Walker D J, Usher K, O'Morchoe M, Sandles L, Griffiths I D, Pinder I M
Department of Rheumatology, Freeman Hospital, Newcastle on Tyne.
Br J Rheumatol. 1989 Apr;28(2):139-42. doi: 10.1093/rheumatology/28.2.139.
All patients who had three or more major joints (hips or knees) replaced were identified from operation records at one hospital and reviewed to assess outcome. Forty-three were found to suffer from rheumatoid arthritis, four from osteoarthritis and three from psoriatic arthritis. Eight patients had died an average of 2.6 years (range 1-7 years) after their last operation and this was higher than expected, even for RA. Average follow-up in the 36 surviving RA sufferers was 1.8 years, with a minimum of 6 months since last operation. Range of joint movement, pain relief, satisfaction, mobility, disability and social outcomes were assessed and are reported. Patients were satisfied with outcome because of pain relief and functional improvement. No patient required permanent in-patient care, although they still represented a very disabled group with mean HAQ score of 2.75.
从一家医院的手术记录中识别出所有接受过三个或更多主要关节（髋关节或膝关节）置换的患者，并对其进行复查以评估结果。发现43例患有类风湿性关节炎，4例患有骨关节炎，3例患有银屑病关节炎。8例患者在最后一次手术后平均2.6年（范围1 - 7年）死亡，这一比例高于预期，即使是类风湿性关节炎患者。36名存活的类风湿性关节炎患者的平均随访时间为1.8年，自上次手术以来至少随访了6个月。评估并报告了关节活动范围、疼痛缓解情况、满意度、活动能力、残疾情况和社会结局。患者对结果感到满意，因为疼痛得到缓解且功能有所改善。尽管他们仍然是一个残疾程度很高的群体，平均健康评估问卷（HAQ）得分为2.75，但没有患者需要长期住院护理。
