Patient outcomes after knee replacement.
1998 Knee Society Specialty Day Meeting. , 1998/03/22.
A prospective, observational cohort investigation was performed to help understand the impact of knee replacement on patients with knee osteoarthritis in community practice.
Of those, 291 patients (330 knees) were eligible and willing to participate.
Forty-eight orthopaedic surgeons referred 563 patients from 25 institutions within the state of Indiana.
Demographics, patient completed health status, satisfaction, independent radiographic measures, surgeon reported intraoperative factors, hospital discharge factors, and independent physical examinations were recorded.
A minimum 2-year followup was obtained in 92% of the patients.
At followup, 88% were satisfied, 3% were neutral, and 9% were dissatisfied with the results of their knee surgery.
The physical composite score improved from 27.4 ± 0.4 (range, 13.3-50.3) to 37.7 ± 0.7 (range, 12.9-61.3) at two years.
Maximal improvement in physical composite score was seen in patients who had their surgery performed in institutions that performed greater than 50 knee replacements per year in patients with Medicare insurance ; who had a better mental health status at baseline ; who had surgery performed on Monday, Friday, or Saturday ; who were older ; who were treated with a posterior cruciate sparing device ; and who had worse preoperative function. (...)
Mots-clés Pascal : Arthrose, Traitement, Technique, Prothèse, Total, Genou, Epidémiologie, Pronostic, Homme, Membre inférieur, Système ostéoarticulaire pathologie, Arthropathie, Maladie dégénérative, Genou pathologie, Chirurgie orthopédique, Milieu urbain
Mots-clés Pascal anglais : Osteoarthritis, Treatment, Technique, Prosthesis, Total, Knee, Epidemiology, Prognosis, Human, Lower limb, Diseases of the osteoarticular system, Arthropathy, Degenerative disease, Knee disease, Orthopedic surgery, Urban environment
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0080845
Code Inist : 002B25I. Création : 31/05/1999.