PURPOSE: To investigate the impact of preoperative functional status on early postoperative outcomes after total hip arthroplasty (THA). METHODS: 39 men and 36 women aged 50 to 76 years who underwent cementless THA for osteoarthritis were followed up for at least 2 years. Patients were evaluated pre- and post-operatively (at 6, 12, and 24 months) using the Harris Hip Score (HHS), 36-item Short Form Health Survey (SF-36), and Western Ontario and McMaster University Osteoarthritis Index (WOMAC). Patients were classified into 3 groups based on their preoperative HHS (poor, <45; intermediate, 45-55; good, >55). Differences between and within groups were compared. RESULTS: Patients with a poor preoperative HHS had worse early postoperative outcomes in terms of HHS, SF-36, and WOMAC. Postoperative pain and function correlated with preoperative HHS, but postoperative range of motion and deformity did not. CONCLUSION: Poor preoperative function may affect recovery unfavourably and lead to prolonged pain. Earlier THA in the course of functional decline may associate with better outcomes.
PURPOSE: To investigate the impact of preoperative functional status on early postoperative outcomes after total hip arthroplasty (THA). METHODS: 39 men and 36 women aged 50 to 76 years who underwent cementless THA for osteoarthritis were followed up for at least 2 years. Patients were evaluated pre- and post-operatively (at 6, 12, and 24 months) using the Harris Hip Score (HHS), 36-item Short Form Health Survey (SF-36), and Western Ontario and McMaster University Osteoarthritis Index (WOMAC). Patients were classified into 3 groups based on their preoperative HHS (poor, <45; intermediate, 45-55; good, >55). Differences between and within groups were compared. RESULTS:Patients with a poor preoperative HHS had worse early postoperative outcomes in terms of HHS, SF-36, and WOMAC. Postoperative pain and function correlated with preoperative HHS, but postoperative range of motion and deformity did not. CONCLUSION: Poor preoperative function may affect recovery unfavourably and lead to prolonged pain. Earlier THA in the course of functional decline may associate with better outcomes.
Authors: William C Eward; Craig A Rineer; James R Urbaniak; Marc J Richard; David S Ruch Journal: Clin Orthop Relat Res Date: 2012-06-26 Impact factor: 4.176
Authors: Juan Pablo Martinez-Cano; Juan Pablo Herrera-Escobar; Ana Sofía Arango Gutierrez; Alfredo Sanchez Vergel; Alfredo Martinez-Rondanelli Journal: Arthroplast Today Date: 2016-11-15
Authors: Stefanie N Hofstede; Maaike G J Gademan; Theo Stijnen; Rob G H H Nelissen; Perla J Marang-van de Mheen Journal: BMC Musculoskelet Disord Date: 2018-03-02 Impact factor: 2.362
Authors: Stefanie N Hofstede; Maaike G J Gademan; Thea P M Vliet Vlieland; Rob G H H Nelissen; Perla J Marang-van de Mheen Journal: BMC Musculoskelet Disord Date: 2016-05-17 Impact factor: 2.362
Authors: Erik Lenguerrand; Vikki Wylde; Rachael Gooberman-Hill; Adrian Sayers; Luke Brunton; Andrew D Beswick; Paul Dieppe; Ashley W Blom Journal: PLoS One Date: 2016-02-12 Impact factor: 3.240