Metha J S, Kiryluk S, Fordyce M J F
The Horder Centre, Crowborough, UK.
Hip Int. 2005 Apr-Jun;15(2):112-118. doi: 10.1177/112070000501500212.
We present the results of a postal evaluation of 1700 hip replacements performed in 1560 patients at a specialist joint replacement centre. This 5 12 year follow-up assesses the patients perspective of satisfaction, pain levels, revision and dislocation rates, subjective issues related to the prosthetic hip and limitations to daily activities. Our adjusted response rate was 81.4%, with 89.2% of the respondents being satisfied with their hip replacement; 4.1% were dissatisfied, and 5.0% were unsure. 79% of patients reported no pain or slight pain, 14.5% had moderate pain and 2.6% had severe pain. 4.6% of the hip replacements had been revised, and 4.1% had dislocated. The hip was felt to be a limiting factor in their life by 18.4% of patients. The use of a questionnaire has provided long-term follow-up data at far less cost and considerably less inconvenience to the patient than a clinical review. We conclude that pain and patient satisfaction could be used as a simple screening tool for the vast majority of the patients. In those that have moderate or severe pain or express a lack of satisfaction for any reason, further clinical and radiological assessments could be carried out. (Hip International 2005; 15: 112-8).
我们展示了对一家专业关节置换中心1560例患者进行的1700例髋关节置换手术的邮政评估结果。这项为期5至12年的随访评估了患者对满意度、疼痛程度、翻修率和脱位率的看法，与人工髋关节相关的主观问题以及日常活动的限制。我们的调整后回复率为81.4%，89.2%的受访者对他们的髋关节置换手术感到满意；4.1%不满意，5.0%不确定。79%的患者报告无疼痛或轻微疼痛，14.5%有中度疼痛，2.6%有重度疼痛。4.6%的髋关节置换手术进行了翻修，4.1%发生了脱位。18.4%的患者认为髋关节是他们生活中的限制因素。与临床复查相比，使用问卷以更低的成本和给患者带来更少的不便提供了长期随访数据。我们得出结论，疼痛和患者满意度可作为绝大多数患者的简单筛查工具。对于那些有中度或重度疼痛或因任何原因表示不满意的患者，可以进行进一步的临床和放射学评估。（《国际髋关节》2005年；15: 112 - 8）
