Patient satisfaction in different approaches for total hip arthroplasty

Daas, Annick den; Reitsma, Evelien A.; Knobben, Bas A S; Have, B. L. E. F. ten; Somford, Matthijs P.

doi:10.1016/j.otsr.2019.08.003

Cited by 25 publications

(18 citation statements)

References 31 publications

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“…Hip disability and osteoarthritis outcome (HOOS) [20,21,23,26,33] was divided into two subgroups: mental composite scale and physical composite scale. Five studies (481 participants) were included.…”

Section: Hoosmentioning

confidence: 99%

Direct anterior versus posterolateral approaches for clinical outcomes after total hip arthroplasty: a systematic review and meta-analysis

et al. 2020

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Objective The main objective of our study was to compare the intraoperative and postoperative outcomes of direct anterior approach (DAA) with posterolateral approaches (PLA). Methods We searched Cochrane library, Web of Science, and PubMed for literatures comparing DAA with PLA. On the basis of inclusion and exclusion criteria, relevant literatures were selected. Two members independently screened qualified literatures, evaluated the literature quality, and extracted data information. Results Eighteen randomized controlled trials (RCTs) and non-RCTs totaling 34,873 patients (DAA = 9636, PLA = 25237) were contained in this systematic review and meta-analysis. The results showed that DAA were reduced in terms of length of hospital stay (weighted mean difference (WMD) = −0.43, 95% confidence interval (CI) −0.78 to −0.09, P = 0.01), LLD (WMD = −2.00, 95% CI −2.75 to −1.25, P < 0.00001), PE/DVT (WMD = 0.36, 95% CI 0.15 to 0.85, P = 0.02), dislocation (WMD = 0.42, 95% CI 0.30 to 0.59, P < 0.00001) and visual analog scale (VAS) (WMD = −0.57, 95% CI −0.91 to −0.23, P = 0.0009) compared with PLA; however, DAA compared with the PLA was increasing in terms of operative time (WMD = 14.81, 95% CI 7.18 to 22.44, P = 0.0001), intraoperative blood loss (WMD = 105.13, 95% CI 25.35 to 184.90, P = 0.01), fracture (WMD = 1.46, 95% CI 1.00 to 2.11, P = 0.05), and Harris hip score (HHS) (WMD = 1.19, 95% CI 0.77 to 1.61, P < 0.00001). Conclusions DAA was preferable effectiveness to PLA in early pain relief and functional recovery; however, PLA has a shorter operation time, intraoperative less blood loss and fracture. Trial registration Registration ID, CRD42020151208

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Section: Hoosmentioning

confidence: 99%

Direct anterior versus posterolateral approaches for clinical outcomes after total hip arthroplasty: a systematic review and meta-analysis

et al. 2020

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“…6,7 En los resultados funcionales reportados por Annik den Daas y colaboradores, en 48 caderas operadas por abordaje lateral, tomando en cuenta la escala de hip disability and osteoarthritis outcome scores, mejoraron considerablemente al igual que en el grupo control (abordaje anterior), por lo que no hubo diferencias estadísticamente significativas. 8 En un estudio de la New York University Medical Center, realizado por Aggarwal y su equipo, en el que 3,574 pacientes fueron sometidos a una artroplastia total de cadera, reportaron sus estadísticas postoperatorias inmediatas, como tiempo promedio de cirugía, en el que el abordaje lateral oscila entre 68 y 92 minutos, así como la pérdida de sangre de 270 a 345 cm 3 , días de estancia hospitalaria entre 2.3 y 3.4 días, con un porcentaje de complicaciones entre 6.11 y 6.7%. Y se reportaron complicaciones de infecciones superficiales de 1.9%, infecciones profundas de 1.9%, herida productiva de 2.3%, fractura periprotésica de 2.7%, luxación de 0%, aflojamiento aséptico de 0.4% y el reingreso a quirófano por cualquier causa fue de 8.3%.…”

Section: Resultados Reportadosunclassified

Abordaje anterolateral para artroplastia total de cadera

Ugalde¹,

Solís²

2021

Anales Médicos De La Asociación Médica Del Centro Médico ABC

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Los abordajes para la artroplastia de cadera siempre generan controversia, ya que los resultados de los estudios son similares en cuanto a tasas de éxito y complicaciones. El abordaje lateral es uno de los más utilizados en el mundo con excelentes resultados funcionales y bajos índices de complicación. Se expondrán los antecedentes del abordaje, las ventajas y complicaciones principales, así como las preferencias del autor.

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“…Although historically, the success of total joint replacement surgeries has been measured with parameters such as longevity of the implant used, complications, and clinical failures, measuring the success with the help of patient-reported outcomes is being increasingly reported and it highlights the success of these types of surgeries from a patient's perspective. 4,5,7,18,19 Most registries try to incorporate generic health and disease-specific PROMs; our study included a comprehensive PROMs collection including regional scores (WOMAC), generic health scores (SF-36), and patient satisfaction scores. 29 Our previous article 26 reported the same measures, and the present study summarized the outcomes to 10 years on the data we have available from our local hospital joint registry.…”

Section: Discussionmentioning

confidence: 99%

Total Joint Replacement of Ankle, Knee, and Hip: How Do Patients Perceive Their Operative Outcomes at 10 Years?

Ramaskandhan

Smith

Kometa

et al. 2021

Foot & Ankle Orthopaedics

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Background: Patient-reported outcomes (PROMs) are an integral part of national joint registers in measuring outcomes of operative procedures and improving quality of care. There is lack of literature comparing outcomes of total ankle replacement (TAR) to total knee replacement (TKR) and total hip replacement (THR). The aim of this study was to compare PROMs between TAR, TKR, and THR patient groups at 1, 5, and 10 years. Methods: Prospective PROMs from patients who underwent a TAR, TKR, or THR procedure between 2003 and 2010 were studied. Patients were divided into 3 groups based on their index joint replacement (hip, knee, or ankle). Patient demographics (age, gender, body mass index), patient-reported outcome scores (Western Ontario and McMaster Universities Osteoarthritis Index [WOMAC], 36-Item Short Form Health Survey [SF-36]) and patient satisfaction scores (4-point Likert scale) at follow-up were compared between the 3 groups. Results: Data was available on 1797 THR, 2475 TKR, and 146 TAR patients. TAR patients were younger and reported fewer number of comorbidities. All 3 groups improved significantly from preoperative to 10 years for WOMAC scores ( P < .001). For SF-36 scores at 10 years, the THR group (32.2% follow-up) scored the highest for 3 domains ( P = .031) when compared to the TKR group (29.1% follow-up). All 3 groups had similar outcomes for 5 of 8 domains; P < .05). For patient satisfaction, the THR group reported overall 95.1% satisfaction followed by 89.8% for the TKR group and 83.9% in the TAR group (42.4% follow-up). Conclusion: In this cohort with diminishing numbers over the decade of time the patients were followed up we found that patients are equally happy with functional and general health outcomes from total ankle replacement vs other major lower extremity joint replacement. TAR surgery should be considered as a viable treatment option in this patient group. Level of Evidence: Level III, retrospective case series.

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Patient satisfaction in different approaches for total hip arthroplasty

Cited by 25 publications

References 31 publications

Direct anterior versus posterolateral approaches for clinical outcomes after total hip arthroplasty: a systematic review and meta-analysis

Direct anterior versus posterolateral approaches for clinical outcomes after total hip arthroplasty: a systematic review and meta-analysis

Abordaje anterolateral para artroplastia total de cadera

Total Joint Replacement of Ankle, Knee, and Hip: How Do Patients Perceive Their Operative Outcomes at 10 Years?

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