Equivocal physical activity outcomes 10 Years after patellofemoral vs total knee replacement: Follow-up of a previously reported randomized controlled trial in isolated patellofemoral joint osteoarthritis.

Abstract

The purpose of this study was to determine differences in physical activity among patients who had had a total knee replacement (TKR) or patellofemoral joint replacement (PFR), in a randomized controlled trial, 10 years after surgery. Patients with isolated patellofemoral joint osteoarthritis (PFJ OA) were recruited to a randomized controlled trial. Patients were randomized 1:1 to PFR or TKR between 2007 and 2014. Patients were invited back to participate 10 years later. Those who accepted wore a GENEActiv wrist-worn accelerometer for 7 days. The duration of inactivity, light, moderate, and vigorous activity was compared between groups. Total physical activity, total step count, and 24-h (Euclidean norm minus 1g- ENMO) acceleration were measured and compared using t-tests or Wilcoxon tests. There were a total of 30 patients recruited as part of the study; 17 patients had a PFR, and 13 patients had a TKR. PFR patients did an average of 2% more minutes of total physical activity, 1154.2 min per week, compared to TKR patients, 1132.1 min per week; no significant difference was found (p = 0.89). PFR patients had an 8.6% higher step count compared to TKR patients per week, but did not show a statistically significant difference p > 0.05. There was no statistically significant difference between the duration of light, moderate and vigorous activity performed. Although PFR had a higher step count and total physical activity per week, there was no statistically significant difference in physical activity levels between PFR and TKR participants at the 10-year follow-up. Level 2.