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EQ-5D and arthroplasty

Karen L Barker, David Beard, Andrew Price, Francine Toye, Martin Underwood, Avril Drummond, Gary Collins, Susan Dutton, Helen Campbell, Nicola Kenealy, Jon Room, Sarah E Lamb
BACKGROUND: The number of knee arthroplasties performed each year is steadily increasing. Although the outcome is generally favourable, up to 15 % fail to achieve a satisfactory clinical outcome which may indicate that the existing model of rehabilitation after surgery may not be the most efficacious. Given the increasing number of knee arthroplasties, the relative limited physiotherapy resources available and the increasing age and frailty of patients receiving arthroplasty surgery, it is important that we concentrate our rehabilitation resources on those patients who most need help to achieve a good outcome...
October 13, 2016: Trials
H B Waterson, N D Clement, K S Eyres, V I Mandalia, A D Toms
AIMS: Our aim was to compare kinematic with mechanical alignment in total knee arthroplasty (TKA). PATIENTS AND METHODS: We performed a prospective blinded randomised controlled trial to compare the functional outcome of patients undergoing TKA in mechanical alignment (MA) with those in kinematic alignment (KA). A total of 71 patients undergoing TKA were randomised to either kinematic (n = 36) or mechanical alignment (n = 35). Pre- and post-operative hip-knee-ankle radiographs were analysed...
October 2016: Bone & Joint Journal
P van der Voort, E R Valstar, B L Kaptein, M Fiocco, H J L van der Heide, R G H H Nelissen
AIMS: The widely used and well-proven Palacos R (a.k.a. Refobacin Palacos R) bone cement is no longer commercially available and was superseded by Refobacin bone cement R and Palacos R + G in 2005. However, the performance of these newly introduced bone cements have not been tested in a phased evidence-based manner, including roentgen stereophotogrammetric analysis (RSA). PATIENTS AND METHODS: In this blinded, randomised, clinical RSA study, the migration of the Stanmore femoral component was compared between Refobacin bone cement R and Palacos R + G in 62 consecutive total hip arthroplasties...
October 2016: Bone & Joint Journal
D H Li, W Wang, X Li, Y L Gao, D H Liu, D L Liu, W D Xu
OBJECTIVE: The International Hip Outcome Tool (iHOT-33) is a questionnaire designed for young, active patients with hip disorders. It has proven to be a highly reliable and valid questionnaire. The main purpose of our study was to adapt the iHOT-33 questionnaire into simplified Chinese and to assess its psychometric properties in Chinese patients. METHOD: The iHOT-33 was cross culturally adapted into Chinese and 138 patients completed the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), the EuroQol-5D (EQ-5D), and the Chinese version of the iHOT-33(SC-iHOT-33) pre- or postoperatively within 6 months' follow-up...
September 9, 2016: Osteoarthritis and Cartilage
Claus Varnum, Alma B Pedersen, Per Kjærsgaard-Andersen, Søren Overgaard
Background and purpose - Patient-reported outcome (PRO) is recognized as an important tool for evaluating the outcome and satisfaction after total hip arthroplasty (THA). We wanted to compare patient-reported outcome measure (PROM) scores from patients with ceramic-on-ceramic (CoC) THAs and those with metal-on-metal (MoM) THAs to scores from patients with metal-on-polyethylene (MoP) THAs, and to determine the influence of THA-related noise on PROM scores. Patients and methods - We conducted a nationwide cross-sectional questionnaire survey in a cohort of patients identified from the Danish Hip Arthroplasty Registry...
September 12, 2016: Acta Orthopaedica
Alexander S McLawhorn, Michael E Steinhaus, Daniel L Southren, Yuo-Yu Lee, Emily R Dodwell, Mark P Figgie
BACKGROUND: The purpose of this study was to compare the health-related quality of life (HRQoL) of patients across World Health Organization (WHO) body mass index (BMI) classes before and after total hip arthroplasty (THA). METHODS: Patients with end-stage hip osteoarthritis who received elective primary unilateral THA were identified through an institutional registry and categorized based on the World Health Organization BMI classification. Age, sex, laterality, year of surgery, and Charlson-Deyo comorbidity index were recorded...
July 6, 2016: Journal of Arthroplasty
Szilard Nemes, Ola Rolfson, Göran Garellick
RATIONALE, AIMS AND OBJECTIVES: Clinicians considering improvements in health-related quality of life (HRQoL) after total hip replacement (THR) must account for multiple pieces of information. Evidence-based decisions are important to best assess the effect of THR on HRQoL. This work aims at constructing a shared decision-making tool that helps clinicians assessing the future benefits of THR by offering predictions of 1-year postoperative HRQoL of THR patients. METHODS: We used data from the Swedish Hip Arthroplasty Register...
July 27, 2016: Journal of Evaluation in Clinical Practice
Tobias Renkawitz, Tim Weber, Silvia Dullien, Michael Woerner, Sebastian Dendorfer, Joachim Grifka, Markus Weber
We aimed to investigate the relationship between postoperative leg length/offset (LL/OS) reconstruction and gait performance after total hip arthroplasty (THA). In the course of a prospective randomized controlled trial, 60 patients with unilateral hip arthrosis received cementless THA through a minimally-invasive anterolateral surgical approach. One year post-operatively, LL and global OS restoration were analyzed and compared to the contralateral hip on AP pelvic radiographs. The combined postoperative limb length/OS reconstruction of the operated hip was categorized as restored (within 5mm) or non-restored (more than 5mm reduction or more than 5mm increment)...
September 2016: Gait & Posture
Ola Rolfson, Gabrielle S Donahue, Mattias Hallsten, Göran Garellick, Johan Kärrholm, Szilard Nemes
INTRODUCTION: Data from national registries have favored the use of cemented fixation in total hip replacement (THR) while other reports show no significant differences in implant survival between cemented and uncemented fixation using modern implants. It is important to investigate whether the method of fixation itself may affect patient-reported outcomes. Hence, this study sought to analyse if patient-reported outcomes measures (PROMs) differ depending on the type of fixation. METHODS: Data was used from the follow-up programme of the Swedish Hip Arthroplasty Register which comprises the EQ-5D, a visual analogue scale (VAS) on hip pain, as well as a VAS addressing satisfaction with the outcome of the hip replacement...
May 26, 2016: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
Ola Rolfson, Eric Bohm, Patricia Franklin, Stephen Lyman, Geke Denissen, Jill Dawson, Jennifer Dunn, Kate Eresian Chenok, Michael Dunbar, Søren Overgaard, Göran Garellick, Anne Lübbeke
- The International Society of Arthroplasty Registries (ISAR) Patient-Reported Outcome Measures (PROMs) Working Group have evaluated and recommended best practices in the selection, administration, and interpretation of PROMs for hip and knee arthroplasty registries. The 2 generic PROMs in common use are the Short Form health surveys (SF-36 or SF-12) and EuroQol 5-dimension (EQ-5D). The Working Group recommends that registries should choose specific PROMs that have been appropriately developed with good measurement properties for arthroplasty patients...
July 2016: Acta Orthopaedica
Charles M M Peeters, Eva Visser, Cornelis L P Van de Ree, Taco Gosens, Brenda L Den Oudsten, Jolanda De Vries
BACKGROUND: With an increasing ageing population, hip fractures have become a major public health issue in the elderly. It is important to examine the health status (HS) and health-related quality of life (HRQOL) of the elderly faced with the epidemic of hip fractures. OBJECTIVE: To provide an overview of reported HS and HRQOL in elderly patients with a hip fracture. DESIGN: A systematic literature search was performed in Embase, Medline, Web of Science, Scopus, CINAHL, Cochrane, PsycINFO, Pubmed, and Google Scholar in July 2014...
July 2016: Injury
Ola Rolfson, Kate Eresian Chenok, Eric Bohm, Anne Lübbeke, Geke Denissen, Jennifer Dunn, Stephen Lyman, Patricia Franklin, Michael Dunbar, Søren Overgaard, Göran Garellick, Jill Dawson
The International Society of Arthroplasty Registries (ISAR) Steering Committee established the Patient-Reported Outcome Measures (PROMs) Working Group to convene, evaluate, and advise on best practices in the selection, administration, and interpretation of PROMs and to support the adoption and use of PROMs for hip and knee arthroplasty in registries worldwide. The 2 main types of PROMs include generic (general health) PROMs, which provide a measure of general health for any health state, and specific PROMs, which focus on specific symptoms, diseases, organs, body regions, or body functions...
July 2016: Acta Orthopaedica
Gabrielle S Donahue, Viktor Lindgren, Vincent P Galea, Rami Madanat, Orhun Muratoglu, Henrik Malchau
BACKGROUND: Female patients undergoing hip resurfacing arthroplasties may be at greater risk of revision surgery than males, but it is unclear whether this is related to sex or other factors. We focused our analysis on data from a prospective multicenter cohort study monitoring the ASR(TM) hip resurfacing arthroplasty prosthesis on the potential association of sex on patient-reported outcome measures (PROMs), metal ion levels, revision surgery, and presence of adverse local tissue reaction...
October 2016: Clinical Orthopaedics and related Research
Cale A Jacobs, Christian P Christensen, Tharun Karthikeyan
BACKGROUND: The purpose of this study was to determine if postoperative patient satisfaction, subjective outcomes, and functional force testing differed between those with symmetric or asymmetric intraoperative mediolateral (ML) compressive forces. We hypothesized that the threshold would be similar to the previously reported valued of 15 lbf and that a significantly greater proportion of those with more symmetrical medial and lateral compressive forces would be satisfied with their total knee arthroplasty...
September 2016: Journal of Arthroplasty
Ming Han Lincoln Liow, Tsung-Yuan Tsai, Dimitris Dimitriou, Guoan Li, Young-Min Kwon
BACKGROUND: Unicompartmental knee arthroplasty (UKA) is an effective treatment for single-compartment osteoarthritis. Limited studies have examined the relationship between component rotation and functional outcomes, with no existing consensus to guide "optimal" UKA component rotation. Our study aims to study the effect of 3-dimensional (3D) in vivo UKA component axial rotation on functional outcomes by determining (1) how much component axial rotation variability exists in UKA? and (2) does 3D in vivo UKA component axial rotation affect functional outcomes? METHODS: Sixty-six UKAs from 58 consecutive patients (36 male [62...
October 2016: Journal of Arthroplasty
Stuart Cavill, Kylie McKenzie, Adrienne Munro, Janice McKeever, Lucy Whelan, Luke Biggs, Elizabeth H Skinner, Terry P Haines
OBJECTIVE: The study investigated the effect of prehabilitation on the quality of life and function in patients having total knee replacement (TKR)/total hip replacement (THR). METHODS: A pilot randomized controlled trial with concealed allocation, assessor blinding, and intention-to-treat analysis was conducted. Sixty-four people undergoing elective lower-limb arthroplasty were included. Prehabilitation included one-hour twice-weekly sessions for at least three and a maximum of four weeks prior to surgery...
May 2016: Physiotherapy Theory and Practice
O Leonardsson, O Rolfson, C Rogmark
AIMS: Hemiarthroplasty of the hip is usually carried out through either a direct lateral or posterior approach. The aim of this prospective observational study was to determine any differences in patient-reported outcomes between the two surgical approaches. PATIENTS AND METHODS: From the Swedish Hip Arthroplasty Register we identified patients of 70 years and above who were recorded as having had a hemiarthroplasty during 2009. Only patients who had been treated with modern prostheses were included...
April 2016: Bone & Joint Journal
S S S Mahmoud, E O Pearse, T O Smith, C B Hing
AIMS: The optimal management of intracapsular fractures of the femoral neck in independently mobile patients remains open to debate. Successful fixation obviates the limitations of arthroplasty for this group of patients. However, with fixation failure rates as high as 30%, the outcome of revision surgery to salvage total hip arthroplasty (THA) must be considered. We carried out a systematic review to compare the outcomes of salvage THA and primary THA for intracapsular fractures of the femoral neck...
April 2016: Bone & Joint Journal
Mikael Sansone, Mattias Ahldén, Pall Jonasson, Christoffer Thomeé, Leif Swärd, David Collin, Adad Baranto, Jón Karlsson, Roland Thomeé
Osteoarthritis (OA) of the hip is a common cause of hip pain. The arthroscopic management of patients with femoro-acetabular impingement (FAI) has been reported to yield good outcomes. The purpose of this study was to report on outcome following the arthroscopic treatment of patients with FAI in the presence of mild to moderate OA. Seventy-five patients undergoing arthroscopic surgery for FAI, all with preoperative radiological signs of mild to moderate OA were prospectively included in this study. A 2-year follow-up, using web-based patient-reported outcome measures, including the International Hip Outcome Tool (iHOT-12), Copenhagen Hip and Groin Outcome (HAGOS), EQ-5D, Hip Sports Activity Scale (HSAS) for physical activity level and a visual analogue scale (VAS) for overall hip function, was performed, complemented by a radiographic evaluation...
April 2016: Journal of Hip Preservation Surgery
Tesfaye H Leta, Stein Håkon L Lygre, Arne Skredderstuen, Geir Hallan, Jan-Erik Gjertsen, Berit Rokne, Ove Furnes
BACKGROUND: The general recommendation for a failed primary unicompartmental knee arthroplasty (UKA) is revision to a total knee arthroplasty (TKA). The purpose of the present study was to compare the outcomes, intraoperative data, and mode of failure of primary UKAs and primary TKAs revised to TKAs. METHODS: The study was based on 768 failed primary TKAs revised to TKAs (TKA→TKA) and 578 failed primary UKAs revised to TKAs (UKA→TKA) reported to the Norwegian Arthroplasty Register between 1994 and 2011...
March 16, 2016: Journal of Bone and Joint Surgery. American Volume
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