Clinical and Patient-Reported Outcomes of Patients With Four Major Lower Extremity Arthroplasties

Hui, Catherine; Ben-Lulu, Oren; Rendon, Juan Sebastian; Soever, Leslie; Gross, Allan E.; Backstein, David

doi:10.1016/j.arth.2011.06.014

Cited by 5 publications

(4 citation statements)

References 35 publications

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“…Neither survivorship nor patient-reported outcomes are different between CoCr and OxZr components [14,15], with marginally more patients preferring their CoCr knee to their OxZr knee in bilateral cases [16]. As well, the PE wear particles generated in vivo are reportedly identical in shape and size between CoCr and OxZr femoral components [14].…”

mentioning

confidence: 96%

In Vivo Wear Performance of Cobalt-Chromium Versus Oxidized Zirconium Femoral Total Knee Replacements

Gascoyne

Teeter

Guenther

et al. 2016

The Journal of Arthroplasty

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mentioning

confidence: 96%

In Vivo Wear Performance of Cobalt-Chromium Versus Oxidized Zirconium Femoral Total Knee Replacements

Gascoyne

Teeter

Guenther

et al. 2016

The Journal of Arthroplasty

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“…Loosening and failure of TKA were analyzed using the Knee Society Roentgenographic Scoring System [ 19 ]. A radiographically loose component was defined as a radiolucent line > 2 mm around the entire circumference of the prosthesis, subsidence of the prosthesis, or a change in alignment from a previous radiograph [ 5 ]. Throughout the study, complications were diagnosed based on clinical examination and radiography.…”

Section: Methodsmentioning

confidence: 99%

“…The design of prostheses and the corresponding surgical techniques have significantly advanced in recent decades [ 1 , 2 ], which makes total hip arthroplasty (THA) and total knee arthroplasty (TKA) become two routine surgical procedures to relieve pain, correct deformities, and restore physical function for patients with end-stage hip and knee diseases. However, performing bilateral THA and TKA (BTHKA) on the same patient is uncommon, complex, and time-consuming, and the outcome is difficult to predict [ 3 – 5 ]. Indeed, the patient may demonstrate deterioration in some aspects of function undergoing the operation, especially in patients with rheumatoid arthritis (RA), who show varying degrees of pain, deformity, and dysfunction in the upper limbs, and who are meanwhile at significant risk of revision surgery [ 3 , 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

Staged replacement of both hips and both knees in patients with rheumatoid arthritis

Cao

Wang

Feng

et al. 2023

BMC Musculoskelet Disord

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Background Patients with rheumatoid arthritis (RA) undergoing bilateral total hip arthroplasty (THA) and total knee arthroplasty (TKA) are an uncommon population, and their outcomes are also difficult to predict. The purpose of this study was to evaluate whether both bilateral cementless THA and cemented posterior-stabilized TKA (PS-TKA) can provide reliable outcomes for RA patients. Methods We retrospectively reviewed 30 RA patients (60 hips and 60 knees) who underwent both elective bilateral cementless THA and cemented PS-TKA, with a minimum follow-up of 2 years. Clinical, patient-reported, and radiographic data were retrospectively analyzed. Results The mean follow-up was 84 months (range, 24–156). By the last follow-up, the post-operative range of motion, Harris Hip Score, Knee Society Score (KSS) clinical, KSS functional, Western Ontario and McMaster Universities Index of Osteoarthritis (WOMAC) hip, and WOMAC knee scores were significantly improved compared to the preoperative values. All patients achieved the ability to walk. In addition, overall satisfaction scores on a 100-point scale were 92.5 after THA and 89.6 after TKA. Only one patient underwent revision surgery due to knee joint instability, and all replaced hips and knees were radiographically stable by the assessment of the radiolucent line. The proportion of implants that did not suffer loosening or require revision surgery was 99.2% during the 84-month follow-up, based on Kaplan-Meier analysis. Conclusions Our study suggests that bilateral cementless THA and cemented PS-TKA provides reliable mid-long-term clinical, patient-reported, and radiographic outcomes in RA patients, with high survivorship and patient satisfaction.

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“…2008, Hui et al. 2012). Some of these studies included relatively small patient numbers (< 100 patients) and were published more than a decade ago (Papanikolaou et al.…”

mentioning

confidence: 98%

Sequence of 305,996 total hip and knee arthroplasties in patients undergoing operations on more than 1 joint

et al. 2019

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Background and purpose — Patient-specific data on multiple total arthroplasties (TA) of the lower limbs due to osteoarthritis (OA) are limited. We investigated the sequence of surgical procedures and risk factors for additional surgery in such patients.Patients and methods — 305,996 patients operated with a TA of the hip and/or knee due to OA were extracted from the Swedish National Hip (SHAR) and the Swedish Knee Arthroplasty Register (SKAR). 177,834 total hip arthroplasty (THA, 56% women, mean age 69 years) and 128,162 total knee arthroplasty (TKA, 60% women, mean age 69 years) procedures constituted the index operations. The mean, median, and maximum follow-up was 8, 6, and 23 years. Multivariable Cox regression analysis was used and Kaplan–Meier survival curves were constructed.Results — Right-sided primary TA (34%) was most frequent. Subsequent surgery was most frequent after primary left-sided TKA (33%). The time interval to a second TA procedure was 3.1 (SD 3.2) years after TKA and 4.0 (SD 3.9) years after THA. After the index TA the probability of no subsequent surgery amounted to 64% (SD 0.3) for THA and 58% (SD 0.4) for TKA over 20 years. Lower age, female sex, left side, and TKA at index operation were associated with a higher probability for subsequent TA.Interpretation — Delineation of factors that influence risk and the size of the risk for subsequent TA in 1 of the 3 major remaining joints is of value for clinicians and healthcare providers in the decision-making process for future resource allocation.

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Clinical and Patient-Reported Outcomes of Patients With Four Major Lower Extremity Arthroplasties

Cited by 5 publications

References 35 publications

In Vivo Wear Performance of Cobalt-Chromium Versus Oxidized Zirconium Femoral Total Knee Replacements

In Vivo Wear Performance of Cobalt-Chromium Versus Oxidized Zirconium Femoral Total Knee Replacements

Staged replacement of both hips and both knees in patients with rheumatoid arthritis

Sequence of 305,996 total hip and knee arthroplasties in patients undergoing operations on more than 1 joint

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