outcomes or patient satisfaction.

Practical Healthcare Solutions

Based on these findings, clinics and patients can:

  • Focus on standard total knee arthroplasty as a viable treatment option for osteoarthritis.
  • Set measurable goals for postoperative recovery without the need for personalized implants.
  • Utilize AI tools tailored to enhance patient monitoring and outcomes.
  • Start with pilot projects to track the effectiveness of treatments and adjust care plans as needed.

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