Ansu T John, Sumant Samuel, Abel Livingston, Thomas Matthai, Alfred J Daniel
{"title":"全髋关节置换术患者腰痛影响的前瞻性队列研究。","authors":"Ansu T John, Sumant Samuel, Abel Livingston, Thomas Matthai, Alfred J Daniel","doi":"10.1177/11207000251348644","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Evaluation of patients with hip arthritis for total hip arthroplasty (THA) may be confounded by concomitant low back pain (LBP).</p><p><strong>Purpose: </strong>To study the prevalence and outcome of LBP in THA patients. To evaluate the outcome of THA in patients with dysfunctional low back pain (DLBP).</p><p><strong>Methods: </strong>In patients undergoing THA, low back pain was assessed with the Roland Morris Disability Questionnaire (RMDQ) and Numerical Pain Rating Scale (NPRS) scores preoperatively and 1 year postoperatively. Patients were categorised as suffering from DLBP if their RMDQ score was >4. Hip function was assessed using the modified Harris Hip Score (mHHS).</p><p><strong>Results: </strong>26 of 79 (33%) patients had DLBP before THA. At 1 year follow-up, 19 of them either no longer suffered from DLBP (RMDQ ⩽ 4) or at least had improvement in their RMDQ scores ⩾ 5 suggesting discerning clinical improvement. The mean NPRS scores for LBP at one year also improved (1.5 vs. 0.7, <i>p</i> <i><</i> 0.01). The mean mHHS at 1 year in patients without DLBP was significantly higher than those with DLBP (85.15 vs. 75.81, <i>p</i> <i>=</i> 0.003) implying that patients without DLBP had better hip outcomes following THA.</p><p><strong>Conclusions: </strong>DLBP improves considerably after THA. The outcome of THA may be adversely affected by the presence of DLBP.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"11207000251348644"},"PeriodicalIF":1.1000,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A prospective cohort study on the effect of low back pain in patients undergoing total hip arthroplasty.\",\"authors\":\"Ansu T John, Sumant Samuel, Abel Livingston, Thomas Matthai, Alfred J Daniel\",\"doi\":\"10.1177/11207000251348644\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Evaluation of patients with hip arthritis for total hip arthroplasty (THA) may be confounded by concomitant low back pain (LBP).</p><p><strong>Purpose: </strong>To study the prevalence and outcome of LBP in THA patients. To evaluate the outcome of THA in patients with dysfunctional low back pain (DLBP).</p><p><strong>Methods: </strong>In patients undergoing THA, low back pain was assessed with the Roland Morris Disability Questionnaire (RMDQ) and Numerical Pain Rating Scale (NPRS) scores preoperatively and 1 year postoperatively. Patients were categorised as suffering from DLBP if their RMDQ score was >4. Hip function was assessed using the modified Harris Hip Score (mHHS).</p><p><strong>Results: </strong>26 of 79 (33%) patients had DLBP before THA. At 1 year follow-up, 19 of them either no longer suffered from DLBP (RMDQ ⩽ 4) or at least had improvement in their RMDQ scores ⩾ 5 suggesting discerning clinical improvement. The mean NPRS scores for LBP at one year also improved (1.5 vs. 0.7, <i>p</i> <i><</i> 0.01). The mean mHHS at 1 year in patients without DLBP was significantly higher than those with DLBP (85.15 vs. 75.81, <i>p</i> <i>=</i> 0.003) implying that patients without DLBP had better hip outcomes following THA.</p><p><strong>Conclusions: </strong>DLBP improves considerably after THA. The outcome of THA may be adversely affected by the presence of DLBP.</p>\",\"PeriodicalId\":12911,\"journal\":{\"name\":\"HIP International\",\"volume\":\" \",\"pages\":\"11207000251348644\"},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2025-06-17\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"HIP International\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/11207000251348644\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"HIP International","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/11207000251348644","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
A prospective cohort study on the effect of low back pain in patients undergoing total hip arthroplasty.
Background: Evaluation of patients with hip arthritis for total hip arthroplasty (THA) may be confounded by concomitant low back pain (LBP).
Purpose: To study the prevalence and outcome of LBP in THA patients. To evaluate the outcome of THA in patients with dysfunctional low back pain (DLBP).
Methods: In patients undergoing THA, low back pain was assessed with the Roland Morris Disability Questionnaire (RMDQ) and Numerical Pain Rating Scale (NPRS) scores preoperatively and 1 year postoperatively. Patients were categorised as suffering from DLBP if their RMDQ score was >4. Hip function was assessed using the modified Harris Hip Score (mHHS).
Results: 26 of 79 (33%) patients had DLBP before THA. At 1 year follow-up, 19 of them either no longer suffered from DLBP (RMDQ ⩽ 4) or at least had improvement in their RMDQ scores ⩾ 5 suggesting discerning clinical improvement. The mean NPRS scores for LBP at one year also improved (1.5 vs. 0.7, p< 0.01). The mean mHHS at 1 year in patients without DLBP was significantly higher than those with DLBP (85.15 vs. 75.81, p= 0.003) implying that patients without DLBP had better hip outcomes following THA.
Conclusions: DLBP improves considerably after THA. The outcome of THA may be adversely affected by the presence of DLBP.
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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