Document Detail


Severity of radiographic findings in hip osteoarthritis associated with total hip arthroplasty.
MedLine Citation:
PMID:  8730129     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The decision to perform total hip arthroplasty (THA) in patients with osteoarthritis (OA) of the hip is based largely on patients' reports of pain and disability and not on radiographic findings of OA. We determine the severity of radiographic OA and its association with disability in patients undergoing THA. METHODS: Individual radiographic features (osteophytes, joint space narrowing, sclerosis, cysts, deformity) and global severity of hip OA were assessed in 95 consecutive elderly patients with hip OA undergoing THA who were enrolled in a Patient Outcome Research Team (PORT) project. RESULTS: Eighty-seven patients (91.5%) had either severe or moderate OA in the hip to be replaced; 17% of these had a previous contralateral THA. Only 8 patients (8.4%) had mild or no signs of OA in the hip to be replaced and 4 (50%) of these patients had their opposite hip replaced previously. CONCLUSION: These data indicate that radiographic features of moderate to severe hip OA are associated with clinical findings and the necessity to perform THA in the majority of patients. Patients who have had a prior hip replacement, however, may be more likely to have a contralateral replacement done earlier (p = 0.03), before radiographic signs are evident.
Authors:
K M Fox; M C Hochberg; C S Resnik; J E Kenzora; J R Hebel; S I Zimmerman; J Hudson; J Magaziner
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The Journal of rheumatology     Volume:  23     ISSN:  0315-162X     ISO Abbreviation:  J. Rheumatol.     Publication Date:  1996 Apr 
Date Detail:
Created Date:  1996-09-25     Completed Date:  1996-09-25     Revised Date:  2010-03-24    
Medline Journal Info:
Nlm Unique ID:  7501984     Medline TA:  J Rheumatol     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  693-7     Citation Subset:  IM    
Affiliation:
Department of Epidemiology and Preventive Medicine, University of Maryland School of Medicine, Baltimore, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Disability Evaluation
Female
Hip Joint / radiography*,  surgery
Hip Prosthesis*
Humans
Male
Osteoarthritis, Hip / complications,  radiography*,  surgery
Pain / etiology
Reproducibility of Results
Retrospective Studies
Severity of Illness Index
Grant Support
ID/Acronym/Agency:
HS06658/HS/AHRQ HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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