A Multicenter Prospective Investigation on Patient Physical and Mental Health After Girdlestone Resection Arthroplasty.

Autor: Wixted CM; Duke University School of Medicine, Durham, North Carolina., Polascik BA; Duke University School of Medicine, Durham, North Carolina., Cochrane NH; Department of Orthopaedics, Duke University Medical Center, Durham, North Carolina., Antonelli B; Department of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, Massachusetts., Muthusamy N; Department of Orthopaedic Surgery, NYU Langone Health, New York, New York., Ryan SP; Department of Orthopaedics, Duke University Medical Center, Durham, North Carolina., Chen AF; Department of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, Massachusetts., Schwarzkopf R; Department of Orthopaedic Surgery, NYU Langone Health, New York, New York., Seyler TM; Department of Orthopaedics, Duke University Medical Center, Durham, North Carolina.
Jazyk: angličtina
Zdroj: The Journal of arthroplasty [J Arthroplasty] 2023 May; Vol. 38 (5), pp. 899-902. Date of Electronic Publication: 2022 Dec 16.
DOI: 10.1016/j.arth.2022.12.016
Abstrakt: Background: Girdlestone resection arthroplasty is a salvage procedure for hip periprosthetic joint infection (PJI) that controls infection and reduces chronic pain, but may result in limited postoperative joint function. The aim of this study was to assess physical function and mental health after Girdlestone.
Methods: This was a multicenter, prospective study evaluating patients with Girdlestone. The Prosthesis Evaluation Questionnaire (PEQ) and patient-reported outcomes measurement information system (PROMIS) global physical health and mental health surveys were administered postoperatively via telephone. The PEQ consists of four scales (ie, ambulation, frustration, perceived response, and social burden) with scores ranging from 0 to 10. The PROMIS measures generated T-scores (mean: 50, standard deviation: 10) that enable comparison to the general population.
Results: Thirty-five patients completed all surveys. The average time from procedure to survey completion was 6 years (range, 1 to 20). The median scores for the ambulation, frustration, perceived response, and social burden scales of the PEQ were 0.0 [interquartile range: 0-4.1], 6.0 [3.0-9.3], 9.0 [7.2-10.0], and 7.5 [4.3-9.5]. The median raw scores of the PROMIS global physical health and mental health were 11.91 [interquartile range: 9-14] and 14.0 [10.0-16.0]. These corresponded to average T scores of 39.7 (standard error : 4.3) for physical health and 46.1 (standard error: 3.8) for mental health, which were 10.3 points and 3.9 points below the average score in the United States general population, respectively.
Conclusion: Girdlestone can have a substantial negative impact on physical functions; however, mental health and social interaction may be only moderately affected. These outcomes can be used to guide patient expectations, as this procedure may be necessary in certain salvage scenarios.
(Copyright © 2022 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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