Short-term functional outcome after hip resurfacing surgery

Autor: Frank R. A. J. de Meulemeester, Thomas H. Nijman, Rudolf W. Poolman, Cor P. van der Hart, Vanessa A. Scholtes
Rok vydání: 2012
Předmět:
Zdroj: European Journal of Orthopaedic Surgery & Traumatology. 23:197-202
ISSN: 1432-1068
1633-8065
DOI: 10.1007/s00590-012-0946-7
Popis: Hip resurfacing arthroplasty is a popular method for treating late stage osteoarthritis, especially in young and active patients. Most studies presenting short-term follow-up after hip resurfacing present radiographic or dual clinician-patient-related outcome. These kinds of outcomes are influenced by interpretation of the clinician and do not tell us much about functional outcome from the patients perspective. Today, functional outcome is often measured using patient-reported outcome instruments. We used the patient-reported 'Hip Disability and osteoarthritis Outcome Score' questionnaire, which has good measurement properties, to assess short-term functional outcome in 160 patients (mean follow-up of 2.6 years) after hip resurfacing surgery. Furthermore, we focused on pain, range of motion, subjective improvement and complications. The majority (86.9%) of patients was free of pain after surgery and range of motion improved significantly. Subjective improvement was indicated in 95% of the patients. Mean HOOS in 149 patients was 87.5. In total, there were 11 complications (6%), and deep infections contributed the most (3.4%). In general, short-term follow-up after hip resurfacing in this cohort showed good clinical and patient-reported functional outcome. When assessing the results of medical interventions, a good PRO instrument can give reliable and valuable information from the patients perspective.
Databáze: OpenAIRE
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