Document Detail


Resurfacing matched to standard total hip arthroplasty by preoperative activity levels - a comparison of postoperative outcomes.
MedLine Citation:
PMID:  19583537     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Some studies have suggested that resurfacing patients are generally more active postoperatively than their conventional total hip arthroplasty (THA)counterparts, but controversy remains over whether this is a reflection of preferential use of resurfacing for younger and higher-activity patients. We hypothesized that, when controlling for preoperative activity levels, in addition to relevant clinical and demographic factors, resurfacing provides similar results to conventional hip arthroplasty. MATERIALS AND METHODS: The specific question asked was whether resurfacing patients had differences in postoperative activity level, clinical outcomes, or rate of revisions, as compared to a matched cohort of patients treated with conventional THA. Thirty-three patients (23 men and 10 women) who were treated with resurfacing arthroplasties were matched to a cohort of patients who underwent conventional hip arthroplasty by gender, age, body mass index (BMI), and preoperative activity level. Mean preoperative Harris hip scores and length of follow-up were similar for the two groups. Postoperative weighted activity scores, Harris hip scores, patient satisfaction score, pain scores, and revision rates were evaluated at a mean final follow-up of 42 months (range, 25 to 68 months) for the resurfacing group and 45 months (range, 24 to 67 months) for the conventional hip group, and analyzed for differences. RESULTS: At final follow-up, activity levels were significantly higher in the resurfacing group, with a mean weighted activity score of 10.0 points (range, 1.0 to 27.5 points), as compared to a mean score of 5.3 points (range, 0 to 12.0 points) in the THA group. Mean Harris hip scores, patients satisfaction scores, and pain scores were similar for both groups. There were no revisions in either group. CONCLUSIONS: The results of this study suggest that patients treated with hip resurfacing arthroplasty have a significantly higher postoperative activity level, as compared to those treated with conventional THA, when controlled for preoperative factors.
Authors:
Michael G Zywiel; David R Marker; Mike S McGrath; Ronald E Delanois; Michael A Mont
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Bulletin of the NYU hospital for joint diseases     Volume:  67     ISSN:  1936-9719     ISO Abbreviation:  -     Publication Date:  2009  
Date Detail:
Created Date:  2009-07-08     Completed Date:  2009-08-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101300541     Medline TA:  Bull NYU Hosp Jt Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  116-9     Citation Subset:  IM    
Affiliation:
RubinInstitute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, MD 21215, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Arthroplasty, Replacement, Hip / adverse effects,  instrumentation,  methods*
Female
Hip Joint / physiopathology,  surgery*
Hip Prosthesis
Humans
Joint Diseases / physiopathology,  surgery*
Male
Metals
Middle Aged
Pain Measurement
Pain, Postoperative / etiology,  prevention & control
Patient Satisfaction
Prosthesis Design
Range of Motion, Articular
Recovery of Function
Retrospective Studies
Severity of Illness Index
Surgical Procedures, Minimally Invasive
Time Factors
Treatment Outcome
Chemical
Reg. No./Substance:
0/Metals

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