Baumann, Florian and Weber, Johannes and Mahr, Daniel and Baeumlein, Martin and Kerschbaum, Maximilian and Mueller, Karolina and Rillmann, Paavo and Nerlich, Michael and Loibl, Markus (2017) Joint awareness in posttraumatic osteoarthritis of the knee: validation of the forgotten joint score in long term condition after tibial plateau fracture. HEALTH AND QUALITY OF LIFE OUTCOMES, 15: 233. ISSN 1477-7525,
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Background: Evaluating patient-reported outcomes (PRO) in early osteoarthritis (OA) of the knee is difficult. Established measurement tools are focused on one of the two major patient groups in knee surgery: young, highly active patients, or older patients with advanced degenerative OA of the knee. Joint awareness in everyday life is a crucial criterion in measuring PRO. The purpose of this study was to validate a German version of the "Forgotten Joint Score" (FJS) in patients after surgical treatment of tibial plateau fractures. Methods: In this prospective cohort study, clinical and radiological outcomes data were collected from patients after surgical treatment of tibial plateau fractures following a skiing accident. Functional outcome questionnaires were administered including the FJS, the Lysholm-Score, the Tegner-Activity Scale (TAS), the EuroQol-5D (EQ 5-D), and a subjective rating of change. The validation study was carried out according to the COSMIN checklist protocol. The KLS was used to measure the presence and severity of OA on knee radiographs, and correlation with the FJS was measured. Results: Cronbach's alpha was .96 (95%-CI.92, .99) confirming good internal consistency. Test-retest reliability of the FJS was high with an ICC(67) = .91 (95%-CI.85, .95). Furthermore, no relevant floor or ceiling effects were observed. FJS significantly differed in patients with different OA degrees (p = .041). Symptomatic patients had significant lower FJS than asymptomatic patients (p < .001). Conclusions: This is the first study validating a disease-specific PRO, the FJS, in long-term outcomes after joint fracture. We demonstrated good psychometric properties and a significant correlation between the FJS and the radiologic degree of OA in patients with a history of tibial plateau fracture.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | QUALITY-OF-LIFE; POPULATION-BASED COHORT; HEALTH-STATUS; LIGAMENT INJURIES; COSMIN CHECKLIST; OUTCOME MEASURES; SPORTS ACTIVITY; ARTHROPLASTY; ASSOCIATION; REPLACEMENT; Patient reported outcome measurement (PROM); Forgotten joint score (FJS); COSMIN checklist; Early osteoarthritis; Tibial plateau fracture |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Unfallchirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 14 Dec 2018 13:18 |
| Last Modified: | 20 Feb 2019 15:12 |
| URI: | https://pred.uni-regensburg.de/id/eprint/1707 |
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