- Author
-
A. Hoorntje
- Title
- Optimising treatment of younger, active knee osteoarthritis patients
- Subtitle
- Surgical options and functional outcomes
- Supervisors
- Co-supervisors
-
R.C.I. van Geenen
R.J. van Heerwaarden - Award date
- 1 October 2021
- Number of pages
- 257
- ISBN
- 9789464166620
- Document type
- PhD thesis
- Faculty
- Faculty of Medicine (AMC-UvA)
- Abstract
-
The main objective of this thesis is to facilitate the shared-decision making for the best surgical treatment strategy in relatively young and active knee osteoarthritis (OA) patients, based on their individual expectations and activity goals. We investigated three topics: I) current functional outcomes, including participation in sports and work, of joint preserving alternatives to knee arthroplasty (KA), II) prognostic factors for patient relevant outcomes, such as return to sport and work, after knee osteotomy and KA, and III) strategies to optimize outcomes like goal attainment and patient satisfaction in this relatively young and active group of KA patients. The results reported in this thesis support the use of knee joint sparing alternatives to KA in the treatment of relatively young, active patients. Individual activity goals, and prognostic factors for patient relevant outcomes, such as preoperative sports participation and being the family’s breadwinner, should be taken into account when deciding which treatment option is best for each specific patient. Finally, if patients go on to require a knee arthroplasty, goal-oriented and personalized rehabilitation should be offered.
- Other links
- Chapter 4 (original article)
Creative Commons CC-BY-NC-ND license (chapter 4) - Persistent Identifier
- https://hdl.handle.net/11245.1/9e943e26-311e-490e-a945-10344837b74a
- Downloads
-
Thesis (complete)
Front matter
General introduction
Chapter 1: High rates of return to sports activities and work after osteotomies around the knee: A systematic review and meta-analysis
Chapter 2: Eight respectively nine out of ten patients return to sport and work after distal femoral osteotomy
Chapter 3: Return to sport and work after randomization for knee distraction versus high tibial osteotomy: Is there a difference?
Chapter 4: Not physical activity, but patient beliefs and expectations are associated with return to work after total knee arthroplasty
Chapter 5: Prognostic factors for return to sport after high tibial osteotomy: A directed acyclic graph approach
Chapter 6: Predictors of return to work after high tibial osteotomy: The importance of being a breadwinner
Chapter 7: Outpatient unicompartmental knee arthroplasty: Who is afraid of outpatient surgery?
Chapter 8: Does activity-based rehabilitation with Goal Attainment Scaling increase physical activity among younger knee arthroplasty patients? Results from the randomized-controlled ACTION trial
Chapter 9: Goal Attainment Scaling rehabilitation improves satisfaction with work activities for younger working knee arthroplasty patients: Results from the randomized controlled ACTION trial
General discussion and future perspectives
Summary; Nederlandse samenvatting; Contributing authors; List of publications; PhD portfolio; Dankwoord
- Supplementary materials
Disclaimer/Complaints regulations
If you believe that digital publication of certain material infringes any of your rights or (privacy) interests, please let the Library know, stating your reasons. In case of a legitimate complaint, the Library will make the material inaccessible and/or remove it from the website. Please Ask the Library, or send a letter to: Library of the University of Amsterdam, Secretariat, Singel 425, 1012 WP Amsterdam, The Netherlands. You will be contacted as soon as possible.