Patient-reported outcomes in total hip arthroplasty for patients with anatomically contoured femoral heads.

IF 1.3 4区 医学 Q3 ORTHOPEDICS
HIP International Pub Date : 2024-11-01 Epub Date: 2024-09-19 DOI:10.1177/11207000241282985
Perry L Lim, Andrew A Freiberg, Christopher M Melnic, Hany S Bedair
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引用次数: 0

Abstract

Introduction: Iliopsoas tendinitis after total hip arthroplasty (THA) has become more prevalent with the increased use of large-diameter femoral heads impinging on native surrounding tissues. Anatomically contoured heads (ACH) are soft-tissue-friendly femoral heads created to minimise this issue. This retrospective study assesses iliopsoas tendinitis prevalence and re-operations in primary THAs with ACH, while determining the minimal clinically important difference (MCID) achievement and improvement with 5 patient-reported outcome measures (PROMs).

Methods: We conducted a retrospective analysis of 53 ACHs from January 2020 to July 2023. Patients who completed Hip Injury and Osteoarthritis Outcome Score-Physical Function Short Form (HOOS-PS), Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function Short Form 10a (PF SF-10a), PROMIS Global Health (GH)-Mental, or PROMIS GH-Physical, and pain score questionnaires were identified. PROM scores were collected preoperatively and at 3-month and 1-year postoperative intervals. Comparisons using chi-square and ANOVA tests were applied.

Results: The rates of achieving MCID and improvement within the first year were (69.2 vs. 76.9%) for PROMIS GH-Physical, (38.5 vs. 46.2%) for PROMIS GH-Mental, (71.4 vs. 92.9%) for HOOS-PS, (80.0 vs. 80.0%) for PROMIS PF SF-10a, and (74.0 vs. 91.7%) for pain scores. PROM scores at 3 months and 1 year significantly varied across all categories, except for PROMIS GH-Mental. No patients had iliopsoas tendinitis, dislocations, or re-operations.

Discussion: ACH implants may alleviate anterior hip pain, while maintaining comparable strength and bio-compatibility to conventional femoral heads. This study underscores the early safety and potential of ACH implants in reducing iliopsoas tendinitis and impingement.

采用解剖学轮廓股骨头进行全髋关节置换术的患者报告结果。
简介:全髋关节置换术(THA)后的髂腰肌腱炎越来越普遍,因为大直径股骨头的使用越来越多,对周围原生组织造成了冲击。解剖轮廓股骨头(ACH)是一种软组织友好型股骨头,旨在最大限度地减少这一问题。这项回顾性研究评估了髂腰肌腱炎的发病率和使用 ACH 的初级 THAs 的再手术情况,同时确定了 5 项患者报告结果测量指标(PROMs)的最小临床重要差异(MCID)的实现和改善情况:我们对 2020 年 1 月至 2023 年 7 月期间的 53 例 ACH 进行了回顾性分析。方法:我们对 2020 年 1 月至 2023 年 7 月期间的 53 家 ACH 进行了回顾性分析,确定了完成髋关节损伤和骨关节炎结果评分--肢体功能简表 (HOOS-PS)、患者报告结果测量信息系统 (PROMIS) 肢体功能简表 10a (PF-SF-10a)、PROMIS 全身健康 (GH) - 心理或 PROMIS 全身健康 - 肢体和疼痛评分问卷的患者。术前、术后 3 个月和 1 年收集 PROM 评分。采用卡方检验和方差分析进行比较:结果:PROMIS GH-物理评分的MCID达标率和第一年的改善率分别为(69.2% vs. 76.9%)、PROMIS GH-心理评分的MCID达标率和第一年的改善率分别为(38.5% vs. 46.2%)、HOOS-PS评分的MCID达标率和第一年的改善率分别为(71.4% vs. 92.9%)、PROMIS PF SF-10a评分的MCID达标率和第一年的改善率分别为(80.0% vs. 80.0%)、疼痛评分的MCID达标率和第一年的改善率分别为(74.0% vs. 91.7%)。除 PROMIS GH-Mental 外,3 个月和 1 年的 PROM 评分在所有类别中均有显著差异。没有患者出现髂腰肌腱炎、脱位或再次手术:讨论:ACH植入物可减轻髋关节前部疼痛,同时保持与传统股骨头相当的强度和生物相容性。这项研究强调了ACH假体在减轻髂腰肌腱炎和撞击方面的早期安全性和潜力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
HIP International
HIP International 医学-整形外科
CiteScore
4.20
自引率
0.00%
发文量
70
审稿时长
2 months
期刊介绍: HIP International is the official journal of the European Hip Society. It is the only international, peer-reviewed, bi-monthly journal dedicated to diseases of the hip. HIP International considers contributions relating to hip surgery, traumatology of the hip, prosthetic surgery, biomechanics, and basic sciences relating to the hip. HIP International invites reviews from leading specialists with the aim of informing its readers of current evidence-based best practice. The journal also publishes supplements containing proceedings of symposia, special meetings or articles of special educational merit. HIP International is divided into six independent sections led by editors of the highest scientific merit. These sections are: • Biomaterials • Biomechanics • Conservative Hip Surgery • Paediatrics • Primary and Revision Hip Arthroplasty • Traumatology
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