Quality of Life Outcomes in Revision Versus Primary Total Knee Arthroplasty

被引:93
|
作者
Greidanus, Nelson V. [1 ]
Peterson, Richard C. [2 ]
Masri, Bassam A. [1 ]
Garbuz, Donald S. [1 ]
机构
[1] Univ British Columbia, Dept Orthopaed, Vancouver, BC V5Z 4E3, Canada
[2] Nelson & Marlborough Dist Hlth Board, Nelson, New Zealand
来源
JOURNAL OF ARTHROPLASTY | 2011年 / 26卷 / 04期
关键词
outcomes; revision knee arthroplasty; primary knee arthroplasty; satisfaction; complications; OBESE-PATIENTS; REPLACEMENT; VALIDATION; OSTEOARTHRITIS; INDEX; HIP;
D O I
10.1016/j.arth.2010.04.026
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The purpose of this study was to evaluate and compare the quality of life and satisfaction outcomes of patients undergoing primary and revision total knee arthroplasty (TKA). Sixty revision and 199 primary TKA patients were assessed using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Oxford-12 Knee Score, Short Form-12, and patient-reported satisfaction. Baseline preoperative scores demonstrate that revision TKA patients have inferior quality of life across all measures (WOMAC, Oxford-12, and Short Form-12) in comparison with primary TKA patients (P < .05). At follow-up revision, TKA patients continue to have inferior outcomes (P < .05) in comparison with primary TKA patients. When adjusting for confounding factors in regression analyses, revisions are inferior to primary TKA by 8.6 (95% confidence interval, 2.7-14.6) normalized WOMAC units.
引用
收藏
页码:615 / 620
页数:6
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