Comparison of patient reported outcome measures after single versus two-stage revision for chronic infection of total hip arthroplasty: a retrospective propensity score matched cohort study
| Autor: | Christian Klemt, Young-Min Kwon, Janna van den Kieboom, Venkatsaiakhil Tirumala, Liang Xiong |
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| Rok vydání: | 2021 |
| Předmět: |
Reoperation
musculoskeletal diseases medicine.medical_specialty Prosthesis-Related Infections Arthroplasty Replacement Hip Periprosthetic Prom Cohort Studies 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Humans Orthopedics and Sports Medicine Patient Reported Outcome Measures Propensity Score Retrospective Studies 030222 orthopedics business.industry Mortality rate Gold standard 030229 sport sciences General Medicine Chronic infection Treatment Outcome Propensity score matching Orthopedic surgery Surgery Patient-reported outcome business |
| Zdroj: | Archives of Orthopaedic and Trauma Surgery. 141:1789-1796 |
| ISSN: | 1434-3916 0936-8051 |
| DOI: | 10.1007/s00402-021-03810-6 |
| Popis: | Two-stage revision is the current gold standard treatment for infected total hip arthroplasties (THA) with good clinical outcomes. Single-stage revision THA offers the advantage of only a single surgical intervention, potentially leading to improved functional outcomes. This study aimed to compare the differences in patient-reported outcome measures (PROMs) and complications between single and two-stage revision THA for chronic periprosthetic joint infection (PJI). A total of 159 consecutive revision THA patients for chronic PJI with complete pre-and post-operative patient-reported outcome measures (PROM) was investigated. A total of 46 patients with single-stage revision THA was matched to 92 patients following two-stage revision THA using propensity score matching, yielding a total of 136 propensity score-matched patients for analysis. Single and two-stage revision THA improved PROM scores post-operatively, with significantly higher PROMs for single-stage revision THA (HOOS-PS: 50.7 vs 46.4, p = 0.04; Physical SF 10A: 42.1 vs 36.6, p |
| Databáze: | OpenAIRE |
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