The effect of 3 commonly used surgical approaches for total hip arthroplasty on mid- to long-term patient-reported outcome measures.

IF 1.3 4区 医学 Q3 ORTHOPEDICS
HIP International Pub Date : 2024-03-01 Epub Date: 2023-09-25 DOI:10.1177/11207000231199342
Isaac Rhee, Oren Tirosh, Andy Ho, Andrew Griffith, Lily Salehi, Amalie Jensen, Libby Spiers, Phong Tran
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引用次数: 0

Abstract

Introduction: The most effective surgical approach for total hip arthroplasty (THA) remains controversial. Comparisons of surgical approach based on patient-reported outcome measures (PROMs) have been limited to short- to mid-term outcomes or the comparison of only 2 approaches. The aim of this study was to compare PROMs for the 3 main approaches for THA with up to 10 years follow-up.

Methods: A total of 906 patients who underwent primary THA at a single hospital between 2009 and 2020 through an anterior (312), lateral (211) or posterior (383) approach were evaluated using the Oxford Hip Score (OHS), EuroQoL-5-Dimension (EQ-5D-5L) and visual analogue scale/verbal rating scale for pain (VAS/VRS). PROMs were prospectively collected before surgery and routinely at 6 weeks, 6 months and 1, 2, 5 and 10 years after surgery.

Results: There was no significant difference in demographics or comorbidities between the 3 groups. All 3 approaches resulted in a significant improvement in overall PROMs after THA, and plateaued after 6 months postoperatively, with no difference between the approaches (OHS, p < 0.01;EQ-5D-5L Index, p < 0.01;VAS/VRS, p < 0.01). The EQ-5D-5L mobility dimension showed that the lateral approach resulted in 20% more patients reporting problems with mobility than the posterior and anterior approaches at the 6-week, 6-month, 2-year and 10-year follow-up.

Conclusions: This study shows that all 3 common THA approaches substantially and similarly improve the OHS, EQ-5D-5L Index and VRS between 6 months and 10 years postoperatively. However, patient-reported mobility was poorer after a lateral approach and continued to be so at long-term follow-up.

3种常用的全髋关节置换手术方法对中长期患者疗效的影响。
引言:全髋关节置换术(THA)最有效的手术方法仍然存在争议。基于患者报告结果测量(PROM)的手术方法的比较仅限于短期到中期结果或仅比较两种方法。本研究的目的是比较THA的3种主要方法的PROMs与多达10种 方法:使用Oxford髋关节评分(OHS)、EuroQoL-5-Dimension(EQ-5D-5L)和疼痛视觉模拟量表/言语评定量表(VAS/VRS),对2009年至2020年间在一家医院通过前路(312)、外侧(211)或后路(383)行原发性THA的906名患者进行评估。PROM在手术前进行前瞻性收集,并在6岁时进行常规收集 周,6 月和1、2、5和10 手术后数年。结果:三组之间的人口统计学或合并症没有显著差异。所有3种方法均导致THA后PROMs的总体改善,并在6后趋于平稳 术后数月,两种入路之间无差异(OHS,p p p 结论:本研究表明,所有3种常见的THA方法都能显著且相似地改善6 月和10 术后数年。然而,患者报告称,侧入路后活动能力较差,在长期随访中继续如此。
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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