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The work evaluates fast-track total knee arthroplasty and compares fixed- versus mobile-bearing designs, including whether insert type influences clinical and functional results with multi-year follow-up. It also develops and validates outcome measures, including cross-cultural adaptation of the Dutch High Activity Arthroplasty Score, and analyzes gait quality using trunk accelerometry and patients’ daily-life gait behavior before and after surgery.","VU Research Portal  \nImproving functional outcome and outcome measures in total knee arthroplasty  \nFransen, B. L.  \n2019  \ndocument version  \nPublisher's PDF, also known as Version of record  \nLink to publication in VU Research Portal  \ncitation for published version (APA)  \nFransen, B. L. (2019) . Improving functional outcome and outcome measures in total knee arthroplasty. [PhDThesis-Research and graduation internal, Vrije Universiteit Amsterdam] .  \nGeneral rights  \nCopyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.  \n• Users may download and print one copy of any publication from the public portal for the purpose of private study or research.  \n• You may not further distribute the material or use it for any profit-making activity or commercial gain  \n• You may freely distribute the URL identifying the publication in the public portal  \nTake down policy  \nIf you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim.  \nE-mail address:  \n[vuresearchportal.ub@vu.nl](vuresearchportal.ub@vu.nl)  \n[Download date: 10](Download date: 10) . Sep. 2026  \nImproving functional outcome and outcome measures in  \ntotal knee arthroplasty  \nBas Fransen  \nImproving functional outcome and outcome measures in total knee arthroplasty  \nBas Lennart Fransen  \nImproving functional outcome and outcome measures in total knee arthroplasty © Bas L. Fransen, 2019  \nISBN: 978-94-6380-554-4  \nDesign and lay-out: Wendy Schoneveld || [www.wenzid.nl](www.wenzid.nl)  \nPrinted: ProefschiftMaken || [Proefschiftmaken.nl](Proefschiftmaken.nl)  \nThis PhD thesis was embedded within Amsterdam Movement Sciences research institute, at the Department of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, the Netherlands in a joint effort with the Centre for Orthopaedic Research Alkmaar (CORAL) of the Department of Orthopaedic Surgery, Noordwest Ziekenhuisgroep Alkmaar, the Netherlands.  \nPrinting of this thesis was supported by:  \nNederlandse Orthopaedische Vereniging, Centre for Orthopaedic Research Alkmaar, Noordwest Academie part of Noordwest Ziekenhuisgroep, ORTHIS, Zimmer-Biomet, Mathys Orthopaedics BV, McRoberts, Oudshoorn chirurgische techniek, Smith+Nephew, Chipsoft.  \nVRIJE UNIVERSITEIT  \nImproving functional outcome and outcome measures in total knee arthroplasty  \nACADEMISCH PROEFSCHRIFT  \nter verkrijging van de graad Doctor aan de Vrije Universiteit Amsterdam, op gezag van de rector magnificus prof.dr. V. Subramaniam, in het openbaar te verdedigen ten overstaan van de promotiecommissie van de Faculteit der Gedrags-en Bewegingswetenschappen op maandag 9 december 2019 om 13.45 uur in de aula van de universiteit, De Boelelaan 1105  \ndoor  \nBas Lennart Fransen  \ngeboren te Alphen aan den Rijn  \npromotor: prof.dr. J.H. van Dieën  \ncopromotoren: dr. M.J.M. Hoozemansdr. B.J. Burger  \nCONTENTS  \nCHAPTER 1 Introduction 9  \nCHAPTER 2  \nCHAPTER 3  \nCHAPTER 4  \n4.1  \n4.2  \nPART 1 IMPROVING FUNCTIONAL OUTCOME  \nFast-track total knee arthroplasty improves clinical and functional outcome in the first seven days after surgery. A randomized controlled pilot study with five years follow-up  \nNo differences between fixed-and mobile-bearing total knee arthroplasty  \nDoes insert type affect clinical and functional outcome in total knee arthroplasty? A randomised controlled clinical trial with 5-year follow-up  \nLetter to editor: Does insert type affect clinical and functional outcome in total knee arthroplasty? A randomised controlled clinical trial with 5-year follow-up  \nIn reply: Does insert type affect clinical and functional outcome in total knee arthroplasty?  \n25  \n49  \n83  \n103  \n109  \nPART 2 IMPROVING FUNCTIONAL OUTCOME MEASURES","cbCainI6eueNnmML","https://ap.wps.com/l/cbCainI6eueNnmML","pdf",4019312,1,219,"English","en",105,"# Contents\n## Chapter 1 Introduction\n## Chapter 2\n## Chapter 3\n## Chapter 4\n## 4.1\n## 4.2\n## Part 1 Improving Functional Outcome\n## Part 2 Improving Functional Outcome Measures\n## Chapter 5 Cross-cultural adaptation and validation of the Dutch version of the High Activity Arthroplasty Score\n## Chapter 6 Gait quality assessed by trunk accelerometry after total knee arthroplasty and its association with patient related outcome measures\n## Chapter 7 Patients’ daily-life gait quality, gait behavior, and perceived walking abilities before and 3 months after total knee arthroplasty\n## Concluding Remarks\n## Chapter 8\n## Chapter 9\n## Chapter 10\n## Chapter 11\n## Chapter 12\n## Epilogue\n## Nederlandstalige Dankwoord\n## Curriculum vitae\n## Publication list\n## samenvatting","[{\"question\":\"What aspects of total knee arthroplasty does the thesis focus on?\",\"answer\":\"The thesis focuses on improving functional outcomes after total knee arthroplasty and on selecting and validating outcome measures that capture those outcomes.\"},{\"question\":\"How does the thesis evaluate clinical and functional outcomes?\",\"answer\":\"It analyzes fast-track total knee arthroplasty versus standard approaches, compares fixed- and mobile-bearing designs, and tests whether insert type affects outcomes using randomized controlled clinical study designs with follow-up.\"},{\"question\":\"Which outcome-measurement methods are emphasized?\",\"answer\":\"The work includes cross-cultural adaptation and validation of the Dutch High Activity Arthroplasty Score, and it assesses gait quality using trunk accelerometry and patient-reported daily-life walking and gait behaviors before and after surgery.\"}]","Improving functional outcome and outcome measures in total knee arthroplasty | 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