@Article{crph6123,
AUTHOR = {Trindade, Andrei Machado Viegas da and Araújo, Helder Rocha da Silva and Júnior, Mário Soares Ferreira and Monte, Karine Kelly Rangel de Andrade and Silva, Marcos Vinícius Amorim and Bastos, Rebecca Gomes Moura and Bariani, João Gabriel Ventura and Nora, Fernanda Grazielle da Silva Azevedo},
TITLE = {Performance and Validity of Knee Function Assessment Tools After Total Knee Arthroplasty: A Systematic Review},
JOURNAL = {Current Research in Public Health},
VOLUME = {1},
YEAR = {2025},
NUMBER = {1},
PAGES = {60-69},
URL = {https://www.scipublications.com/journal/index.php/GJO/article/view/6123},
ISSN = {2831-5162},
DOI = {10.31586/gjo.2025.6123},
ABSTRACT = {Objective: To identify and evaluate the main functional assessment tools applied in the postoperative monitoring of patients undergoing total knee arthroplasty (TKA), and to synthesize the functional outcomes reported through these instruments in the current scientific literature. Methodology: A structured review was conducted following PRISMA 2020 guidelines. Thirty-one peer-reviewed studies were selected through a targeted manual search based on predefined eligibility criteria. Included studies evaluated functional recovery following TKA using validated outcome measures such as the WOMAC, KSS, KOOS, IKDC, SF-36, and SANE. Data extraction focused on the instruments used, patient population characteristics, and reported outcomes. A descriptive synthesis was compiled in Table 1. Additionally, 15 studies with quantitative data were analyzed using a forest plot to illustrate risk ratios (RR) and 95% confidence intervals (CI) for functional improvement. Risk of bias was assessed qualitatively based on methodological rigor, clarity of reporting, and validation of the outcome tools. Results: All included studies reported improvements in functional status following TKA. Most risk ratios ranged from 0.66 to 0.85, indicating a consistent reduction in the risk of postoperative functional limitation. High-quality studies demonstrated more precise effect estimates and greater internal validity. The SANE scale emerged as a valid and practical tool with high responsiveness, including in its culturally adapted Brazilian version. Despite heterogeneity in study design, the direction of effect remained consistent across all included studies. Conclusion: Validated functional assessment tools are essential for monitoring recovery after total knee arthroplasty. Instruments such as WOMAC and SANE demonstrate strong clinical utility and psychometric validity. Their systematic use enhances outcome comparability, supports individualized rehabilitation planning, and improves decision-making in orthopedic care.},
}

%0 Journal Article
%A Trindade, Andrei Machado Viegas da
%A Araújo, Helder Rocha da Silva
%A Júnior, Mário Soares Ferreira
%A Monte, Karine Kelly Rangel de Andrade
%A Silva, Marcos Vinícius Amorim
%A Bastos, Rebecca Gomes Moura
%A Bariani, João Gabriel Ventura
%A Nora, Fernanda Grazielle da Silva Azevedo
%D 2025
%J Current Research in Public Health

%@ 2831-5162
%V 1
%N 1
%P 60-69

%T Performance and Validity of Knee Function Assessment Tools After Total Knee Arthroplasty: A Systematic Review
%M doi:10.31586/gjo.2025.6123
%U https://www.scipublications.com/journal/index.php/GJO/article/view/6123

TY  - JOUR
AU  - Trindade, Andrei Machado Viegas da
AU  - Araújo, Helder Rocha da Silva
AU  - Júnior, Mário Soares Ferreira
AU  - Monte, Karine Kelly Rangel de Andrade
AU  - Silva, Marcos Vinícius Amorim
AU  - Bastos, Rebecca Gomes Moura
AU  - Bariani, João Gabriel Ventura
AU  - Nora, Fernanda Grazielle da Silva Azevedo
TI  - Performance and Validity of Knee Function Assessment Tools After Total Knee Arthroplasty: A Systematic Review
T2  - Current Research in Public Health
PY  - 2025
VL  - 1
IS  - 1
SN  - 2831-5162
SP  - 60
EP  - 69
UR  - https://www.scipublications.com/journal/index.php/GJO/article/view/6123
AB  - Objective: To identify and evaluate the main functional assessment tools applied in the postoperative monitoring of patients undergoing total knee arthroplasty (TKA), and to synthesize the functional outcomes reported through these instruments in the current scientific literature. Methodology: A structured review was conducted following PRISMA 2020 guidelines. Thirty-one peer-reviewed studies were selected through a targeted manual search based on predefined eligibility criteria. Included studies evaluated functional recovery following TKA using validated outcome measures such as the WOMAC, KSS, KOOS, IKDC, SF-36, and SANE. Data extraction focused on the instruments used, patient population characteristics, and reported outcomes. A descriptive synthesis was compiled in Table 1. Additionally, 15 studies with quantitative data were analyzed using a forest plot to illustrate risk ratios (RR) and 95% confidence intervals (CI) for functional improvement. Risk of bias was assessed qualitatively based on methodological rigor, clarity of reporting, and validation of the outcome tools. Results: All included studies reported improvements in functional status following TKA. Most risk ratios ranged from 0.66 to 0.85, indicating a consistent reduction in the risk of postoperative functional limitation. High-quality studies demonstrated more precise effect estimates and greater internal validity. The SANE scale emerged as a valid and practical tool with high responsiveness, including in its culturally adapted Brazilian version. Despite heterogeneity in study design, the direction of effect remained consistent across all included studies. Conclusion: Validated functional assessment tools are essential for monitoring recovery after total knee arthroplasty. Instruments such as WOMAC and SANE demonstrate strong clinical utility and psychometric validity. Their systematic use enhances outcome comparability, supports individualized rehabilitation planning, and improves decision-making in orthopedic care.
DO  - Performance and Validity of Knee Function Assessment Tools After Total Knee Arthroplasty: A Systematic Review
TI  - 10.31586/gjo.2025.6123
ER  -