BACKGROUND AND PURPOSE: Radiographic and clinical survival analyses of revision total knee replacement (TKR) are considered acceptable outcome measures. However, the full influence of revision knee replacement on the overall health status of patients remains poorly defined. METHODS: We prospectively studied the health-related quality of life outcome in 94 patients who underwent revision knee replacement surgery over a 5-year period. Comparisons were drawn between the Nottingham health profile (NHP) scores and the Knee Society score pre-revision, and those obtained at 3 months, 1 year and 5 years after revision knee arthroplasty. RESULTS: We found a significant improvement in Knee Society score and NHP pain scores 3 and 12 months after revision TKR (p < 0.05). No other modalities of the NHP showed a significant change. 5 years after surgery, pain was less than before revision (p = 0.2), but energy level was considered worse (p = 0.07). Knee Society scores were found to be higher pre- and postoperatively for patients undergoing revision for reasons other than sepsis than for patients with sepsis. Patients requiring implantation of a hinged prosthesis also had lower Knee Society scores than those patients receiving a non-hinged implant. Repeated revision was associated with a downward trend in Knee Society score with each surgical intervention.
BACKGROUND AND PURPOSE: Radiographic and clinical survival analyses of revision total knee replacement (TKR) are considered acceptable outcome measures. However, the full influence of revision knee replacement on the overall health status of patients remains poorly defined. METHODS: We prospectively studied the health-related quality of life outcome in 94 patients who underwent revision knee replacement surgery over a 5-year period. Comparisons were drawn between the Nottingham health profile (NHP) scores and the Knee Society score pre-revision, and those obtained at 3 months, 1 year and 5 years after revision knee arthroplasty. RESULTS: We found a significant improvement in Knee Society score and NHP pain scores 3 and 12 months after revision TKR (p < 0.05). No other modalities of the NHP showed a significant change. 5 years after surgery, pain was less than before revision (p = 0.2), but energy level was considered worse (p = 0.07). Knee Society scores were found to be higher pre- and postoperatively for patients undergoing revision for reasons other than sepsis than for patients with sepsis. Patients requiring implantation of a hinged prosthesis also had lower Knee Society scores than those patients receiving a non-hinged implant. Repeated revision was associated with a downward trend in Knee Society score with each surgical intervention.
Authors: A H Gomoll; G Filardo; F K Almqvist; W D Bugbee; M Jelic; J C Monllau; G Puddu; W G Rodkey; P Verdonk; R Verdonk; S Zaffagnini; M Marcacci Journal: Knee Surg Sports Traumatol Arthrosc Date: 2011-11-09 Impact factor: 4.342
Authors: Marrigje F Meijer; Inge H F Reininga; Alexander L Boerboom; Martin Stevens; Sjoerd K Bulstra Journal: Int Orthop Date: 2012-12-21 Impact factor: 3.075
Authors: Rafael Luque; Belen Rizo; Antonio Urda; Rodrigo Garcia-Crespo; Enrique Moro; Fernando Marco; Luis López-Duran Journal: Int Orthop Date: 2014-01-09 Impact factor: 3.075
Authors: Feng Xie; Ngai-Nung Lo; Eleanor M Pullenayegum; Jean-Eric Tarride; Daria J O'Reilly; Ron Goeree; Hin-Peng Lee Journal: Health Qual Life Outcomes Date: 2010-08-19 Impact factor: 3.186