No difference in patient-reported satisfaction after 12 months between customised individually made and off-the-shelf total knee arthroplasty - Summary - MDSpire
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No difference in patient-reported satisfaction after 12 months between customised individually made and off-the-shelf total knee arthroplasty
To analyze patient-reported satisfaction and clinical outcomes, including specific measures such as KOOS and EQ-5D-3L, of patients with customized individually made (CIM) total knee arthroplasty (TKA) compared to off-the-shelf (OTS) TKA.
Key Findings:
No significant difference in patient-reported satisfaction between CIM and OTS TKA after 12 months.
Both groups reported similar outcomes in other PROMs such as KOOS and EQ-5D-3L.
Dissatisfaction predictors included female sex, lower osteoarthritis grade, and unfulfilled expectations.
Interpretation:
The study suggests that despite the theoretical advantages of CIM TKA, patient satisfaction does not significantly differ from that of OTS TKA after one year, challenging the assumption that customization leads to better outcomes.
Limitations:
Lack of randomized controlled trials comparing CIM and OTS TKA.
Potential biases in patient selection and reporting that may influence the results.
Conclusion:
CIM TKA does not provide superior patient satisfaction compared to OTS TKA after 12 months, indicating that customization may not be necessary for improved outcomes, which could influence future clinical decisions.
