Hamilton Arthroplasty Group, Hamilton Health Sciences Juravinski Hospital, Hamilton, Ontario, Canada.
J Arthroplasty. 2012 Jun;27(6):865-9.e1-5. doi: 10.1016/j.arth.2011.12.031. Epub 2012 Feb 13.
A 42-item survey was developed and administered to determine patient perception of and satisfaction with total hip arthroplasty (THA) vs total knee arthroplasty (TKA). A total of 153 patients who had both primary THA and TKA for osteoarthritis with 1-year follow-up were identified. Survey response rate was 72%. Patients were more satisfied with THA meeting expectations for improvement in function and quality of life (P < .05), whereas pain relief expectations were equivalent. Most patients (70.9%) reported that TKA required more physiotherapy. One-year Oxford score and improvement in Oxford score from preoperative to 1 year were superior for THAs (P = .000). Despite equivalent pain relief, THAs trend toward higher satisfaction compared with TKAs. THA is more likely to "feel normal" with greater improvement in Oxford score. Recovery from TKA requires more physiotherapy and a longer time to achieve a satisfactory recovery status. Patients should be counseled accordingly.
我们编制了一份 42 项的调查问卷，以确定患者对全髋关节置换术（THA）和全膝关节置换术（TKA）的感知和满意度。共确定了 153 名患有骨关节炎的患者，他们均接受了初次 THA 和 TKA 治疗，并进行了 1 年的随访。调查的回复率为 72%。患者对 THA 改善功能和生活质量的期望（P <.05）更满意，而对缓解疼痛的期望则相当。大多数患者（70.9%）报告说 TKA 需要更多的物理治疗。1 年时的牛津评分和从术前到 1 年的牛津评分改善情况，THA 更好（P =.000）。尽管疼痛缓解相当，但 THA 的满意度趋势高于 TKA。THA 更有可能“感觉正常”，因为牛津评分的改善更大。TKA 需要更多的物理治疗和更长的时间才能达到令人满意的恢复状态。应相应地对患者进行咨询。
