Short-Term Recovery From Hip and Knee Arthroplasty

Aarons, H.; Hall, George; Hughes, Sean; Salmon, Peter

doi:10.1302/0301-620x.78b4.0780555

Cited by 92 publications

(57 citation statements)

References 15 publications

(12 reference statements)

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“…The considerable improvement in joint pain within three months of surgery is consistent with earlier reports that used the VAS pain scale, 6,7 as was the greater improvement overall in THR compared with TKR patients. 6,7 Importantly, the greater improvement observed in the THR group using the VAS for pain in the current study was also reflected in the WOMAC pain subscale even though the scales measure different dimensions of pain. This has also been observed previously, 7 suggesting that the use of two pain scales is potentially unnecessary.…”

Section: Discussionsupporting

confidence: 89%

“…Again, these patterns are comparable to elsewhere. 1,4,7 Others have observed greater improvements in all WOMAC subscales in THR patients compared with TKR patients; 4,6,7 whereas here, the pain subscale was significantly different between the two surgical groups, while the difference in the function scale was of borderline significance (P = 0.07).…”

Section: Discussionmentioning

confidence: 53%

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Patterns of recovery following knee and hip replacement in an Australian cohort

Naylor¹,

Harmer²,

Heard³

et al. 2009

Aust. Health Review

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Most literature reporting the impressive results from knee and hip replacement derives from international data. Few Australian studies have comprehensively compared outcomes after joint replacement up to 1 year. This paper compares the patterns of recovery across physical and patient-centred outcomes following knee or hip replacement in an Australian cohort. One hundred and twenty-two consecutive patients undergoing knee or hip replacement were prospectively followed. Serial assessments were conducted (preoperatively, and 2, 6, 12, 26 and 52 weeks postsurgery). Joint pain, patient's global improvement, timed mobility, and complications were monitored. English-proficient patients completed WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index) and SF-36v2 (Medical Outcomes Short-Form 36 version 2) questionnaires.At 1 year, 81% (55 knee, 44 hip) were available for follow-up. Significant, large improvements (up to 254%) were evident for most outcomes. Global improvement was reported by 97%. Recovery for both surgical groups was greatest within the first 26 weeks, but hip patients improved more quickly in most outcomes. Wound disturbances were the most common complication (23 in total, 23%) and 13 patients (13%) were readmitted for complications. Recovery patterns were similar to that observed elsewhere. The physical and patientcentred outcomes provide a useful Australian reference for clinicians of the temporal aspects of recovery as well the differences between hip and knee surgeries. Complication and readmission rates appeared high, possibly partly explained by

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 53%

Patterns of recovery following knee and hip replacement in an Australian cohort

Naylor¹,

Harmer²,

Heard³

et al. 2009

Aust. Health Review

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“…This confirms earlier findings by Diener et al (2006), who showed that the various components of SWB exhibit differential stability, and that long-term levels of NA appear to be more stable than long-term levels of PA. However, our findings are not completely compatible with Aarons et al (1996), who showed that there was a significant early improvement in NA at 7 days after arthroplasty with no later improvement, whereas PA and LS did not change after arthroplasty or at follow-up, about 2 months after surgery. Due to our study design, unfortunately, we cannot say anything about the change in SWB right after arthroplasty.…”

Section: Discussioncontrasting

confidence: 99%

“…Aarons et al (1996) found, in a sample of 70 patients, that there was a significant improvement in NA seven days after arthroplasty with no later improvement, whereas PA and LS saw no improvement at all after the surgery, remaining at the same level even at 50 days postoperation. In another study involving 62 Dutch osteoarthritis patients with total hip replacements (Borstlap et al 1994), there was some evidence of reduced anxiety and depression and of increased cheerfulness three to twelve months after surgery.…”

Section: Stability and Change Of Swb Over Time In Response To Arthropmentioning

confidence: 87%

Subjective Well-Being and Self-Reported Health in Osteoarthritis Patients Before and After Arthroplasty

2016

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The main aim of the current study is to examine the changes in the components of subjective well-being (SWB) over time in patients with osteoarthritis who have undergone total hip or knee replacement surgery (arthroplasty). We are also interested in determining whether pre-operative ratings of self-reported health (SRH) status, as well as change in health status, can serve as predictors for postoperative levels of SWB. To this end, 50 participants who had been admitted to a hospital for arthroplasty completed the measures twice-first at the clinic one day before the surgery, and then at home approximately 4.5 months after the surgery. Despite the fact that there were substantial improvements in participants' health and physical functioning after the arthroplasty, there were no changes in their ratings of general SRH, life satisfaction (LS), or negative affect (NA). The only change in SWB scores was in the level of positive affect (PA), which was significantly higher after surgery compared with the pre-operative measurement. LS, NA, and PA scores after arthroplasty were differentially predicted by health ratings, showing that, it is the cognitive-evaluative component of SWB (i.e., LS) that is mostly responsible for the association between general SRH and SWB while affective components (i.e., NA and PA) are primarily related to more specific health indicators. Our findings can assist physicians in their efforts to provide more realistic expectations for their patients undergoing surgery in terms of the physical and psychological outcome.

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“…Rehabilitation after knee replacement takes a longer time than after hip replacement (Aarons et al 1996, Norman Taylor et al 1996. A gradual improvement up to 1 year after surgery is the rule.…”

Section: Discussionmentioning

confidence: 99%