| Patient reported outcome measures after revision of the infected TKR: comparison of single versus two-stage revision. | |
| | |
MedLine Citation:
|
PMID: 22692517 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
PURPOSE: Two-stage revision is the 'gold standard' treatment for infected total knee replacement. Single-stage revision has been successful in the hip and, in carefully chosen knee revisions, may offer the advantage of a single surgical insult with improved functional outcome. METHODS: Patient Reported Outcome Measures (PROMs) for 33 single- and 89 two-stage revisions performed for infection were analysed in combination with data from the National Joint Registry for England and Wales. Outcomes including the Oxford Knee Score (OKS), Euroqol-5D (EQ5D) and patient satisfaction were examined with the aim of investigating the following questions: does single- or two-stage revision for infection result in (1) better knee function; (2) better overall perception of health status; (3) better patient perceived success and satisfaction? RESULTS: No statistical difference was found between the groups for any reported outcome measure. Mean OKS following surgery was 24.9 (95 %CI, 20.5-29.4) for single- and 22.8 (95 %CI, 20.2-25.4) for two-stage (n.s.). Mean EQ5D index following surgery was 0.495 (95 %CI, 0.357-0.632) for single and 0.473 (95 %CI, 0.397-0.548) for two-stage (n.s.). Patients reporting Excellent/Very good/Good satisfaction were similar between the groups (single = 61 % vs. two stage = 57 %, (n.s.)). In total, 66 % single- and 60 % two-stage operations were rated 'successful' (n.s.). CONCLUSIONS: This study found no demonstrable benefit of single-stage compared to two-stage revision for the infected total knee replacement using a variety of PROMs. Thus, we recommend that decision making must be based on other factors such as re-infection rate. LEVEL OF EVIDENCE: IV. |
| | |
Authors:
|
Paul Baker; Timothy G Petheram; Steven Kurtz; Yrjö T Konttinen; Paul Gregg; David Deehan |
Related Documents
:
|
22752887 - Porcine feasibility and safety study of a new paclitaxel-eluting biliary stent with a p... 22655697 - Repair of middle fossa cerebrospinal fluid leaks using a novel combination of materials... 22696987 - Safety of total hip replacement following an intra-articular steroid hip injection--an ... 12693807 - Pulmonary disease caused by mycobacterium xenopi in hiv-negative patients: five year fo... 7366007 - Influence of vasodilator therapy on prognosis of acute myocardial infarction in the age... 22752887 - Porcine feasibility and safety study of a new paclitaxel-eluting biliary stent with a p... |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2012-6-13 |
Journal Detail:
|
Title: Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA Volume: - ISSN: 1433-7347 ISO Abbreviation: - Publication Date: 2012 Jun |
Date Detail:
|
Created Date: 2012-6-13 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9314730 Medline TA: Knee Surg Sports Traumatol Arthrosc Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
Institute of Cellular Medicine, University of Newcastle, Newcastle upon Tyne, UK, drpnbaker@hotmail.com. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Arthroscopic management of late complications of calcaneal fractures.
Next Document: Priority-setting, rationing and cost-effectiveness in the German health care system.