The association between perception of patients and their actual ability to do floor activities after mobile-bearing unicompartmental knee arthroplasty: A prospective, cross-sectional study
Rapeepat Narkbunnam1
, Karn Rojjananukulpong2, Pakpoom Ruangsomboon1, Keerati Chareancholvanich1, Chaturong Pornrattanamaneewong1
1Department of Orthopaedic Surgery, Division of Adult Reconstructive Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
2Department of Orthopaedic Surgery, Bamrasnaradura Infectious Diseases Institute, Bangkok, Thailand
Keywords: Floor activities patient perception, unicompartmental knee arthroplasty.
Abstract
Objectives: This study aims to evaluate the association between patientsʼ perception and their ability to perform floor activities after mobile-bearing unicompartmental knee arthroplasty (MB-UKA).
Patients and methods: This prospective, cross-sectional study included a total of 63 knees of 63 patients (7 males, 56 females; mean age: 65.6±6.2 years; range, 51 to 79 years) with anteromedial osteoarthritis knee who had MB-UKA with a follow-up period of at least one year postoperatively. Each participant was asked to rate their perception of their ability to perform six floor activities. Their actual abilities were measured by using a five-category anchored scale. The primary outcome was the association between participants’ perception and their actual ability. The secondary outcome was to evaluate factors affecting patients’ actual ability.
Results: More than 60% of the patients could achieve good actual ability scores in performing chair kneeling, floor kneeling, and sitting side-legged regardless of their perception. Chair kneeling at 90 degrees had the most patients (69.8%) with good actual ability scores. Standing up from the floor was the activity with the highest positive perception rate of 84.1%. However, relatively lower actual activity scores were observed in floor squatting, cross-legged sitting, and standing up from the floor. Floor squatting yielded the lowest rate of positive perception and actual ability scores (39.1% and 20.6%, respectively). The Oxford Knee Score and knee flexion angle had moderate positive correlations with the actual ability scores (r=0.44 and 0.40, respectively).
Conclusion: Patients’ perception and their actual ability may differ for each floor activity after MB-UKA. An appropriate sequence of activities based on their difficulties along with positive reinforcement and appropriate patient education may yield favorable functional outcomes following MB-UKA.
Citation: Narkbunnam R, Rojjananukulpong K, Ruangsomboon P, Chareancholvanich K, Pornrattanamaneewong C. The association between perception of patients and their actual ability to do floor activities after mobile-bearing unicompartmental knee arthroplasty: A prospective, crosssectional study. Jt Dis Relat Surg 2023;34(2):i-viii. doi: 10.52312/ jdrs.2023.877