Teeny Steven M, York Sally C, Mesko J Wesley, Rea Ruth E
NorthWest Orthopaedic Institute, Tacoma, Washington 98439-0682, USA.
J Arthroplasty. 2003 Dec;18(8):954-62. doi: 10.1016/j.arth.2003.09.001.
Long-term follow-up care is needed to evaluate and manage hip and knee arthroplasty outcomes, because impending failure may be asymptomatic. All active American Association of Hip and Knee Surgeons' members (N = 682) were surveyed for recommendations for follow-up care type and frequency, radiograph interpretation, and clinical indicators related to follow-up frequency intervals; and to describe reimbursement experiences and practice demographics. The response rate (65.5%, n = 447) established a 95% (+/-3%) confidence interval for the survey results. We found that 80% of respondents recommended annual or biennial orthopaedic clinical and radiographic examinations, with more frequent follow-up times for clinical or radiologic signs of failure, previous revision arthroplasty, previous joint sepsis, and subnormal periprosthetic bone quality. Further research is needed to correlate follow-up care type and frequency with outcomes, complications, and costs.
需要进行长期随访护理以评估和管理髋关节和膝关节置换术的结果，因为即将出现的失败可能没有症状。我们对美国髋膝关节外科医生协会的所有活跃成员（N = 682）进行了调查，以了解随访护理类型和频率、X线片解读以及与随访频率间隔相关的临床指标的建议；并描述报销经历和执业人口统计学情况。回应率（65.5%，n = 447）为调查结果建立了95%（±3%）的置信区间。我们发现，80%的受访者建议每年或每两年进行一次骨科临床和影像学检查，对于失败的临床或放射学迹象、既往翻修置换术、既往关节脓毒症以及假体周围骨质量低于正常水平的情况，随访时间应更频繁。需要进一步研究以将随访护理类型和频率与结果、并发症及成本联系起来。
