Patient-reported quality of life after primary major joint arthroplasty: a prospective comparison of hip and knee arthroplasty

BMC Musculoskeletal Disorders

Research Article

Lycurgos Liaropoulos¹  Elias Zintzaras²  Sokratis Varitimidis³  Ippolyti Papakostidou³  Konstantinos N. Malizos³  Zoe H. Dailiana³  Theofilos Karachalios³  Emmanuel Michelinakis⁴ 

[1] Center for Health Services Management and Evaluation, Faculty of Nursing, University of Athens, Athens, Greece;Department of Biomathematics, Faculty of Medicine, School of Health Sciences, University of Thessalia, 3 Panepistimiou Street, Βiopolis, 41500, Larissa, Greece;Department of Orthopaedic Surgery, Faculty of Medicine, University of Thessalia, 3 Panepistimiou Street Βiopolis, 41500, Larissa, Greece;Department of Orthopedics, NIMITS Hospital, 10 Monis Petraki Street, Athens, Greece;

关键词: Hip osteoarthritis;    Knee osteoarthritis;    Total Hip Arthroplasty;    Total Knee Arthroplasty;    Quality of Life;   

DOI  :  10.1186/s12891-015-0814-9

 received in 2015-07-29, accepted in 2015-11-12,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundTo investigate and compare the impact of primary hip (THA) and knee (TKA) arthroplasty on quality of life in patients with osteoarthritis, to determine patients’ satisfaction with total joint arthroplasty, and to detect the effect of patients’ demographic and clinical characteristics on outcome.MethodsThree hundred seventy eight (378) patients with hip (174) and knee (204) osteoarthritis undergoing total joint arthroplasty (174 THA-204 TKA) were assessed pre- and post-operatively (6 weeks, 3, 6, and 12 months) using the Western Ontario and McMaster Osteoarthritis Index (WOMAC) and Centre for Epidemiological Studies Depression Scale (CES-D10). The patients’ satisfaction with the results of total joint arthroplasty was also assessed. Differences were analyzed using general linear model for repeated measures.ResultsThe one-year response rate was 97 % for THA and 90 % for TKA. WOMAC and CES-D10 scores improved significantly after one year for both THA and TKA (P < 0.0001). The improvement in WOMAC total score was significantly greater for TKA patients (P < 0.0001 at 12 months). WOMAC pain and stiffness improved earlier for THA (6 weeks), while TKA had equivalent improvements at 3 and 6 months respectively. Both THA/TKA displayed significant improvement of WOMAC function at 3 months but TKA had greater improvement. Age, body mass index, residence, education and social support were not significant predictors of quality of life after total joint arthroplasty. One year postoperatively 88 % of patients were satisfied.ConclusionsWOMAC and CES-D10 improved significantly one year postoperatively. Although pain and stiffness improved earlier in THA, functional improvement was inferior in THA compared to TKA.

【 授权许可】

CC BY   
© Dailiana et al. 2015