Indication criteria for total hip or knee arthroplasty in osteoarthritis: a state-of-the-science overview

Abstract

BackgroundThis systematic review gives an overview of guidelines and original publications as well as the evidence on which the currently proposed indication criteria are based. Until now such a state-of-the-science overview was lacking.MethodsWebsites of orthopaedic and arthritis organizations (English/Dutch language) were independently searched by two authors for THA/TKA guidelines for OA. Furthermore, a systematic search strategy in several databases through August 2014 was performed. Quality of the guidelines was assessed with the AGREE II instrument, which consists of 6 domains (maximum summed score of 6 indicating high quality). Also, the level of evidence of all included studies was assessed.ResultsWe found 6 guidelines and 18 papers, out of 3065 references. The quality of the guidelines summed across 6 domains ranged from 0.46 to 4.78. In total, 12 THA, 10 TKA and 2 THA/TKA indication sets were found. Four studies stated that no evidence-based indication criteria are available. Indication criteria concerning THA/TKA consisted of the following domains: pain (in respectively 11 and 10 sets), function (12 and 7 sets), radiological changes (10 and 9 sets), failed conservative therapy (8 and 4 sets) and other indications (6 and 7 sets). Specific cut-off values or ranges were often not stated and the level of evidence was low.ConclusionThe indication criteria for THA/TKA are based on limited evidence. Empirical research is needed, especially regarding domain specific cut-off values or ranges at which the best postoperative outcomes are achieved for patients, taking into account the limited lifespan of a prosthesis.Electronic supplementary materialThe online version of this article (doi:10.1186/s12891-016-1325-z) contains supplementary material, which is available to authorized users.

Association of handgrip strength with patient-reported outcome measures after total hip and knee arthroplasty

“…Since the guidelines on indication for THA or TKA are based on limited evidence [47,48], the application of HGS as a tool to identify patients with end-stage OA who may experience less improvement in function may contribute to optimize patient-specific care. HGS could be applied to manage patient expectations and include patients in the shared decision-making process.…”

Changes in expression of serum chemokine CXCL13 and IL-6 after hip replacement, and the relationship with lower limb vein thrombus

“…With the development of global aging, joint diseases such as various osteoarthritis, bone fractures, and femoral head necrosis become an important health problem (17,18), and with the improvement of medical level, hip replacement has become a reliable treatment (19). Hip replacement is a mature and reliable treatment method, which fixes artificial prosthesis, including femoral and acetabular parts, on normal bones with bone cement and screws to replace diseased joints and rebuild the normal function of hip joint of patients.…”

Effectiveness of Using Photographs of the Change in Standing Posture on Postoperative Patient-Reported Satisfaction and Quality of Life

“…Optimizing patient-reported outcomes after TKR is a significant health care issue when we consider the frequency with which TKR is performed and its high rate of clinical success. 31 Moreover, it is projected that by 2030, the rate of TKR will increase by 673% in the United States. 32 Therefore, there is a strong desire by surgeons to achieve successful outcomes and high patient satisfaction following TKR.…”