Outcome of total hip arthroplasty, but not of total knee arthroplasty, is related to the preoperative radiographic severity of osteoarthritis: A prospective cohort study of 573 patients

Autor: R. L. Tordoir, Claudia S. Leichtenberg, Rob G H H Nelissen, Herman M. Kroon, C. Tilbury, Maarten J Holtslag, Thea P. M. Vliet Vlieland, Marta Fiocco, S.H.M. Verdegaal
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Male
Arthroplasty
Replacement
Hip
medicine.medical_treatment
Osteoarthritis
Severity of Illness Index
Osteoarthritis
Hip
Cohort Studies
Postoperative Complications
0302 clinical medicine
Quality of life
Orthopedics and Sports Medicine
Prospective Studies
Arthroplasty
Replacement
Knee
Prospective cohort study
Netherlands
Pain Measurement
Orthopedic surgery
030222 orthopedics
Age Factors
General Medicine
Middle Aged
Osteoarthritis
Knee
musculoskeletal system
Prosthesis Failure
Treatment Outcome
surgical procedures
operative
Female
Cohort study
Adult
Reoperation
musculoskeletal diseases
medicine.medical_specialty
Risk Assessment
Statistics
Nonparametric
03 medical and health sciences
Preoperative Care
Correspondence
Severity of illness
medicine
Humans
Aged
030203 arthritis & rheumatology
Hip surgery
Chi-Square Distribution
business.industry
Recovery of Function
medicine.disease
Arthroplasty
Surgery
Radiography
Physical therapy
business
Chi-squared distribution
RD701-811
Follow-Up Studies
Zdroj: Acta Orthopaedica, Vol 87, Iss 1, Pp 67-71 (2016)
Acta Orthopaedica, 87(1), 67-71
ACTA ORTHOPAEDICA
ACTA ORTHOPAEDICA, 87(1), 67-71
Acta Orthopaedica
ISSN: 1745-3682
1745-3674
Popis: Background and purpose — There is no consensus on the impact of radiographic severity of hip and knee osteoarthritis (OA) on the clinical outcome of total hip arthroplasty (THA) and total knee arthroplasty (TKA). We assessed whether preoperative radiographic severity of OA is related to improvements in functioning, pain, and health-related quality of life (HRQoL) 1 year after THA or TKA. Patients and methods — This prospective cohort study included 302 THA patients and 271 TKA patients with hip or knee OA. In the THA patients, preoperatively 26% had mild OA and 74% had severe OA; in the TKA patients, preoperatively 27% had mild OA and 73% had severe OA. Radiographic severity was determined according to the Kellgren and Lawrence (KL) classification. Clinical assessments preoperatively and 1 year postoperatively included: sociodemographic characteristics and patient-reported outcomes (PROMs): Oxford hip/knee score, hip/knee injury and osteoarthritis outcome score (HOOS/KOOS), SF36, and EQ5D. Change scores of PROMs were compared with mild OA (KL 0–2) and severe OA (KL 3–4) using a multivariate linear regression model. Results — Adjusted for sex, age, preoperative scores, BMI, and Charnley score, radiographic severity of OA in THA was associated with improvement in HOOS “Activities of daily living”, “Pain”, and “Symptoms”, and SF36 physical component summary (“PCS”) scale. In TKA, we found no such associations. Interpretation — The decrease in pain and improvement in function in THA patients, but not in TKA patients, was positively associated with the preoperative radiographic severity of OA.
Databáze: OpenAIRE
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